Dermatoses in 156 Obese Adults
Open Access
- 1 May 1999
- journal article
- research article
- Published by Wiley in Obesity Research
- Vol. 7 (3) , 299-302
- https://doi.org/10.1002/j.1550-8528.1999.tb00410.x
Abstract
GARCÍA‐HIDALGO, LINDA, ROCÍO OROZCO‐TOPETE, JORGE GONZALEZ‐BARRANCO, ANTONIO R. VILLA, JOSÉ J. DALMAN, AND GUADALUPE ORTIZ‐PEDROZA. Dermatoses in 156 obese adults. Obes Res.Background: Skin diseases are mentioned as a frequent finding in the obese patient. However, to our knowledge no study has been done on this subject.Objective: To determine the prevalence of skin diseases associated with different obesity grades and if any dermatosis can be considered an obesity marker.Materials and Methods: A cross‐sectional study of 156 obese patients who were 110% to 293% overweight were included. Complete medical history and dermatological examination were done.Results: In the 126 female and 30 male obese patients, grades I to V, with a body mass index (BMI) of 27–51, cutaneous findings with statistical significance for linear trend were: plantar hyperkeratosis 54 patients p = 0. 00001; acanthosis nigricans 46 patients p = 0. 00005; striae 67 patients p = 0. 03; skin tags 69 patients p = 0. 01; keratosis pi‐laris 33 patients p = 0. 007. Patients with plantar hyperkeratosis were distributed in the obesity groups as follows: grade 1 = 3 patients; grade II = 7 patients; grade III = 8 patients; grade IV = 17 patients; and grade V = 19 patients. Of the 76 diabetic patients, 26 had acanthosis nigricans, 38 had skin tags, and 27 had plantar hyperkeratosis.Discussion: Plantar hyperkeratosis should be considered as a cutaneous stigma of severe obesity. This is probably a result of pressure directly related to the excess weight.Keywords
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