International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 9 | Research Article | Open Access
Shreya K*
Department of Dermatology and Venereology, AIIMS, Habibganj, Saketnagar, Bhopal, India
Fulltext PDF“Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems”. A hospital-based cross-sectional study was conducted in the Department of Dermatology, Venereology & Leprosy, central west part of India. The aim was to study various dermatological manifestations of obesity. A total of 107 subjects with clinical evidence of obesity were included (BMI>25 or waist circumference Men: >90 cm, women>80 cm). After taking consent, demographic details, height, weight, waist circumference, and cutaneous examination findings were recorded. Investigations like fasting plasma glucose level, post prandial plasma glucose level, serum lipid profile, and fasting serum insulin level were also performed. The mean age of the study subjects was 38.27 years with over half of the subjects (55.1%) being 40 years or below. Female predominance was seen among study subjects with 79.4% females to 20.6% males.
Out of total 107 subjects, 39.3% had a sedentary lifestyle. As per BMI criteria, 5.6% were normal and 27.1% were overweight. While 26.2%, 27.1% and 14% were in obesity category I, II and II respectively. All female respondents had abdominal girth above 80 cm, while 44.7% had abdominal girth above 100 cm. All male respondents had abdominal girth above 90 cm, while 9.1% and 13.6% had abdominal girth above 100 cm and 110 cm respectively. Out of total 107 cases, 34 (31.8%) were vegetarians while remaining 73 (68.2%) were on mixed diet. Associated co-morbidities among study subjects included diabetes (5.6%), hypertension (4.7%), PCOS (1.9%) and hypothyroidism (0.9%). On investigation, raised fasting insulin was seen in 36.4% while diabetes as per fasting and post-prandial criteria was observed in 17.8% and 34.6% subjects. High total cholesterol, triglycerides, LDL and VLDL levels were seen in 71%, 33.6%, 59.8% and 47.7% while low HDL levels were seen in 77.6%. Insulin resistance as per raised HOMA-IR levels was seen in 69.2% subjects. In 69.2% cases, skin manifestations developed gradually while acute onset was seen in 30.8% cases. The most common site involved was the neck (65.4%), followed by groin (15%) and axilla region (10.3%). The most common skin manifestation of obesity seen in present study was acanthosis nigricans (61.7%), followed by tinea corporis (39.3%) and acrochordons (26.2%). Other skin condition seen were hirsutism (4.7%), intertrigo (1.9%), furuncle (1.9%), striae (1.9%), acne (1.9%) and adiposis dolorosa (0.9%).
Obesity; Cutaneous manifestations; Acanthosis nigricans; Tinea corporis; Dyslipidemia
Poonam Singh, Ratnakar R Kamath, Shreya K, Reena Singh. A Cross-Sectional Observational Study on The Cutaneous Manifestations of Obesity from Central West India.Int Clinc Med Case Rep Jour. 2023;2(9):1-9.