Evaluation of serum adiponectin and lipid profile in patients with acne vulgaris

S. Alashry, Manar Sallam, Manar Hassan, Eman Saber
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Abstract

Background Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit and is among the most common dermatological conditions worldwide. Adipokines are bioactive molecules secreted by adipocytes. Adiponectin is the most abundant adipokine. It has multiple properties, which includes sensitization of insulin, anti-inflammatory, and antiatherogenic effect. Objectives This study aims to evaluate serum adiponectin and lipid profile levels in patients with acne vulgaris and their correlation with each other and disease severity. Patients and methods This is a case-control study, conducted on a total of 90 patients with acne vulgaris and matched age, sex, and body mass index 70 healthy controls. Serum adiponectin and lipid profile levels were evaluated in all subjects. Results Total cholesterol (TC), total triglycrides (TG) and low density lipoprotein (LDL) were significantly higher in acne vulgaris cases, while high density lipoprotein (HDL) was statistically significant lower in cases compared to controls. Adiponectin concentration was significantly higher in acne vulgaris cases when compared to control group with positive correlations with female gender, disease severity, TC, LDL and significant negative correlation with HDL. Conclusions Adiponectin may play a role in the pathogenesis of acne vulgaris and may affect its severity. Evaluation of all acne patients for lipid profile and advice for healthy diets as an adjuvant method to acne treatment.
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寻常痤疮患者血清脂联素和血脂的评价
寻常痤疮是皮脂腺单位的慢性炎症性疾病,是世界范围内最常见的皮肤病之一。脂肪因子是由脂肪细胞分泌的生物活性分子。脂联素是最丰富的脂肪因子。它具有多种特性,包括胰岛素增敏,抗炎和抗动脉粥样硬化作用。目的探讨寻常痤疮患者血清脂联素和血脂水平及其与疾病严重程度的相关性。患者与方法本研究为病例对照研究,共纳入90例寻常性痤疮患者,年龄、性别、体质指数相匹配,70例为健康对照。评估所有受试者的血清脂联素和血脂水平。结果痤疮患者总胆固醇(TC)、总甘油三酯(TG)、低密度脂蛋白(LDL)水平显著高于对照组,高密度脂蛋白(HDL)水平显著低于对照组。寻常痤疮患者脂联素浓度显著高于对照组,与女性性别、疾病严重程度、TC、LDL呈正相关,与HDL呈显著负相关。结论脂联素可能参与寻常性痤疮的发病机制并影响其严重程度。评估所有痤疮患者的血脂和建议健康饮食作为痤疮治疗的辅助方法。
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