Dermatological Manifestations in People with Obesity

Venna Ashok Babu, Gulam Mohamed Shahul Hameed
2019 Journal of Evolution of Medical and Dental Sciences  
BACKGROUND Obesity is recognized worldwide as a major health problem. Obesity is defined as a body mass index (BMI) of 30 Kg/m 2 or greater. Obesity is associated with an increased risk of health problems including hypertension, type-2 diabetes mellitus, dyslipidemias along with skin conditions such as acrochordons, acanthosis nigricans, striae distensae and pyodermas. which can be easily diagnosed on inspection. METHODS The study was carried out from January 2018 to January 2019. This is a
more » ... s sectional descriptive study. The study comprised of 50 adult patients (25 males, 25 females) of age more than 15 years satisfying the inclusion criteria. Serum lipid profiles, fasting blood sugar, post prandial blood sugar, fasting serum insulin, fasting serum leptin, liver function tests, renal function tests and clinical examination were done to exclude hypertension and cardiovascular diseases. Chi-square and Fisher exact tests were used to test the significant associations. RESULTS Majority (>40%) of patients were in third and fourth decades of life. Significantly more skin diseases were found in obese patients. Acanthosis nigricans, skin tags, tinea corporis, intertrigo, striae distensae, psoriasis, fissure feet, pyodermas, varicose veins, seborrhoeic dermatitis, were significantly seen. Many patients had more than one skin condition. Acanthosis nigricans and skin tags were the most prevalent skin changes. Diabetes mellitus was the most commonly seen systemic illness. CONCLUSIONS Dermatologists need to be aware of skin diseases related to obesity so that they can advise the patients regarding early monitoring and associated risk factors like diabetes, dyslipidemias and cardiovascular diseases.
doi:10.14260/jemds/2019/767 fatcat:frm64gbbvbhcjgkn4cflewua5u