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    I Behçet's disease with or without depression
    (Blackwell Publishing Ltd, 2013) Gül I.G.; Kartalci Ş.; Cumurcu B.E.; Karincao?lu Y.; Yolo?lu S.; Karlida? R.
    Aim Sexual dysfunction has been found in many disorders that are chronic or disabling. The aim of this study was to evaluate the sexual satisfaction levels, sexual function and their relationship with the mental state in a group of patients being followed-up with a diagnosis of Behçet's disease (BD). Method A total of 50 BD patients and 50 control-group subjects were administered the Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), Golombok Rust Sexual Satisfaction Scale (GRISS) and Arizona Sexual Experiences Scale (ASEX). Results The ASEX, GRISS total, HDRS and HARS scores were significantly higher in the patient group than the control subjects (P = 0.0001, P = 0.007, P = 0.0001, P = 0.0001 respectively). Sexual dissatisfaction was seen in 40 (80%) of the patient-group and 16 (32%) of the control-group subjects according to the GRISS (P = 0.0001). Female study participants had higher mean scores than the control subjects for the ASEX, GRISS total scores and the GRISS satisfaction, avoidance, vaginismus and orgasm subscale scores (P = 0.0001, P = 0.002, P = 0.02, P = 0.001, P = 0.006, P = 0.03 respectively). Male study participants had different mean scores for the controls regarding the ASEX scores and the GRISS impotence, premature ejaculation, satisfaction and frequency subscale scores (P = 0.01, P = 0.01, P = 0.0001, P = 0.03, P = 0.007 respectively). Discussion The negative effect of the disorder on the biological and functional status and daily living activities in BD patients also influences the patients' sexual experiences and satisfaction. The negative effects of chronic diseases such as BD should therefore be defined and the disorder evaluated from a wide perspective during the treatment process. © 2012 The Authors. Journal of the European Academy of Dermatology and Venereology © 2012 European Academy of Dermatology and Venereology.
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    The relationship between late onset bipolar affective disorder which responds na valproate and hypertension: A case report
    (2012) Cumurcu B.E.; Karlida? R.; Özdemir S.; Gül I.G.; Öztoprak E.
    Bipolar affective disorders beginning after the age 50 are named late onset bipolar disorder. It is indicated that the etiology of late onset bipolar disorders can be primary or secondary to another factor. Therapeutic agents, infections, metabolic instability, brain tumors and aneurysm, epilepsy, toxins, traumatic brain injury, hyperthyroidism, multiple sclerosis, Cushing syndrome, dementia and cerebrovascular diseases are known as some of these etiologic factors. In this report a 55 year old women, who has been hypertension diagnosis for 3 years is observed. White matter hyperintensity has been seen in her MRI and she has had late onset bipolar affective disorder diagnose. In the light of literature the etiology of late onset bipolar affective disorder will be discussed in this report.