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皮赘与糖尿病相关性的临床形态学研究

A Clinico-Morphological Study of Acrochordons and the Association With Diabetes Mellitus.

作者信息

Joseph Chandran Bebisha, Nair S Pradeep

机构信息

Dermatology, KIMSHEALTH Medical Centre, Doha, QAT.

Dermatology and Venereology, Government T. D. (Thirumala Devaswom) Medical College Alappuzha, Alappuzha, IND.

出版信息

Cureus. 2025 Feb 5;17(2):e78549. doi: 10.7759/cureus.78549. eCollection 2025 Feb.

DOI:10.7759/cureus.78549
PMID:40062084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11887516/
Abstract

Background Acrochordons, otherwise called soft fibromas or skin tags, are small, soft, pedunculated protrusions occurring mainly on the neck and major flexures. They are being investigated as one of the cutaneous markers of diabetes mellitus (DM). The objective of the study was to analyze the clinico-morphological types of acrochordons and to study the association of acrochordons with DM. Materials and methods A descriptive comparative study was conducted in the dermatology outpatient department of a tertiary care hospital in South India over a period of one year. It included 150 cases with acrochordons and a comparative group with age- and sex-matched individuals without acrochordons. All the clinically confirmed cases and comparative groups were subjected to detailed history, clinical examination, and blood and urine tests, and the details were noted in the standard proforma. Statistical analysis was done using Pearson's Chi-squared test. Results Statistical analysis revealed a statistically significant relationship between skin tags and DM (p = 0.0073). Also, there was a significant association between the duration of skin tags and the duration of DM (p= 0.000). The odds ratio was found to be 1.89, which implies that there is a 1.8 times greater risk of an individual with ST developing DM when compared with an individual without a skin tag. Conclusion Skin tags can be considered as an early marker of impaired carbohydrate metabolism and DM.

摘要

背景 软纤维瘤,又称皮赘或皮肤软纤维瘤,是主要出现在颈部和主要褶皱处的小而柔软的带蒂突起。它们正作为糖尿病(DM)的皮肤标志物之一进行研究。本研究的目的是分析软纤维瘤的临床形态学类型,并研究软纤维瘤与糖尿病的关联。材料与方法 在印度南部一家三级护理医院的皮肤科门诊进行了为期一年的描述性比较研究。研究包括150例软纤维瘤患者以及一个由年龄和性别匹配的无软纤维瘤个体组成的对照组。所有临床确诊的病例和对照组均接受详细的病史询问、临床检查以及血液和尿液检查,并将详细信息记录在标准表格中。使用Pearson卡方检验进行统计分析。结果 统计分析显示皮赘与糖尿病之间存在统计学上的显著关系(p = 0.0073)。此外,皮赘的持续时间与糖尿病的病程之间也存在显著关联(p = 0.000)。发现优势比为1.89,这意味着与没有皮赘的个体相比,患有皮赘的个体患糖尿病的风险高1.8倍。结论 皮赘可被视为碳水化合物代谢受损和糖尿病的早期标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/d973b0abd01b/cureus-0017-00000078549-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/1a8ed34300e3/cureus-0017-00000078549-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/f43141643908/cureus-0017-00000078549-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/c29e968ff539/cureus-0017-00000078549-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/b847e06d12df/cureus-0017-00000078549-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/c86ac8b23798/cureus-0017-00000078549-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/f53eeafb7cda/cureus-0017-00000078549-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/b7ba2ff27415/cureus-0017-00000078549-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/d973b0abd01b/cureus-0017-00000078549-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/1a8ed34300e3/cureus-0017-00000078549-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/f43141643908/cureus-0017-00000078549-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/c29e968ff539/cureus-0017-00000078549-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/b847e06d12df/cureus-0017-00000078549-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/c86ac8b23798/cureus-0017-00000078549-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/f53eeafb7cda/cureus-0017-00000078549-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/b7ba2ff27415/cureus-0017-00000078549-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9504/11887516/d973b0abd01b/cureus-0017-00000078549-i08.jpg

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本文引用的文献

1
The relationship between acrochordons, obesity, and metabolic syndrome in the pediatric population: A retrospective cohort study.在儿科人群中,软纤维瘤、肥胖和代谢综合征之间的关系:一项回顾性队列研究。
Pediatr Dermatol. 2024 Jul-Aug;41(4):660-666. doi: 10.1111/pde.15639. Epub 2024 Apr 29.
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The role of insulin-like growth factor in Acrochordon Etiopathology.胰岛素样生长因子在皮赘发病机制中的作用。
BMC Dermatol. 2020 Nov 3;20(1):14. doi: 10.1186/s12895-020-00111-0.
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Association of Acanthosis Nigricans and Acrochordon with Insulin Resistance: A Cross-Sectional Hospital-Based Study from North India.
黑棘皮病和皮赘与胰岛素抵抗的关联:一项基于印度北部医院的横断面研究。
Indian J Dermatol. 2020 Mar-Apr;65(2):112-117. doi: 10.4103/ijd.IJD_646_18.
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Acrochordons as a cutaneous sign of metabolic syndrome: a case-control study.皮肤软垂疣作为代谢综合征的一种皮肤表现:一项病例对照研究。
Ann Med Health Sci Res. 2014 Mar;4(2):202-5. doi: 10.4103/2141-9248.129040.
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Acrochordons as a cutaneous sign of impaired carbohydrate metabolism, hyperlipidemia, liver enzyme abnormalities and hypertension: a case-control study.
J Eur Acad Dermatol Venereol. 2011 Dec 21. doi: 10.1111/j.1468-3083.2011.04396.x.
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Acrochordon, diabetes and associations.皮赘、糖尿病及关联
Indian J Dermatol Venereol Leprol. 1996 Jul-Aug;62(4):226-8.
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[Association between skin tags and insulin resistance].[皮肤赘生物与胰岛素抵抗之间的关联]
An Bras Dermatol. 2010 Jan-Feb;85(1):25-31. doi: 10.1590/s0365-05962010000100003.
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The metabolic profile in patients with skin tags.皮肤赘生物患者的代谢特征。
Clin Exp Med. 2010 Sep;10(3):193-7. doi: 10.1007/s10238-009-0086-5. Epub 2009 Dec 24.