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Öğe A case of angioedema-like atypic scleromyxedema responding to treatment with steroid(Deri Zuhrevi Hastaliklar Dernegi, 2016) Polat, Aysegul; Kapicioglu, Yelda; Sahin, Nurhan; Yilmaz, MikailLichen myxedematosus is a chronic, inflammatory, systemic dermatose characterized by dermal musin deposition and increased fibroblasts in the absence of thyroid dysfunction. It is usually seen together with paraproteinemia. It is clinically classified as scleromyxedema (papular mucinosis), localized lichen myxedematosus, and atypical lichen myxedematosus. Etiopathogenesis of the disease which is very difficult to treat is still unknown. Herein, we present a case of atypical scleromyxedema without monoclonal gammopathy mimicking angioedema, rapidly developing and responding to steroid treatment.Öğe Dermoscopic findings of psoriatic nail and their relationship with disease severity(Turkish Soc Dermatology Venerology, 2017) Polat, Aysegul; Kapicioglu, YeldaBackground and Aim: The use of dermoscopy in nail diseases is quite recent. Dermoscopy allows a better visualisation of abnormalities of the nail bed and matrix in case of atypical clinical features in psoriatic nail. This study aimed to determine the frequency of findings in psoriatic nail by dermoscopic examination, to compare dermoscopy with clinical examination and to investigate the relationships between the indicators of disease severity. Materials and Methods: This study included 40 patients who presented with psoriatic nail. The severity of skin involvement of the disease was determined by the Psoriasis Area Severity Index (PASI) and the severity of nail involvement was determined by the Nail Psoriasis Severity Index (NAPSI). Patients' nails were evaluated both by clinical examination and dermoscopy. Results: The most common dinical and dermoscopic findings were pitting (92.5%) and leukonychia (92.5%), respectively. No statistically significant difference was observed between the clinical and dermoscopic NAPSI scores (p>0.05). No statistically significant relationship was noted between the PASI and the clinical and dermoscopic NAPSI scores (p>0.05). Dermoscopically, dilated, extended capillary vessels were observed in the nail bed but without the evidence of a relationship with disease severity. A positive correlation was noted between the duration of the disease and the duration of nail involvement (p<0.05). There was a statistically significant positive relationship between the duration of nail involvement and the clinical and dermoscopic NAPSI scores p<0.05. Conclusion: Nail dermoscopy was considered to be a preferable method as a supportive and non-invasive procedure prior to biopsy in cases of isolated nail involvement where clinical diagnosis of nail psoriasis is suspicious.Öğe Psychiatric morbidity in children and adolescents with dermatological disorders(Exeley Inc, 2021) Miniksar, Dilsad Yildiz; Ozcan, Ozlem Ozel; Cenk, Hulya; Kapicioglu, Yelda; Polat, AysegulBackground: Understanding the existence of a cycle, where psychological disturbances cause skin diseases and in turn, skin diseases cause psychological disorders, provides the basis for good dermatological practice. Objective: The aim of this case-control study is to examine the psychiatric morbidity of dermatological disorders in children and adolescents with no history of psychiatric disorders. Method: In this study, 502 participants (251 patients and 251 healthy individuals) were evaluated according to DSM-IV criteria. All participants were interviewed and evaluated using the Turkish version of the Kiddie Schedule for Affective Disorders and Schizophrenia -Present and Lifetime Version (K-SADS-PL) and the State-Trait Anxiety Inventory for Children (STAI-1 and STAI-2), the Childhood Depression Inventory (CDI), adolescent and parent forms of the Strengths and Difficulties Questionnaire (SDQ-A and SDQ-P) and a questionnaire evaluating child's level of school success. Results: Our results indicated that the rates of general psychiatric comorbidity, mood disorders, anxiety disorders, and adjustment disorders were significantly higher in the study group compared to the control group. The CDI, STAI-1, STAI-2, and SDQ (and subscales) scores were significantly higher in the study group. Moreover, psychiatric comorbidity was higher in inflammatory and allergic dermatoses compared to other dermatological subgroups. Having a dermatological disease restricts physical activity thus increasing the risk of psychiatric comorbidity. Conclusions: Investigating the education, attitudes, and awareness of dermatologists about psychocutaneous disorders might contribute to the development of new educational strategies and elicit appropriate biopsychosocial approaches.Öğe Tinea incognito: Case series(Deri Zuhrevi Hastaliklar Dernegi, 2015) Yilmaz, Mikail; Kapicioglu, Yelda; Sener, Serpil; Cenk, Hulya; Polat, Aysegul; Yasar, DeryaTinea incognito is a dermatophytic infection which has lost its typical clinical appearance because of inappropriate use of topical or systemic corticosteroids. The clinical manifestations of tinea incognito can mimic many dermatoses such as eczema, psoriasis, allergic contact dermatitis, rosacea, seborrheic dermatitis and atopic dermatitis. The diagnosis of tinea incognito is confirmed by direct KOH (potassium hydroxide) examination (native preparation), making the fungal cultures from the lesion and histopathological examination in some cases. Systemic antifungal therapy is recommended in the treatment of tinea incognito. Herein, 10 cases of tinea incognito which mimicking various dermatoses were diagnosed and treated in our clinic in 2014 is presented.Öğe Widespread Granuloma Annulare in Photo Distribution(Galenos Yayincilik, 2017) Polat, Aysegul; Sarac, GulbaharGranuloma annulare is relatively common idiopathic disease of dermis and subcutaneous tissue. It can be observed of all races and ages, but it effects woman more often (2:1). Widespread granuloma annulare, diffuse but symmetrically located occurs as papular or annular pustules composed of more than ten and often hundreds of lesions. Because of the rare occurrence of common granuloma annulare cases with photosensitivity distribution, we present a case of a 49 year-old woman who had generalized granuloma annulare on the neck, dorsal aspects of the hands and extensor surfaces of the arms showing photosensitive distribution and that responded well to topical and intralesional steroid treatment.Öğe Widespread Granuloma Annulare in Photo Distribution(Galenos yayıncılık, erkan mor, molla guranı cad 21-1, fındıkzade, ıstanbul 34093, turkey, 2017) Polat, Aysegul; Sarac, GulbaharGranuloma annulare is relatively common idiopathic disease of dermis and subcutaneous tissue. It can be observed of all races and ages, but it effects woman more often (2:1). Widespread granuloma annulare, diffuse but symmetrically located occurs as papular or annular pustules composed of more than ten and often hundreds of lesions. Because of the rare occurrence of common granuloma annulare cases with photosensitivity distribution, we present a case of a 49 year-old woman who had generalized granuloma annulare on the neck, dorsal aspects of the hands and extensor surfaces of the arms showing photosensitive distribution and that responded well to topical and intralesional steroid treatment.
