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  • 1 Fővárosi Önkormányzat Egyesített Szent István és Szent László Kórház és Rendelőintézet Bőrgyógyászati és Lymphológiai Rehabilitációs Osztály Budapest Nagyvárad tér 1. 1095
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A túlsúly, az elhízás népbetegség Magyarországon és a nyugati világban. Igen fontos hangsúlyozni, hogy a kövérség betegség és egy lényeges rizikófaktor számos bőr- és egyéb betegséget tekintve. Az obesitas okozta és az általa súlyosbított bőrbetegségek (acathosis nigricans, acrochordonok, keratosis pilaris, hyperandrogenismus, striák, adiposis dolorosa, nyiroködéma, krónikus vénás elégtelenség, plantaris hyperkeratosis, lipödéma, bőrinfekciók, acne inversa, psoriasis, köszvényes csomók) áttekintése segít minket abban, hogy nézzünk és lássunk is. Fokozottan figyeljünk a bőrinfekciók lehetőségére, mert ez segíti a korai felismerést, a szövődmények elkerülését, és hívjuk fel a páciensek figyelmét a bőrkezelés preventív jelentőségére. Kövér páciens esetén a legtöbb helyi vagy szisztémás kezelés alkalmazásakor a megszokott adagolás módosítása szükséges. Gondolnunk kell arra is, hogy az elhízás közvetlenül vagy közvetve szinte minden szervrendszerben előnytelen folyamatokat indít el, ezért csak egy multidiszciplináris ellátástól remélhető az obes beteg gyógyítása és rehabilitációja. A rehabilitációnak gyakran része a bőrgyógyászati és lymphologiai gondozás.

  • Greenberg, A. S., Obin, M. S.: Obesity and the role of adipose tissue in inflammation and metabolism. Am. J. Clin. Nutr., 2006, 83 , 461S–465.

    Obin M. S. , 'Obesity and the role of adipose tissue in inflammation and metabolism ' (2006 ) 83 Am. J. Clin. Nutr. : 461S -465.

    • Search Google Scholar
  • Stehno-Bittel, L.: Intricacies of fat. Phys. Ther., 2008, 88 , 1265–1278.

    Stehno-Bittel L. , 'Intricacies of fat ' (2008 ) 88 Phys. Ther. : 1265 -1278.

  • Cordain, L., Eades, M. R., Eades, M. D.: Hyperinsulinemic diseases of civilization: more than just syndrome X. Comp. Biochem. Physiol. A Mol. Integr. Physiol., 2003, 136 , 95–112.

    Eades M. D. , 'Hyperinsulinemic diseases of civilization: more than just syndrome X ' (2003 ) 136 Comp. Biochem. Physiol. A Mol. Integr. Physiol. : 95 -112.

    • Search Google Scholar
  • Yosipovitch, G., DeVore, A., Dawn, A.: Obesity and the skin: Skin physiology and skin manifestations of obesity. J. Am. Acad. Dermatol., 2007, 56 , 901–916.

    Dawn A. , 'Obesity and the skin: Skin physiology and skin manifestations of obesity ' (2007 ) 56 J. Am. Acad. Dermatol. : 901 -916.

    • Search Google Scholar
  • Cruz, P. D. Jr., Hud, J. A. Jr.: Excess insuline-binding to insuline-like growth factor receptors: proposed mechanism for acanthosis nigricans. J. Invest Dermatol., 1992, 98 , 82S–85S.

    Hud J. A. , 'Excess insuline-binding to insuline-like growth factor receptors: proposed mechanism for acanthosis nigricans ' (1992 ) 98 J. Invest Dermatol. : 82S -85S.

    • Search Google Scholar
  • Hud, J. A. Jr., Cohen, J. B., Wagner, J. M. és mtsa: Prevalence and significance of acanthosis nigricans in an adult obese population. Arch. Dermatol., 1992, 128 , 941–944.

    Wagner J. M. , 'Prevalence and significance of acanthosis nigricans in an adult obese population ' (1992 ) 128 Arch. Dermatol. : 941 -944.

    • Search Google Scholar
  • Guran, T., Turan, S., Akcay, T. és mtsa: Significance of acanthosis nigricans in childhood obesity. J. Paediatr. Child Health, 2008, 44 , 338–341.

    Akcay T. , 'Significance of acanthosis nigricans in childhood obesity ' (2008 ) 44 J. Paediatr. Child Health : 338 -341.

    • Search Google Scholar
  • Grasinger, C. C., Wild, R. A., Parker, I. J.: Vulvar acanthosis nigricans: a marker for insuline resistance in hirsute women. Fertil. Steril, 1993, 59 , 583–586.

    Parker I. J. , 'Vulvar acanthosis nigricans: a marker for insuline resistance in hirsute women ' (1993 ) 59 Fertil. Steril : 583 -586.

    • Search Google Scholar
  • Hermanns-Le, T., Scheen, A., Piérard, G. H.: Acanthosis nigricans associated with insuline resistance: pathophysiology and management. Am. J. Clin. Dermatol., 2004, 5 , 199–203.

    Piérard G. H. , 'Acanthosis nigricans associated with insuline resistance: pathophysiology and management ' (2004 ) 5 Am. J. Clin. Dermatol. : 199 -203.

    • Search Google Scholar
  • García-Hidalgo, L., Orozco-Topete, R., Gonzalez-Barraco, J. és mtsai: Dermatoses in 156 obese adults. Obes. Res., 1999, 7 , 299–302.

    Gonzalez-Barraco J. , 'Dermatoses in 156 obese adults ' (1999 ) 7 Obes. Res. : 299 -302.

  • Demir, S., Demir, Y.: Acrochordon and impaired carbohydrate metabolism. Acta Diabetol., 2002, 39 , 57–59.

    Demir Y. , 'Acrochordon and impaired carbohydrate metabolism ' (2002 ) 39 Acta Diabetol. : 57 -59.

    • Search Google Scholar
  • Rasi, A., Soltani-Arabshahi, R., Shahbazi, N.: Skin tag as a cutaneous marker for impaired carbohydrate metabolism: a case-control study. Int. J. Dermatol., 2007, 46 , 1155–1159.

    Shahbazi N. , 'Skin tag as a cutaneous marker for impaired carbohydrate metabolism: a case-control study ' (2007 ) 46 Int. J. Dermatol. : 1155 -1159.

    • Search Google Scholar
  • Kahana, M., Grossman, E., Feinstein, A. és mtsai: Skin tags: a cutaneous marker for diabetes mellitus. Acta Derm. Venereol., 1987, 67 , 175–177.

    Feinstein A. , 'Skin tags: a cutaneous marker for diabetes mellitus ' (1987 ) 67 Acta Derm. Venereol. : 175 -177.

    • Search Google Scholar
  • Yosipovitch, G., Mevorah, B., Mashiach, J. és mtsai: High body mass index, dry scaly leg skin and atopic conditions are highly associated with keratosis pilaris. Dermatology, 2000, 201 , 34–36.

    Mashiach J. , 'High body mass index, dry scaly leg skin and atopic conditions are highly associated with keratosis pilaris ' (2000 ) 201 Dermatology : 34 -36.

    • Search Google Scholar
  • Ruutiainen, K., Erkkola, R., Gronroos, M. A. és mtsa: Influence of body mass index and age on the grade of hair growth in hirsute women of reproductive ages. Fertil. Steril., 1988, 50 , 260–265.

    Gronroos M. A. , 'Influence of body mass index and age on the grade of hair growth in hirsute women of reproductive ages ' (1988 ) 50 Fertil. Steril. : 260 -265.

    • Search Google Scholar
  • Tsai, M. C., Chen, W., Cheng, Y. W. és mtsai: Higher body mass index is a significant risk factor for acne formation in schoolchildren. Eur. J. Dermatol., 2006, 16 , 251–253.

    Cheng Y. W. , 'Higher body mass index is a significant risk factor for acne formation in schoolchildren ' (2006 ) 16 Eur. J. Dermatol. : 251 -253.

    • Search Google Scholar
  • Hsu, H. S., Chen, W., Chen, S. C. és mtsa: Colored stiae in obese children and adolescens. Zhonghua Min Guo Xiao Er Ke Yi Xue Za Zhi, 1996, 37 , 349–352.

    Chen S. C. , 'Colored stiae in obese children and adolescens ' (1996 ) 37 Zhonghua Min Guo Xiao Er Ke Yi Xue Za Zhi : 349 -352.

    • Search Google Scholar
  • Goldman, A., Rossato, F., Prati, C.: Stretch marks: treatment using the 1,064-nm Nd:YAG laser. Dermatol. Surg., 2008, 34 , 686–691.

    Prati C. , 'Stretch marks: treatment using the 1,064-nm Nd:YAG laser ' (2008 ) 34 Dermatol. Surg. : 686 -691.

    • Search Google Scholar
  • Kim, B. J., Lee, D. H., Kim, M. N. és mtsai: Fractional photothermolysis for the treatment of striae distensae in Asian skin. Am. J. Clin. Dermatol., 2008, 9 , 33–37.

    Kim M. N. , 'Fractional photothermolysis for the treatment of striae distensae in Asian skin ' (2008 ) 9 Am. J. Clin. Dermatol. : 33 -37.

    • Search Google Scholar
  • Suh, D. H., Chang, K. Y., Son, H. C. és mtsai: Radiofrequency and 585-nm pulsed dye laser treatment of striae distensae: a report of 37 Asian patients. Dermatol. Surg., 2007, 33 , 29–34.

    Son H. C. , 'Radiofrequency and 585-nm pulsed dye laser treatment of striae distensae: a report of 37 Asian patients ' (2007 ) 33 Dermatol. Surg. : 29 -34.

    • Search Google Scholar
  • Wortham, N. C., Tomlinson, I. P.: Dercum’s disease. Skinmed., 2005, 4 , 157–162.

    Tomlinson I. P. , 'Dercum’s disease ' (2005 ) 4 Skinmed. : 157 -162.

  • DeFranzo, A. J., Hall, J. H. Jr., Herring, S. M.: Adiposis dolorosa (Dercum’s disease): liposuction as an effective form of treatment. Plast Reconstr. Surg., 1990, 85 , 289–292.

    Herring S. M. , 'Adiposis dolorosa (Dercum’s disease): liposuction as an effective form of treatment ' (1990 ) 85 Plast Reconstr. Surg. : 289 -292.

    • Search Google Scholar
  • Krause, K. I., Hebert, A. A., Sanchez, R. L. és mtsa: Anterior abdominal wall angiosarcoma in a morbidly obese woman. J. Am. Acad. Dermatol., 1986, 15 , 327–330.

    Sanchez R. L. , 'Anterior abdominal wall angiosarcoma in a morbidly obese woman ' (1986 ) 15 J. Am. Acad. Dermatol. : 327 -330.

    • Search Google Scholar
  • Azam, M., Saboorian, H., Bieligk, S. és mtsai: Cutaneous angiosarcoma complicating morbid obesity. Arch. Pathol. Lab. Med., 2001, 125 , 531–533.

    Bieligk S. , 'Cutaneous angiosarcoma complicating morbid obesity ' (2001 ) 125 Arch. Pathol. Lab. Med. : 531 -533.

    • Search Google Scholar
  • Lacroix, P., Aboyans, V., Preux, P. M. és mtsai: Epidemiology of venous insufficiency in an occupational population. Int. Angiol., 2003, 22 , 172–176.

    Preux P. M. , 'Epidemiology of venous insufficiency in an occupational population ' (2003 ) 22 Int. Angiol. : 172 -176.

    • Search Google Scholar
  • Padberg, F. Jr., Cerveira, J. J., Lal, B. K. és mtsai: Does severe venous insufficiency have a different etiology in the morbidly obese? Is it venous? J. Vasc. Surg., 2003, 37 , 79–85.

    Lal B. K. , 'Does severe venous insufficiency have a different etiology in the morbidly obese? Is it venous? ' (2003 ) 37 J. Vasc. Surg. : 79 -85.

    • Search Google Scholar
  • Danielsson, G., Eklof, B., Grandinetti, A. és mtsa: The influence of obesity on chronic venous disease. Vasc. Endovascular. Surg., 2002, 36 , 271–276.

    Grandinetti A. , 'The influence of obesity on chronic venous disease ' (2002 ) 36 Vasc. Endovascular. Surg. : 271 -276.

    • Search Google Scholar
  • Wenczl E., Daróczy J.: A lipoedema, egy alig ismert kórkép: diagnózis, társbetegségek, kezelés. Orv. Hetil., 2008, 149 , 2121–2127.

    Daróczy J. , 'A lipoedema, egy alig ismert kórkép: diagnózis, társbetegségek, kezelés ' (2008 ) 149 Orv. Hetil. : 2121 -2127.

    • Search Google Scholar
  • Yosipovitch, G., Tur, E., Cohen, O. és mtsa: Skin surface pH in intertriginous areas in NIDDM patients. Possible correlation to candidal intertrigo. Diabetes Care, 1993, 16 , 560–563.

    Cohen O. , 'Skin surface pH in intertriginous areas in NIDDM patients. Possible correlation to candidal intertrigo ' (1993 ) 16 Diabetes Care : 560 -563.

    • Search Google Scholar
  • Chan, M. K., Chong, L.: A prospective epidemiologic survey on the prevalence of foot disease in Hong Kong. J. Am. Podiatr. Med. Assoc., 2002, 92 , 450–456.

    Chong L. , 'A prospective epidemiologic survey on the prevalence of foot disease in Hong Kong ' (2002 ) 92 J. Am. Podiatr. Med. Assoc. : 450 -456.

    • Search Google Scholar
  • Dupuy, A., Benchikhi, H., Roujeau, J. C. és mtsai: Risk factors for erysipelas of the leg (cellulitis): case-control study. Br. Med. J., 1999, 318 , 1591–1594.

    Roujeau J. C. , 'Risk factors for erysipelas of the leg (cellulitis): case-control study ' (1999 ) 318 Br. Med. J. : 1591 -1594.

    • Search Google Scholar
  • Gallup, D. G., Freedman, M. A., Meguiar, R. V. és mtsai: Necrotizing fasciitis in gynecologic and obstatric patients: a surgical emergency. Am. J. Obstet. Gynecol., 2002, 187 , 305–310.

    Meguiar R. V. , 'Necrotizing fasciitis in gynecologic and obstatric patients: a surgical emergency ' (2002 ) 187 Am. J. Obstet. Gynecol. : 305 -310.

    • Search Google Scholar
  • Francis, K. R., Lamute, H. R., Davis, J. M. és mtsa: Implications of risk factors in necritizing fasciitis. Am. Surg., 1993, 59 , 304–308.

    Davis J. M. , 'Implications of risk factors in necritizing fasciitis ' (1993 ) 59 Am. Surg. : 304 -308.

    • Search Google Scholar
  • Slade, D. E., Powell, B. W., Mortimer, P. S.: Hidradenitis suppurativa: pathogenesis and management. Br. J. Plast. Surg., 2003, 56 , 451–461.

    Mortimer P. S. , 'Hidradenitis suppurativa: pathogenesis and management ' (2003 ) 56 Br. J. Plast. Surg. : 451 -461.

    • Search Google Scholar
  • Barth, J. H., Ng, L. L., Wojnarowska, F. és mtsa: Acanthosis nigricans, insuline resistance and cutaneous virilism. Br. J. Dermatol., 1988, 118 , 613–619.

    Wojnarowska F. , 'Acanthosis nigricans, insuline resistance and cutaneous virilism ' (1988 ) 118 Br. J. Dermatol. : 613 -619.

    • Search Google Scholar
  • Revuz, J. E., Canoui-Poitrine, F., Wolkenstein, P. és mtsai: Prevalence and factors associated with hidradenitis suppurativa: results from two case-control studies. J. Am. Acad. Dermatol., 2008, 59 , 596–601.

    Wolkenstein P. , 'Prevalence and factors associated with hidradenitis suppurativa: results from two case-control studies ' (2008 ) 59 J. Am. Acad. Dermatol. : 596 -601.

    • Search Google Scholar
  • Meixner, D., Schneider, S., Krause, M. és mtsa: Acne inversa. J. Dtsch. Dermatol. Ges., 2008, 6 , 189–196.

    Krause M. , 'Acne inversa ' (2008 ) 6 J. Dtsch. Dermatol. Ges. : 189 -196.

  • Cohen, A. D., Sherf, M., Vidavsky, L. és mtsai: Association between psoriasis and the metabolic syndrome. A cross-sectional study. Dermatology, 2008, 216 , 152–155.

    Vidavsky L. , 'Association between psoriasis and the metabolic syndrome. A cross-sectional study ' (2008 ) 216 Dermatology : 152 -155.

    • Search Google Scholar
  • Neimann, A. L., Shin, D. B., Wang, X. és mtsai: Prevalence of cardiovascular risk factors in patients with psoriasis. J. Am. Acad. Dermatol., 2006, 55 , 829–835.

    Wang X. , 'Prevalence of cardiovascular risk factors in patients with psoriasis ' (2006 ) 55 J. Am. Acad. Dermatol. : 829 -835.

    • Search Google Scholar
  • Herron, M. D., Hinckley, M., Hoffman, M. S. és mtsai: Impact of obesity and smoking on psoriasis presentation and management. Arch. Dermatol., 2005, 141 , 1527–1534.

    Hoffman M. S. , 'Impact of obesity and smoking on psoriasis presentation and management ' (2005 ) 141 Arch. Dermatol. : 1527 -1534.

    • Search Google Scholar
  • Huerta, C., Rivero, E., Rodriguez, L. A. G.: Incidence and risk factors for psoriasis in the general population. Arch. Dermatol., 2007, 143 , 1559–1565.

    Rodriguez L. A. G. , 'Incidence and risk factors for psoriasis in the general population ' (2007 ) 143 Arch. Dermatol. : 1559 -1565.

    • Search Google Scholar
  • Sakai, R., Matsui, S., Fukushima, M. és mtsai: Prognostic factor analysis for plaque psoriasis. Dermatology, 2005, 211 , 103–106.

    Fukushima M. , 'Prognostic factor analysis for plaque psoriasis ' (2005 ) 211 Dermatology : 103 -106.

    • Search Google Scholar
  • Sommer, D. M., Jenish, S., Suchan, M. és mtsai: Increased prevalence of the metabolic syndrome in patients of moderate to severe psoriasis. Arch. Dermatol Res., 2006, 298 , 321–328.

    Suchan M. , 'Increased prevalence of the metabolic syndrome in patients of moderate to severe psoriasis ' (2006 ) 298 Arch. Dermatol Res. : 321 -328.

    • Search Google Scholar
  • Chen, Y-J., Wu, C-Y., Shen, J-L. és mtsai: Psoriasis independently associated with hyperleptinemia contributing to metabolic syndrome. Arch. Dermatol., 2008, 144 , 1571–1575.

    Shen J-L. , 'Psoriasis independently associated with hyperleptinemia contributing to metabolic syndrome ' (2008 ) 144 Arch. Dermatol. : 1571 -1575.

    • Search Google Scholar
  • Krueger, J. G.: The immunologic bases for the treatment of psoriasis with new biologic agents. J. Am. Acad. Dermatol., 2002, 46 , 1–23.

    Krueger J. G. , 'The immunologic bases for the treatment of psoriasis with new biologic agents ' (2002 ) 46 J. Am. Acad. Dermatol. : 1 -23.

    • Search Google Scholar
  • Gisondi, P., Del Giglio, M., Di Francesco, V. és mtsai: Weight loss improves the response of obese patients with moderate-to-severe chronic plaque psoriasis to low-dose cyclosporine therapy: a randomised, controlled, investigator-blinded clinical trial. Am. J. Clin. Nutr., 2008, 88 , 1242–1247.

    Francesco V. , 'Weight loss improves the response of obese patients with moderate-to-severe chronic plaque psoriasis to low-dose cyclosporine therapy: a randomised, controlled, investigator-blinded clinical trial ' (2008 ) 88 Am. J. Clin. Nutr. : 1242 -1247.

    • Search Google Scholar
  • Varani, J., Bhagavathula, N., Ellis, C. N. és mtsa: Thiazolidinediones: potential as therapeutics for psoriasis and perhaps hyperproliferative skin disease. Expert Opin Investig. Drugs, 2006, 5 , 1453–1468.

    Ellis C. N. , 'Thiazolidinediones: potential as therapeutics for psoriasis and perhaps hyperproliferative skin disease ' (2006 ) 5 Expert Opin Investig. Drugs : 1453 -1468.

    • Search Google Scholar
  • Roubenoff, R., Klag, M. J., Mead, L. A. és mtsai: Incidence and risk factors for gout in white men. JAMA, 1991, 266 , 3004–3007.

    Mead L. A. , 'Incidence and risk factors for gout in white men ' (1991 ) 266 JAMA : 3004 -3007.

    • Search Google Scholar
  • Yamashita, S., Matsuzawa, Y., Tokunaga, K. és mtsai: Studies on the impaired metabolism of uric acid in obese subjects; marked reduction of renal urate excretion and its improvement by a low-calorie diet. Int. J. Obes., 1986, 10 , S255–264.

    Tokunaga K. , 'Studies on the impaired metabolism of uric acid in obese subjects; marked reduction of renal urate excretion and its improvement by a low-calorie diet ' (1986 ) 10 Int. J. Obes. : S255 -264.

    • Search Google Scholar
  • Klein, S., Fontana, L., Young, V. és mtsai: Absence of an effect of liposuction on insuline action and risk factors for coronary heart disease. N. Engl. J. Med., 2004, 350 , 2549–2557.

    Young V. , 'Absence of an effect of liposuction on insuline action and risk factors for coronary heart disease ' (2004 ) 350 N. Engl. J. Med. : 2549 -2557.

    • Search Google Scholar

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