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    Frequency of Celiac Disease in Attention-deficit/Hyperactivity Disorder
    (Lippincott Williams & Wilkins, 2013) Gungor, Serdal; Celiloglu, Ozgu Suna; Ozcan, Ozlem Ozel; Raif, Sabiha Gungor; Selimoglu, Mukadder Ayse
    Objective: Although it is well known that celiac disease (CD) is associated with neurologic disorders, association with psychiatric problems is not well defined. In this report, we aimed to detect CD prevalence in patients with attention-deficit hyperactivity disorder (ADHD). Methods: A total of 362 patients between the ages 5 and 15 years with the diagnosis of ADHD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) diagnostic criteria and 390 sex- and age-matched healthy children were included in the present study. Serum levels of tissue transglutaminase (tTg) immunoglobulin (Ig) A and IgG were studied in both groups. Serum IgA levels were also studied in patients with positive tTG IgG for the exclusion of selective IgA deficiency. Endoscopic duodenal biopsy was provided in seropositive patients, whose parents approved the procedure. Biopsy samples were evaluated according to Marsh-Oberhuber classification. Results: tTg IgA was positive in 4 patients with ADHD (1.1%). Endoscopic duodenal biopsy was suggestive of CD in one of them (0.27%). tTg IgA was positive in 3 of control group patients (0.8%). Duodenal biopsy of the only patient from control group, who underwent upper gastrointestinal endoscopy, revealed normal intestinal mucosa. Conclusions: The seropositivity rates for CD were found similar in ADHD and control groups. Thus, neither routine screening for CD nor empirical recommendation of gluten-free diet seems necessary in children with ADHD.
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    Malnutrition and Obesity in Children With ADHD
    (Sage Publications Inc, 2016) Gungor, Serdal; Celiloglu, Ozgu Suna; Raif, Sabiha Gungor; Ozcan, Ozlem Ozel; Selimoglu, Mukadder Ayse
    Objective: Low threshold of dissatisfaction and frustration in child and adolescent patients with ADHD lead to changes in dietary pattern with contribution to the development of obesity and other nutritional disorders. Methods: A total of 362 patients with the diagnosis of ADHD and 390 children without any chronic disease were included to the study. We evaluated the anthropometric measurements for all cases. Results: The overweight/obese cases according to weight for height (WFH) and body mass index scores were more likely in ADHD cases than control group. Malnourished cases according to WFH were more common in ADHD cases. Patients with weight standard deviation scores between <-2 and >2 were significantly higher in ADHD cases than the control group patients. Conclusion: Frequency of malnutrition and overweight/obese patients was found higher in ADHD cases compared with control group, and this situation suggested that ADHD is a risk factor for the development of eating disorders.
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    Mask face: Bilateral simultaneous facial palsy in an 11-year-old boy
    (Wiley, 2013) Gungor, Serdal; Raif, Sabiha Gungor; Arslan, Mujgan
    Bilateral facial paralysis is an uncommon clinical entity especially in the pediatric age group and occurs frequently as a manifestation of systemic disease. The most important causes are trauma, infectious diseases, neurological diseases, metabolic, neoplastic, autoimmune diseases and idiopathic disease (Bell's palsy). We report a case of an 11-year-old boy presenting with bilateral simultaneous peripheral facial paralysis. All possible infectious causes were excluded and the patient was diagnosed as having Bell's palsy (idiopathic). The most important approach in these cases is to rule out a life-threatening disease.
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    Tricuspid valve perforation in a child with ventriculoatrial shunt
    (Georg Thieme Verlag Kg, 2014) Gungor, Serdal; Arslan, Mujgan; Karakurt, Cemsit; Raif, Sabiha Gungor
    Ventriculoperitoneal and ventriculoatrial shunting methods are used for the surgical treatment of hydrocephalus. However, many years or months after the treatment, complications can develop. In this article, we report on a patient with perforation of the tricuspid valve and tricuspid insufficiency, which developed as a complication of the ventriculoatrial shunt. This is a previously unreported complication in pediatric patients with a ventriculoatrial shunt. Because of fairly common and life-threatening cardiac complications, ventriculoatrial shunted patients should be monitored closely by echocardiography.