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减肥手术诱导的减肥后的皮肤表现和生物物理变化:为期2年的前性研究
Jidapa Triwatcharikorn1, Yada Itthipanichpong1, Chanudda Washrawirul1
1Division of Dermatology, Department of Medicine, Faculty of Medicine, The Skin and Allergy Research Unit, Chulalongkorn University, Bangkok, Thailand.
The Journal of dermatology
|September 4, 2023
概括
减肥手术显著改善了许多致病性肥胖患者的皮肤状况,包括纹和尼格里坎索斯病. 然而,急性端原流水是减肥后常见的副作用.
科学领域:
- 皮肤病学 皮肤病学
- 腹部外科 腹部外科
- 肥胖医学 肥胖医学
背景情况:
- 致病性肥胖与各种皮肤表现和生物物理变化有关.
- 有关显著减肥后皮肤变化的数据有限,特别是在减肥手术 (BaS) 后.
研究的目的:
- 为了前性地评估患有病态肥胖症的患者在2年内接受BaS的皮肤征兆和生物物理性质的患病率和变化.
主要方法:
- 一项为期2年的前性研究,涉及31名患有致病性肥胖症的患者 (平均年龄38.35岁,61.29%男性),他们接受了BaS.
- 定期皮肤检查,生物物理测量和实验室测试在手术后的0,3,6,12,18和24个月进行.
主要成果:
- 常见的初始皮肤发现包括斑纹,黑色色素 (AN) 和脚部皮症 (全部>93%).
- BaS导致,AN,acrochordons,脚部皮症, hirsutism,淋巴,,,,手指小石,和慢性静脉功能不全的改善.
- 在54.84%的患者中发生了急性telogen effluvium. 手术后的皮脂产量和皮肤弹性显著下降,而皮肤间的水分流失,水分和pH值保持不变.
结论:
- 通过BaS实现的减肥可以在一系列皮肤病中显著改善.
- 剧烈的telogen effluvium是减肥手术的常见后果,需要提高意识和潜在的管理策略.
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