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Published on: June 3, 2016
Obesity, genetics and the skin
1Department of Dermatology, Norfolk and Norwich University Hospitals NHS Foundation Trust, UK. george.millington@nnuh.nhs.uk
Insights
Childhood obesity is a growing public health issue with genetic links. This review focuses on rare monogenic obesity syndromes that often include distinct skin conditions.
Area of Science:
- Pediatric Endocrinology
- Medical Genetics
- Dermatology
Background:
- Childhood obesity presents significant short- and long-term public health challenges.
- Excess body weight is linked to psychological, oncological, metabolic, cardiovascular, musculoskeletal, and dermatological conditions.
- Genetic factors play a role in obesity etiology, including polygenic and monogenic forms.
Purpose of the Study:
- To review monogenic obesity syndromes with a focus on their associated cutaneous (skin) phenotypes.
- To highlight the importance of recognizing syndromic features in obese children.
Main Methods:
- Literature review of monogenic obesity syndromes.
- Analysis of reported cases with specific attention to dermatological manifestations.
- Synthesis of genetic and clinical data.
Main Results:
- Some obese children have monogenic disorders, often presenting with additional syndromic features.
- Certain monogenic obesity syndromes are characterized by distinct cutaneous phenotypes.
- Identifying these syndromes is crucial for accurate diagnosis and management.
Conclusions:
- Monogenic obesity syndromes, particularly those with cutaneous involvement, represent an important area of study.
- Recognition of syndromic features, including skin conditions, aids in diagnosing rare genetic obesity disorders.
- Further research into the genetic and phenotypic spectrum of these syndromes is warranted.
Abstract:
The increasing problem of obesity in childhood is recognized as both a short-term and long-term serious public-health concern. Excess body weight may contribute to psychological morbidity; cancers; metabolic, cardiovascular and musculoskeletal disorders; and dermatological conditions. There is increasing recognition of the role of genetic factors in the aetiology of obesity. Although in the vast majority of cases these influences are polygenic, some obese children suffer from monogenic disorders, which may present with obesity alone. However, more often than not, they generally display other syndromic features. Some of these syndromes have a clear cutaneous phenotype, and these conditions will be the focus of this review.
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