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    Cow’s milk allergy as viewed by family physicians
    (2018) Ozkars, Mehmet Yasar
    Aim: Allergic diseases are increasing in the modern world and newborn infants encounter food allergies primarily. The most commonly seen food allergy in Turkey is cow’s milk protein allergy. In this study, cow’s milk protein allergy was examined from the perspective of family doctors and levels of knowledge were measured with a face-to-face questionnaire. Material and Methods: The responses of 210 (146 males, 64 females) family doctors who completed the questionnaire by participating in the study and the relationship of these answers with professional experience (Professional Experience; 1-10 years / 11-30 years). Results: Family physicians; 99 (47.1%) had previously encountered milk allergy, 162 (72.1%) knew the age at which cow’s milk allergy is seen, 51 (24.3%) knew to what extent the allergy could recover, 65 (31%) knew the clinical conditions related to cow’s milk allergy, 97 (46.2%) knew that diet could create cow’s milk allergy, 10 (4.8%) knew the tests that are used in food allergies, and 19 (9%) knew that formula could be involved in cow’s milk allergy. Professional experience ranged from 1 to 27 years (1-10 years, n=151 / 11-30 years, n=59) No statistically significant difference was determined between the group with 1-10 years of experience and the group with 11-30 years of experience in respect of the level of knowledge of cow’s milk allergy. Conclusion: In conclusion, family physicians should receive regular in-service training on allergy topics just as for other areas of medicine and the efficacy of the training should be evaluated with objective measurements.
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    Determination of aeroallergen prevalence in children aged 1-16 years in the provincial center of Kahramanmaras
    (2020) Ozkars, Mehmet Yasar; Kirik, Serkan
    Aim: A retrospective study was performed to determine of aeroallergens sensitivity in children.Material and Methods: Medical records of patients aged 1-16 years who presented at the Paediatric Allergy Polyclinic of Kahramanmaraş Children’s Hospital between August 2015 and July 2016. A 10-item allergy test was applied to patients. These tests were positive control (histamine), negative control (saline), grass, weed, house dust mite mixture, peanut, cockroach, alternaria, aspergillus, and cat epithelium and dog hair. The patients were separated into 3 groups as asthma, allergic rhinitis and asthma and allergic rhinitis combined.Results: A total of 1078 patients were administered the allergy tests. A positive result in the allergy skin test was determined in 311 patients. The male/female ratio was 199/112 (64%/36%) in the positive allergy test. Allergic rhinitis was determined in 144 (46.3%). The mean age of the patients was 6.6 ± 3.51 years in the asthma group, 10 ± 3.81 years in the allergic rhinitis group and 9.3 ± 3.89 years in the asthma +allergic rhinitis group. Grass pollen was the most frequently determined aeroallergen in all the patient and age groups. In the pre-school age group, the patients diagnosed with asthma were determined with the most aeroallergen sensitivity. In the patients diagnosed with both asthma and allergic rhinitis, house dust mite mixture was the 2nd most frequently determined aeroallergen in both pre-school and school-age children.Conclusion: In the region of Kahramanmaraş, it was significant that the most commonly determined aeroallergen was mixture 5 grasses in our study.
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    The evaluation of mean platelet volume in infants with atopic dermatitis
    (2019) Sanli Gunes, Hatice; Ozkars, Mehmet Yasar; Ipek, Sevcan
    Aim: Atopic dermatitis (AD) is a chronic, inflammatory skin disorder that commonly seen in the infancy period. Platelets are involved in the inflammation process. Mean platelet volume (MPV) is one of the inflammatory indicators that have been used in recent years. The aim of this study is to evaluate the relationship between the MPV and AD in infants. Material and Methods: Sixty-four infants with AD aged between 2-12 months and, 50 healthy infants as control with same age and sex were included to study. MPV values of the subjects were compared between the groups. The AD group was also divided into 3 subgroups according to the Severity Scoring of Atopic Dermatitis (SCORAD) index. Correlation analyses of MPV were performed to each group. Results: MPV levels were significantly lower in infants with AD when compared to healthy control (9.64±0.65 and 10.20±0.91, respectively, p<0.00). Both platelet and monocyte levels were significantly low in AD infants (p=0.037 and p=0.00, respectively). We also found that there was a positive correlation between platelet counts and the SCORAD index (r=0.259, p=0.039) Conclusion: A decline in MPV and platelets may be considered as an indicator of inflammation in infants with AD.