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Skin changes in the obese patient.

Penelope A Hirt1, David E Castillo1, Gil Yosipovitch1

  • 1Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.

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Summary

Obesity significantly impacts skin health, affecting its physiology, barrier function, and wound healing. Understanding these skin changes is crucial for diagnosing underlying disorders and improving patient outcomes.

Keywords:
acneatopic dermatitisepidermal barrierhidradenitis suppurativaobesitypsoriasisrare skin diseasesrosaceaskin cancerskin changesskin infectionstophaceous

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Area of Science:

  • Dermatology
  • Public Health
  • Endocrinology

Background:

  • Obesity is a global health crisis with increasing prevalence.
  • The skin manifestations of obesity are often underestimated.
  • Increased body mass index (BMI) affects multiple skin functions.

Purpose of the Study:

  • To review the multifaceted effects of obesity on skin physiology and common dermatological conditions.
  • To highlight the association between obesity, metabolic disorders, and skin health.
  • To emphasize the importance of recognizing cutaneous signs for early diagnosis and management.

Main Methods:

  • Systematic review of literature on obesity and skin manifestations.
  • Analysis of how increased BMI impacts skin structure and function.
  • Compilation of common and rare skin conditions associated with obesity.

Main Results:

  • Obesity alters skin physiology, barrier function, collagen, and wound healing.
  • Common skin issues include acanthosis nigricans, striae distensae, and cellulite.
  • Obesity increases susceptibility to infections and exacerbates inflammatory dermatoses like hidradenitis suppurativa and psoriasis.

Conclusions:

  • Recognizing obesity-related skin signs aids in diagnosing systemic disorders.
  • Early identification of cutaneous manifestations can lead to better treatment and prevention of complications.
  • Further research is needed on the link between obesity, atopic dermatitis, and skin cancer risk.