A comparative study of insulin resistance in acne vulgaris

Authors

  • Prathima Munichandrappa Department of Dermatology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India
  • Manjunath K. G. Department of Dermatology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India
  • Kiran C. Department of Dermatology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India
  • Anirudh Variyar Department of Dermatology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20172545

Keywords:

Insulin, HOMA-IR, Acne

Abstract

Background: Acne is common skin problem among adolescents and young adults. Recently the role of insulin resistance in acne is being widely researched.The objectives of the study were to evaluate insulin resistance in acne, to compare the insulin resistance among cases and controls using homeostasis model assessment of insulin resistance

Methods: 45 cases and 45 controls were recruited. Acne severity was graded using the global acne grading system(GAGS). Fasting glucose, fasting insulin levels were done and insulin resistance was assessed using homeostasis model assessment of insulin resistance (HOMA-IR).

Results: We did not find any statistically significant difference in fasting insulin levels between cases and controls. However, a weak positive correlation between acne severity and fasting insulin levels (r =0.3, p=0.04) were observed. Fasting glucose levels and HOMA-IR values observed between cases and controls were not statistically significant (p=0.05, p=0.59 respectively).

Conclusions: Our study did not suggest a major role of insulin resistance in acne.

References

Tasli L, Turgut S, Kacar N, Ayada C, Coban M, Akcilar R. Insulin‑like growth factor‑I gene polymorphism in acne vulgaris. J Eur Acad Dermatol Venereol. 2013;27(2):254-7.

Kumari R, Thappa DM. Role of insulin resistance and diet in acne. Indian J Dermatol Venereol Leprol. 2013;79:291-9.

Balta I, Ekiz O, Ozuguz P, Ustun I, Karaca S, Dogruk Kacar S, et al. Insulin resistance in patients with post-adolescent acne. Int J Dermatol. 2015;54:662–6.

Kubba R, Bajaj AK, Thappa DM, Sharma R, Vedamurthy M, Dhar S, et al. Acne In India: Guidelines For Management - IAA Consensus Document. Indian J Dermatol Venereol Leprol. 2009;75(7):1-3.

Doshi A, Zaheer A, Stiller MJ. A comparision of current acne grading systems and proposal of a novel system. Int J Dermatol. 1997;36:416-8.

Ray S, Bairagi AK, Guha S, Ganguly S, Ray D, Basu AK, et al. A simple way to identify insulin resistance in non-diabetic acute coronary syndrome patients with impaired fasting glucose. Indian J Endocr Metab. 2012;16:460-4.

Singh Y, Garg M, Tandon N, Marwaha RK. A Study of Insulin Resistance by HOMA-IR and its Cut-off Value to Identify Metabolic Syndrome in Urban Indian Adolescents. J Clin Res Pediatr Endocrinol. 2013;5(4):245-51.

Chen W, Obermayer‑Pietsch B, Hong JB, Melnik BC, Yamasaki O, Dessinioti C, et al. Acne‑associated syndromes: Models for better understanding of acne pathogenesis. J Eur Acad Dermatol Venereol. 2011;25:637‑46.

Melnik BC, John SM, Plewig G. Acne: Risk Indicator for Increased Body Mass Index and Insulin Resistance. Acta Derm Venereol. 2013;93:644-9.

Nagpal M, De D, Handa S, Pal A, Sachdeva N. Insulin Resistance and Metabolic Syndrome in Young Men with Acne. JAMA Dermatol. 2016;152(4):399-404.

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Published

2017-08-24

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Original Research Articles