Study of Clinical Profile Associated with Obesity amongst Dermatology Patients In A    Tertiary Care Centre

Dr. Nausheen Syed; Dr. Supriya R. Vikhe Patil; Dr. Nilesh Rafaliya; Dr. Ramesh Gosavi

doi:10.46858/vimshsj.7402

Authors

Dr. Nausheen Syed DVVPF's Medical College & Hospital, Ahmednagar-414111, Maharashtra, India
Dr. Supriya R. Vikhe Patil
Dr. Nilesh Rafaliya
Dr. Ramesh Gosavi

DOI:

https://doi.org/10.46858/vimshsj.7402

Keywords:

Obesity, Skin disease in obese, Body Mass Index

Abstract

Background: Obesity is a global epidemic. Obesity is associated with a number of dermatoses, including acanthosis nigricans, skin tag, keratosis pilaris, hyperandrogenism and hirsutism, striae distensae, and adiposis dolorosa. Objective: To elucidate the various skin changes in obesity and to determine if it is considered as an obesity marker. Methodology: 100 patients, aged 18 years or above satisfying the inclusion and exclusion criteria were drawn for a period of 18 months. Results: Out of 100 patients 54% were female, in their third and fourth decade. By occupation most of the females were housewives (40%) and the majority of males were farmers (14%). Type 2 diabetes mellitus was the most common systemic illness (24%). Pseudoacanthosis nigricans was the most prevalent skin change. 51% of patients had skin tags. 48% had striae distensae as a skin change. 10.86% male and 14.81% female patients had stasis dermatitis, 6% had leg venulectasias and 2% had leg ulcer. 26% had plantar hyperkeratosis. 41% of our patients had one or other types of fungal infections. Bacterial infections were detected in 15% cases, folliculitis being the commonest. Conclusion: Obesity is strongly related to several skin alterations that could be considered as markers of excessive weight. The dermatoses that showed a statistically significant relationship with obesity were Pseudo acanthosis nigricans, Skin tag, Striae, Plantar hyperkeratosis and Fungal infections. Prevention of obesity is important to prevent these dermatoses and dermatologists must work with primary care physicians and patients to reduce the harmful effects of obesity on the skin.

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