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Öğe Assessing Public Awareness and Perception of Teledermatology Via Survey(Mattioli 1885, 2024) Altunisik, Nihal; Gencoglu, Sule; Turkmen, Dursun; Sener, SerpilIntroduction:Teledermatology represents an alternative medical approach allowing for the remote assessment of a patient's clinical information without the need for face-to-face consultations. Objectives:This study aims to gauge the public's awareness and perception of teledermatology. Methods: This research employed a cross-sectional observational design. Data collection was executed using an online survey. Sociodemographic attributes of all participants, such as age, gender, and occupation, were recorded. The survey, designed using Google Forms, comprised two sections: demo-graphic information (5 questions) and queries related to teledermatology (10 questions). Questions and options in the survey were reviewed and revised by two dermatologists to eliminate potential misunderstandings, grammar, and other errors. Power analysis indicated a requirement of a minimum of 527 participants, given a 0.05 margin of error, 98% confidence level, and 0.50 response distribution. Results:A total of 873 individuals completed the survey- 47.7% were male and 52.3% were female. Students made up 48.1% of the participants, while 22.6% were civil servants. The Marmara Region had the highest participation rate at 47.7%. Remarkably, 41.9% of participants were unfamiliar with the term teledermatology. However, 57.2% expressed a preference for consultations via teleder-matology. Furthermore, 63.7% mentioned facing challenges when attempting to communicate with dermatologists for skin-related concerns. A notable 71.6% supported the formal implementation of teledermatology in our country. Conclusions:Our survey highlighted a limited awareness of teledermatology among participants, yet a majority showed a preference for teledermatology consultations. For a comprehensive understanding of public knowledge and perception towards teledermatology, more extensive, multicentric studies are necessaryÖğe Comment on 'A positive HIV result in a routine dermatology clinic systemics screening'(Oxford Univ Press, 2024) Toplu, Sibel Altunisik; Altunisik, NihalWe were intrigued by the correspondence of Baptista Gon & ccedil;alves et al., 'A positive HIV result in a routine dermatology clinic systemics screening', published recently in Clinical and Experimental Dermatology.Öğe Comment on 'Effects of the COVID-19 pandemic on head lice and scabies infestation dynamics: a population-based study in France'(Wiley, 2022) Turkmen, Dursun; Altunisik, Nihal[Abstract Not Available]Öğe Comment on 'Immune response to COVID-19 mRNA vaccination in patients with psoriasis undergoing treatment with biologics'(Oxford Univ Press, 2024) Toplu, Sibel Altunisik; Altunisik, Nihal[Abstract Not Available]Öğe Comment on 'Psychodermatology in psychiatry: awareness and education among psychiatry trainees'(Wiley, 2022) Ucuz, Ilknur; Turkmen, Dursun; Altunisik, Nihal[Abstract Not Available]Öğe Comment on 'Unexpected consequences of SARS-CoV-2 pandemic: scabies infestation'(Wiley, 2022) Turkmen, Dursun; Altunisik, Nihal[Abstract Not Available]Öğe Commentary on Evaluation of the efficacy of pro-yellow laser in the management of vascular skin disorders: Lymphangioma circumscriptum treated with 577-nm pro-yellow laser and Er:YAG laser(Wiley, 2022) Altunisik, Nihal; Turkmen, Dursun; Sener, Serpil; Alan, Saadet[Abstract Not Available]Öğe Commentary on Potential risk factors for Varicella-zoster virus reactivation after COVID-19 vaccination(Wiley, 2022) Turkmen, Dursun; Altunisik, Nihal; Altunisik Toplu, Sibel[Abstract Not Available]Öğe Commentary on The effect of 577-nm pro-yellow laser on demodex density in patients with rosacea(Wiley, 2022) Altunisik, Nihal; Turkmen, Dursun[Abstract Not Available]Öğe Comparison of patients' diagnoses in a dermatology outpatient clinic during the COVID-19 pandemic period and pre-pandemic period(Wiley, 2021) Turkmen, Dursun; Altunisik, Nihal; Mantar, Irem; Durmaz, Imge; Sener, Serpil; Colak, CemilAim In this study, we compared the current diagnoses of patients admitted to the dermatology outpatient clinic with the diagnoses during the non-pandemic period, and we examined the effect of COVID-19 on the patient profile. Methods Diagnoses were compared by examining the patient files of the 3-month period when the pandemic was influential in our country and the 2-week non-pandemic period corresponding to the same season a year ago. The outpatient diagnoses in the first month and the last month of the 3-month pandemic period were also compared. Results During the 3-month pandemic process, the most common reasons for applying to the outpatient clinic were acne, urticaria, psoriasis, and allergic/irritant contact dermatitis. Urticaria, psoriasis, allergic/irritant contact dermatitis, scabies, liken planus, mycosis fungoides, zona zoster, recurrent aphthous stomatitis and polymorph light eruption were statistically more common in the pandemic period. Moreover, acne, other eczematous dermatities, verruca, androgenic alopecia, and melanocytic nevus diagnoses were found to decrease statistically during the pandemic period when compared with the non-pandemic period. Conclusion Unlike other studies, the present study evaluated the patient diagnoses during the pandemic period and the period a year before and discussed the possible reasons for the changes in patient profiles.Öğe Comparison of the dental serial patch test outcomes of lichen planus patients with and without oral involvement(Deri Zuhrevi Hastaliklar Dernegi, 2015) Altunisik, Nihal; Sener, Serpil; Sarac, Gulbahar CeylanBackground and Design: Lichen planus (LP) is a chronic and enflammatory cutaneous disease. Numereous diseases and agents have been accused in the etiology of LP. The materials used in dental treatment are one of these factors. We aimed to compare the results of dental series patch test in LP patients with and without oral involvement to determine whether the dental restorative materials play a role in the etiology of LP and to detect the effect of dental materials in cases where there is no oral involvement. Materials and Methods: The study involved a total of 38 patients who were admitted to the Dermatology Department and Dentistry Faculty Oral and Maxillofacial Surgery Department and were diagnosed with LP clinically and/or histopathologically. Nineteen of patients had oral involvement and the other 19 patients had no oral involvement. All of the patients received dental serial patch test. Results: Fourteen of the 19 patients with oral involvement (73.7%) and 15 patients without oral involvement (78.9%) showed positive reaction against at least one material. There was no statistically significant difference between the groups in terms of patch test positivity (p= 1.00). The allergens that mostly caused positive reaction against patch test in the group with oral involvement were copper sulfate and cobalt (II) cloride hexahydrate (23.3%). In the group without oral involvement the most common allergen that caused positive reaction was copper sulfate (% 47.3). Conclusion: The similarity of the allergens that caused positive reaction and the rate of positivity in dental serial patch test in the groups with and without oral involvement promote that the dental restorative materials may trigger the disease even in cases without oral LP. This study is a preliminary study due to the lack of a healthy control group and the small number of subjects.Öğe Cutaneous findings in children and adolescents with attention deficit and hyperactivity disorder(2020) Altunisik, Nihal; Ucuz, Ilknur; Turkmen, DursunAim: Attention Deficit and Hyperactivity Disorder (ADHD) is the most frequently diagnosed psychiatric disorder in children. Only one study was found in literature which examined cutaneous findings in ADHD so far. The aim of the present study is to evaluate the cutaneous findings of children and adolescents diagnosed with ADHD and to compare the incidence of these findings with healthy controls. Material and Methods: Forty-six patients diagnosed with ADHD according to The Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-V) criteria and 50 healthy controls with no ADHD symptoms that had similar characteristics to the patient group in terms of sociodemographic characteristics such as age and gender were included in the study. All the patients underwent whole body dermatological examination and pathological findings in the skin, hairy skin and nails in the patient and control group were recorded. Results: The most common finding in the patient group was found as onychophagy and/or periungual skin biting with a rate of 76.1%. In addition, statistically significant difference was found between the two groups in terms of xerosis, prurigo and allergy history. Conclusions: It is important to be careful in terms of cutaneous findings that may accompany ADHD in terms of both early treatment and also for preventing possible complications. In addition, determination of these findings will guide future studies in terms of identifying the common aetiology of ADHD and some cutaneous diseases.Öğe The efficacy of a single-session pro-yellow laser in the treatment of facial telangiectasia(Springer London Ltd, 2021) Turkmen, Dursun; Altunisik, Nihal; Sener, SerpilFacial telangiectasia (FT) is a condition in which small dilated vessels visibly protrude on the surface of the skin. The aim of this study was to evaluate the efficacy and safety of a single-session pro-yellow laser in the treatment of FT and spider angioma (SA) to compare it with a limited number of studies conducted on this subject. In this pilot study, we reviewed 41 patients who admitted to our dermatology clinic with FT and SA and were treated by using pro-yellow laser. The efficacy of the treatment was evaluated using the recorded clinical information and digital camera images. The improvement was graded as complete (90-100%), very good (75-89%), good (50-74%), moderate (25-49%), and weak (< 25%). Of the 41 patients included in the study, 37 (90.2%) had FT and four (9.8%) had SA. Twenty-two patients were female and 19 were male. Pro-yellow laser therapy was generally well tolerated by patients, and minimal pain occurred during the application. In 1-month follow-up, good, very good, or complete recovery was achieved in 51.4% of the FT patients. The new pro-yellow laser only has a yellow light wavelength. Its unique wavelength at 577-nm yellow light is ideal for vascular lesions. In this study, 51.4% of the patients with FT achieved good, very good, or complete improvement after a single session of 577-nm pro-yellow laser, and complete improvement was achieved in all the four patients with SA.Öğe Evaluation of awareness regarding skin moisturisation and moisturiser usage frequency in individuals over 65 years of age(Wiley, 2020) Altunisik, Nihal; Kayhan Tetik, Burcu; Mete, BurakObjective Skin dryness is a common dermatological problem among older people.We aimed to evaluate the frequency of moisturiser use and awareness of its benefits among older people. Methods This cross-sectional descriptive study included 556 individuals over 65 years of age, all of whom were patients at family medicine and dermatology outpatient clinics at a tertiary teaching hospital. Data were summarised descriptively and analysed using binary logistic regression analysis. Results Of the 556 individuals who participated in the study, 241 were women and 315 were men. Moisturisers were being used by 217 patients (39%), and 91 patients (16.4%) classified the use of skin moisturisers as skincare. Conclusion We found that individuals over 65 years of age had insufficient knowledge regarding the use and benefits of skin moisturisers.Öğe Evaluation of changes in neutrophil-lymphocyte ratio and platelet-lymphocyte ratio in patients with vitiligo(2019) Sarac, Gulbahar; Altunisik, Nihal; Sener, Serpil; Hakverdi, GuldenAim: Vitiligo is an acquired disease with loss of melanocytes, etiology of which is unclear. The aim of this study is to determine the role of systemic inflammation in vitiligo by measuring the Neutrophil-Lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR) markers included in routine hemogram test, in patients with vitiligo.Material and Methods: The study was carried out by reviewing the data of patients who applied to İnönü University Faculty of Medicine Dermatology Polyclinic and diagnosed with vitiligo after Wood’s lamp examination, between July 2012 and February 2018. The study was performed retrospectively by reviewing patient files and ethics committee approval was not obtained.Results: A total of 170 individuals including 79 vitiligo patients and 91 healthy individuals were included in the study. When the vitiligo patients and healthy control group were compared in terms of routine hemogram parameters, statistically significant differences were found in terms of erythrocyte distribution width (RDW), but there were no statistically significant differences in terms of NLR, PLR, lymphocyte, neutrophil, platelets and White bloodcell (WBC) counts.Conclusion: In our study, only RDW value was found to be higher in patients with vitiligo compared to healthy controls, and no difference was found in other parameters indicating systemic inflammation.Öğe Evaluation of plasma zonulin level and its relationship with inflammatory cytokines in patients with vitiligo(Wiley, 2023) Arslan, Selami; Altunisik, Nihal; Turkmen, Dursun; Uremis, Muhammed M.; Sener, Serpil; Turkoz, YusufBackground It has been proven that there is an increase in intestinal permeability in some autoimmune diseases. In our study, we purposed to assess intestinal permeability in vitiligo disease by looking at zonulin levels. At the same time, we aimed to examine the correlation of inflammatory cytokines and lipopolysaccharide (LPS) levels with zonulin. Methods Forty-one patients and 41 healthy participants were involved in our study. Blood samples were taken from all patients and controls, and the levels of zonulin, tumor necrosis factor (TNF)-alpha, interleukin (IL)-6 and LPS were examined. Results The mean of zonulin in the patient group was found to be statistically higher than the control group (p < 0.05). A positive correlation was found between zonulin level and IL-6, TNF-alpha, and LPS levels (p < 0.05). TNF-alpha and LPS levels in the vitiligo group were significantly higher than in the control group, but there was no such significance in terms of IL-6 levels. Conclusion We think that serum zonulin level increases and intestinal permeability increases in vitiligo disease.Öğe Evaluation of serum TWEAK, TRAIL, and oxidative stress markers in rosacea patients(Wiley, 2022) Durmaz, Imge; Turkmen, Dursun; Altunisik, Nihal; Uremis, Nuray; Uremis, Muhammed Mehdi; Sener, Serpil; Turkoz, YusufBackground Rosacea is a chronic inflammatory skin disease of unknown pathogenesis. TWEAK and TRAIL are two cytokines thought to have a role in the pathogenesis of some inflammatory and autoimmune diseases. Aims The purpose of this study was to examine TWEAK and TRAIL serum levels and oxidative stress markers in patients with rosacea. Material and Method Forty rosacea patients and 40 sex- and age-matched healthy controls were involved in the study. Serum TWEAK and TRAIL levels were evaluated with ELISA kits. Serum total antioxidant status, total oxidant status, total thiol, native thiol, disulfide levels were evaluated, and oxidative stress index was computed. Results Serum levels of TWEAK, TRAIL, and oxidative stress markers did not differ statistically in the patients and controls. Both TWEAK and TRAIL levels in the patients were detected to be statistically higher in male than in female. Conclusion TWEAK and TRAIL may not have a systemic effect in rosacea, unlike other inflammatory diseases. More studies are needed to investigate the role of TWEAK and TRAIL in rosacea.Öğe Evaluation of temperament and character traits of patients with severe acne(Wiley, 2020) Altunisik, Nihal; Cansel, Neslihan; Turkmen, Dursun; Ucuz, Ilknur; Cumurcu, Hatice BirgulBackground Acne vulgaris (AV) is an inflammatory disease of the pilosebaceous unit. The relationship between personality and acne development has not been fully explained, and to the best of our knowledge, there are a limited number of studies in the literature evaluating temperament and character traits of individuals with acne. Aim The aim of this study is to evaluate temperament-character traits of individuals with severe acne and to compare them with healthy controls. Patients/Methods This study was conducted on 51 patients who admitted to the dermatology outpatient clinic with complaint of acne and were diagnosed with severe AV and 47 healthy individuals, as a control group. All individuals included in the study participated voluntarily. The forms including sociodemographic data, clinical information, and Temperament and Character Inventory (TCI) scores were applied to the patient and control groups. Results The scores of scales/subscales of exploration (NS1), persistence (P), responsibility (S1), purposefulness (S2), resourcefulness (S3), self-acceptance (S4), enlightened 2nd nature (S5), self-directedness (S), integrated conscience (C5), and cooperativeness (C) were statistically significantly lower, and the scores of scales/subscales of worry and pessimism (HA1), fear of uncertainty (HA2), shyness (HA3), fatiguability (HA4), and harm avoidance (HA) were statistically significantly higher in the patient group, in comparison with the control group. Conclusions When we evaluated the patients with severe acne in terms of temperament and character features, we concluded that individuals' feeling of discomfort about their appearance may cause them to be less sociable, more anxious, and to have low resourcefulness and virtues.Öğe Evaluation of the effect of 577-nm pro-yellow laser on demodex intensity(Taylor & Francis Inc, 2021) Altunisik, Nihal; Turkmen, Dursun; Sener, SerpilThe skin disease of the pilosebaceous unit created by demodex mites is called demodicosis. Recently, it has been brought to the agenda that laser therapies can be effective in reducing the intensity of demodex parasite. With this study, we aimed to evaluate the effect of pro-yellow laser applied to the face on the intensity of demodex parasite. Twenty-five patients who had referred to the dermatology polyclinic with a complaint of rash on the face and who had been given proyellow laser therapy during the past year were included in the study. Average pre-laser therapy demodex number per cm(2) was 3.9 +/- 5.0, while average post-therapy demodex number per cm(2) was 2.6 +/- 4.9 (p = .117). The 577-nm pro-yellow laser caused a change in demodex density. We found that the number of demodex following laser therapy decreased in some patients, while it increased in some others.Öğe Evaluation of the effects of COVID-19 pandemic on hair diseases through a web-based questionnaire(Wiley, 2020) Turkmen, Dursun; Altunisik, Nihal; Sener, Serpil; Colak, CemilAim Current quarantine conditions are a difficult process for individuals and can worsen the psychological state. Increased psychosocial stress can affect the course of many common stress-sensitive skin conditions. This study examined the possible effects of coronavirus disease 2019 (COVID-19) on hair and scalp diseases such as telogen effluvium (TE), alopecia areata (AA), and seborrheic dermatitis (SD) in individuals who had to stay at home for a long time and the patients' methods of dealing with these diseases. Methods The study was conducted using an online questionnaire. All the individuals were asked questions about pre- and post-pandemic TE, AA, and SD. Participants with complaints were asked what they did for treatment. Results During the pandemic, TE was seen in 27.9% of the participants, AA on the scalp was seen in 2.8%, AA on the face was seen in 2.5%, and SD was seen in 19.9%. Applying to a dermatologist for complaints during the pandemic was lower than before pandemic. TE was higher in women before and during the pandemic. Conclusion It was found that the rates of referring to a dermatologist for the complaints before the pandemic varied between 15% and 28% and that these rates decreased significantly during the pandemic (2.5%-12.5%).
