Severidad de presentación de acrocordones relacionada al riesgo cardiovascular medido en función de índice de masa corporal y obesidad central / Accuracy of presentation of acrochordons related to cardiovascular risk measured according to body mass index and central obesity

Contexto: los acrocordones son protrusiones benignas de piel presentes en zonas de roce; usualmente acompañan a enfermedades metabólicas. Objetivo: caracterizar la asociación entre la severidad de presentación de acrocordones y el riesgo cardiometabólico medido en función del índice de masa corporal y obesidad central en pacientes mayores de 18 años que acuden a la Consulta de Dermatología Hospital San Francisco de Quito (HSFQ). Sujetos y métodos: pacientes de ambos sexos, mayores a 18 años que acuden espontáneamente a Consulta Externa del Servicio de Dermatología del Hospital San Francisco de Quito, perteneciente al Instituto Ecuatoriano de Seguridad Social, durante los meses septiembre a octubre de 2015. Antecedentes familiares y personales de la enfermedad, medición de peso, talla, perímetro de cintura y presencia de acrocordones (coloración, número y localización) asociados a acantosis nigricans. Resultados: se estudiaron 111 sujetos, con una edad media de 47 años; predominaron pacientes del sexo femenino (60,7%). Se determinó en el 55,9% de casos un índice de masa corporal (IMC) superior a 30 Kg/m2, siendo el fototipo IV más común (59,4%) asociado a obesidad abdominal (69,3%). La zona más afectada es cuello (96,4%); se catalogaron como severos el 75,6% de casos. La prevalencia de acrocordones de coloración mixta y forma severa de la enfermedad estuvo presente en 39 pacientes (29%). Un IMC ≥30 Kg/m2 y la forma severa de acrocordones es considerado un factor riesgo, sin demostrarse asociación estadística (OR 1,83; IC 95% 0,76-4.41). Sujetos con IMC ≥ 30 Kg/m2 tiene mayor riesgo de presentar acrocordones de forma severa asociados a acantosis nigricans (OR 2,62; IC 95% 1,07-6,36). Conclusión: se demostró relación estadística en el grupo de pacientes con obesidad y acrocordones de presentación severa, que presentan acantosis nigricans asociada. (AU)

Context: acrochordons are benign skin protrusions present in areas of friction; they usually accompany metabolic diseases. Ojective: to characterize the association between the severity of the presentation of acrochordons and the cardiometabolic risk measured according to the body mass index and central obesity in patients over 18 years of age who attend the San Francisco de Quito Hospital Dermatology Consultancy (HSFQ). Subjects and methods: patients of both sexes, over 18 years of age, who spontaneously go to the External Consultation of the Dermatology Service of the San Francisco de Quito Hospital, belonging to the Ecuadorian Social Security Institute, from September to October 2015. Main measurements: Family and personal history of the disease, measurement of weight, height, waist circumference and presence of acrochordons (coloration, number and location) associated with acanthosis nigricans. Results: 111 subjects were studied, with an average age of 47 years; female patients predominated (60.7%). A body mass index (BMI) greater than 30 kg / m2 was determined in 55.9% of cases, with phototype IV being the most common (59.4%) associated with abdominal obesity (69.3%). The most affected area is neck (96.4%); 75.6% of cases were classified as severe. The prevalence of acrochordons of mixed coloration and severe form of the disease was present in 39 patients (29%). A BMI =30 Kg / m2 and the severe form of acrochordons is considered a risk factor, without showing a statistical association (OR 1.83, 95% CI 0.76-4.41). Subjects with BMI = 30 Kg / m2 have a higher risk of presenting acrochordons of severe form associated with acanthosis nigricans (OR 2.62, 95% CI 1.07-6.36). Conclusion: Statistical relationship was demonstrated in the group of patients with obesity and acrochordons of severe presentation, who presented associated acanthosis nigricans. (AU)

Acrocórdon de vulva: relato de dois casos / Vulvar acrochordon: a report of two cases

O acrocórdon é geralmente tumor benigno, peduncular, que acomete tanto o sexo feminino como o masculino e surge na idade adulta, sendo mais comum na meia idade. Alguns indivíduos podem ter mais probabilidade de serem acometidos, principalmente obesos e diabéticos. A maioria tem tamanho pequeno. Surgem mais facilmente em áreas de fricção, mas podem ocorrer em qualquer parte do corpo. Ocasionalmente pode exigir remoção devido a crescimento atípico, torção, irritação e dor, a depender do local acometido. Algumas condições comuns da pele podem imitar o acrocórdon ? a verruga de região genital é uma delas. Apesar de essa lesão ser acometida pelo papilomavírus humano, o acrocórdon algumas vezes pode estar associado a ela. Assim, é importante o exame histológico do material biopsiado.

Vulvar acrochordon: a report of two cases The acrochordon is usually a benign, stalk tumor, which affects both men and women. It is an adult-onset disease, being more common in middle-aged individuals. Some individuals may be more prone to the disease, especially those obese and diabetic. Most are small and develop more easily in areas of friction, but they may occur anywhere in the body. Occasionally removal may be required due to atypical growth, torsion, irritation or pain depending on the affected sites. Some common skin conditions may mimic acrochordon. Genital wart is one of these conditions, although it is affected by the human papiloma virus. The acrochordon may sometimes be associated with this infection. Therefore, histological examination of biopsy material is important.