Scheinfeld Noah S
Department of Dermatology, St. Luke's-Roosevelt Hospital Center and Beth Israel Medical Center, New York, New York, USA.
Clin Dermatol. 2004 Jul-Aug;22(4):303-9. doi: 10.1016/j.clindermatol.2004.01.001.
Obesity is associated with a number of dermatoses. It affects cutaneous sensation, temperature regulation, foot shape, and vasculature. Acanthosis nigricans is the most common dermatological manifestation of obesity. Skin tags are more commonly associated with diabetes than with obesity. Obesity increases the incidence of cutaneous infections that include: candidiasis, intertigo, candida folliculitis, furunculosis, erythrasma, tinea cruris, and folliculitis. Less common infections include cellulitis, necrotizing fasciitis, and gas gangrene. Leg ulcerations, lymphedema, plantar hyperkeratosis, and striae are more common with obesity. Hormonal abnormalities and genetic syndromes (Prader-Willi) are related to obesity and its dermatoses; however, cellulite is not related to obesity.
肥胖与多种皮肤病相关。它会影响皮肤感觉、体温调节、足部形状和血管系统。黑棘皮病是肥胖最常见的皮肤表现。皮赘与糖尿病的关联比与肥胖更为常见。肥胖会增加皮肤感染的发生率，包括：念珠菌病、擦烂红斑、念珠菌毛囊炎、疖病、红癣、股癣和毛囊炎。不太常见的感染包括蜂窝织炎、坏死性筋膜炎和气性坏疽。腿部溃疡、淋巴水肿、足底角化过度和萎缩纹在肥胖人群中更为常见。激素异常和遗传综合征（普拉德-威利综合征）与肥胖及其皮肤病有关；然而，橘皮组织与肥胖无关。
