Volume : 3, Issue : 8, AUG 2017
SKIN LESION AND DISEASES IN OBESITY - PART II: THE SKIN DISORDERS RELATED TO MECHANICAL INJURES, DERMATOLOGIC DISEASES AGGRAVATED BY OBESITY AND CONSEQUENCES OF BARIATRIC SURGERY.
AGNIESZKA OWCZARCZYK-SACZONEK MD, PHD, PROF. WALDEMAR PLACEMD, PHD
Obesity is a growing epidemic affecting millions worldwide. It has numerous effects on various systems of the body leading to physiological changes that may cause the development of diseases like high blood pressure, heart disease, high blood cholesterol and type 2 diabetes. The impact of obesity on the skin has received minimal attention. The purpose of this article is to highlight the association between obesity and dermatologic conditions. We presented skin diseases related to mechanical injures due to obesity (plantar keratosis, stretch marks, cellulitis, lymphatic edema, chronic venous insufficiency), dermatologic diseases aggravated by obesity (psoriasis, acne vulgaris, hydradenitis suppurativa) and consequences of bariatric surgery. Moreover many studies confirmed that obesity is a risk factor for developing autoimmune disease (rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis and Sjögren's syndrome). Visceral fatty tissue produces adipokines (leptin, adiponectin, resistin, visfatin), which are involved in the development of autoimmune disorders. Skin lesions and disorders associated with obesity are symptoms of an increased risk of atherosclerosis and coronary artery disease too. Awareness of these disorders may help to diagnose the subclinical phase, and thus early implement the appropriate management for patients. The treatment of obesity is a difficult task and requires the action of multidisciplinary teams of physicians, dieticians, physiotherapists and psychologists. Knowledge of skin disorders and dermatological diseases in obese people is necessary because of global epidemic of obesity.
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