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Öğe Akut Poststreptokoksik Glomerulonefrit ve Akut Romatizmal Ateş; Eş Zamanlı Ortaya Çıkan Farklı Non-Süpüratif Poststreptokoksik Komplikasyonlar(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2007) Tabel, Yılmaz; Koçak, Gülendam; Mungan, İlke; Güngör, Serdal; Karakurt, CemşitAkut romatizmal ateş (ARA) ve poststreptokoksik akut glomerülonefrit (PSAGN), streptokok enfeksiyonlarının iki ayrı süpüratif olmayan komplikasyonudur. Farklı serotiplere bağlı geliştiklerinden dolayı ARA ve PSAGN’nin aynı hastada birlikte görülmesi oldukça seyrektir. Burada streptokoksik boğaz enfeksiyonundan sonra tipik PSAGN ve ARA bulgularını aynı anda gösteren 7 ve 10 yaşlarında iki hasta sunulmuştur.Öğe Antenatal Hidronefrozun Nadir Bir Komplikasyonu; Yenidoğan Pyonefrozu(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2008) Tabel, Yılmaz; Mungan, İlke; Güngör, SerdalYenidoğan pyonefrozu, antenatal hidronefrozun çok nadir olarak rastlanan bir komplikasyonu olup tanı, tedavi ve izleminde henüz tam bir görüş birliği sağlanamamıştır. Bu yazıda, antenatal hidronefrozun bir komplikasyonu olarak geliştiği düşünülen ve tanıda sadece ultrasonografinin, tedavide de medikal yöntemlerin yeterli olabileceğini göstermesi bakımından önemli olduğu düşünülen bir yenidoğan pyonefroz olgusu sunulmuştur.Öğe Hiperimmünglobulin E sendromlu sekiz yaşında erkek çocukta nefrotik sendrom: Vaka sunumu(Çocuk Dergisi, 2008) Tabel, Yılmaz; Mungan, İlke; Aktaş, Mümtaz; Karadağ, Neşe; Kırımlıoğlu, HaleÖz: Hiperimmünglobulin E sendromu, yüksek serum immün-globulin E seviyeleri, kronik egzema ve tekrarlayan piyojenik infeksiyonlarla karakterize ender bir immün yetmezlik hastalığıdır. Bu makalede; nefrotik sendrom bulguları ile başvuran, Hiperimmünglobulin E sendromu ve minimal lezyon hastalığı tanısı alan, steroid tedavisinden yarar gören sekiz yaşında erkek hasta sunularak, ender görülen bu immün yetmezlik hastalığında ender bir tutulum olan böbrek hastalığı konusunda dikkatli olmayı, gerekirse tanıda böbrek biyopsisi yapılmasını ve tedavide de immünsupresif tedavilerin kullanılmasını vurgulamak amaçlanmıştır.Öğe Is edema in minimal change disease of childhood really hypovolemic(Int Urol Nephrol, 0–0., 2008) Tabel, Yılmaz; Mungan, İlke; Karakurt, Cemşit; Koçak, Gülemdar; Güngör, SerdalObjectives In this study, we aimed to find out whether children with minimal change disease can be classified as hypervolemic by objective measures. Methods Eighteen children with minimal change disease diagnosed at our department between November 2005 and May 2007 were included in this study. All patients were newly diagnosed or relapsed but were steroid free for at least 6 months. In the first week of edema and when edema resolved (5–7 days after initiation of therapy), weight, height and blood pressure were obtained from all patients. Serum and plasma samples were taken following a starvation period of 12–14 h. The volume load of all patients was evaluated, measuring the inferior vena cava indices in each stage by echocardiography. Results Average weight at presentation was 8.5% higher than the ideal (dry) weight. There were significant differences between the first and posttreatment body weights, abdomen circumference, and systolic and diastolic blood pressure values (P\0.05 for each). The inferior vena cava index (IVCI) values decreased significantly after diuretic treatment (P\0.001), while inferior vena cava collapsibility index (IVCCI) values increased in the post-treatment period (P\0.001). Conclusion We believe that a close follow-up of hypervolemic children with MCD, treated solely with easy-to-handle diuretics instead of I.V. albumin and diuretics may properly solve the edematous state in these patients.Öğe Is edema in minimal change disease of childhood really hypovolemic(Int Urol Nephrol, 2008) Tabel, Yılmaz; Mungan, İlke; Karakurt, Cemşit; Koçak, Gülendam; Güngör, SerdalObjectives In this study, we aimed to find out whether children with minimal change disease can be classified as hypervolemic by objective measures. Methods Eighteen children with minimal change disease diagnosed at our department between November 2005 and May 2007 were included in this study. All patients were newly diagnosed or relapsed but were steroid free for at least 6 months. In the first week of edema and when edema resolved (5–7 days after initiation of therapy), weight, height and blood pressure were obtained from all patients. Serum and plasma samples were taken following a starvation period of 12–14 h. The volume load of all patients was evaluated, measuring the inferior vena cava indices in each stage by echocardiography. Results Average weight at presentation was 8.5% higher than the ideal (dry) weight. There were significant differences between the first and posttreatment body weights, abdomen circumference, and systolic and diastolic blood pressure values (P\0.05 for each). The inferior vena cava index (IVCI) values decreased significantly after diuretic treatment (P\0.001), while inferior vena cava collapsibility index (IVCCI) values increased in the post-treatment period (P\0.001). Conclusion We believe that a close follow-up of hypervolemic children with MCD, treated solely with easy-to-handle diuretics instead of I.V. albumin and diuretics may properly solve the edematous state in these patients.Öğe Primary lymphoedema at an unusual location triggered by nephrotic syndrome(Ann Acad Med Singapore, 2009) Tabel, Yılmaz; Mungan, İlke; Sığırcı, Ahmet; Güngör, SerdalIntroduction: Lymphoedema results from impaired lymphatic transport leading to the pathologic accumulation of protein-rich lymphatic fl uid in the interstitial space, most commonly in the extremities. Primary lymphoedema, a developmental abnormality of the lymphatic system, may become evident later in life when a triggering event exceeds the capacity of normal lymphatic fl ow. Clinical Picture: We present a 3-year-old nephrotic syndrome patient with an unusual localisation for primary lymphoedema. Treatment and Outcome: The patient was treated with conservative approach and she was cured. Conclusion: In this particular case, lymphoedema developed at an unusual localisation, which has not been recorded before.
