A clinico-epidemiological study of acrochordons and their association with metabolic syndrome
DOI:
https://doi.org/10.66344/jpad.33.3.2023.2158Keywords:
Acrochordon, Skin tag, metabolic syndrome, Diabetes mellitus (DM), ObesityAbstract
Achrochordons(Skin Tags) are common benign tumours occurring in skin of
the neck and flexural regions of the body.They most commonly occur in
middle age and old age population ranging from size of 1mm to 2-3cm in
diameter.The middle aged population most commonly seek treatment and older
people generally leave it attended.Cosmesis is the most common reason for
treatment,but they may sometimes cause chronic irritation due to pressure effect
or repeated friction.They can be multiple morphologies likel
filliform,pedunculated,sessile etc.They can be pigmented or of skin colour as
well.They don’t have any gender-predilection.
Metabolic syndrome is a curse of modern time.Genetic as well as lifestyle has
been implicated for the same.Diagnosis involves presence of 3 or more out of
Hyperglycemia,Hypertriglyceridemia,Decreased HDL Cholesterol
levels,Central obesity and Hypertension,according to guidelines laid by NCEP
ATP III guidelines.
Skin Tags is associated with the Metabolic syndrome in a significant number of
population.The co-existant population may have clinical manifestation of
Metabolic syndrome or may be having subclinical disease.So the presence of
Skin Tag can be used to screen patients for metabolic syndrome and may aid in
the detection of the subclinical cases as well.Early initiation of lifestyle
modification and therapy if required,may significantly decrease the morbidity
associated with the chronic disease.Hence it is advisable to be vigilant in
patients of Skin Tags,particularly in patients having more than 5 skin tags,and
investigate them for Metabolic syndrome so that we detect and treat them early.
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Copyright (c) 2023 Nisha Agrawal, Prabal Samanta, Kingshuk Chatterjee, Jayanta Kumar Barua, Gautam Banerjee

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