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Öğe Disseminated lupus vulgaris and papulonecrotic tuberculid: Case report(Blackwell Science Inc, 2000) Senol, M; Ozcan, A; Aydin, A; Karincaoglu, Y; Sasmaz, S; Sener, SThe incidence of tuberculosis and extrapulmonary forms of this disease is increasing all over the world. Lupus vulgaris is the most prevalent form of cutaneous tuberculosis in Europe and the Middle East, Papulonecrotic tuberculid, the most common form of hyperergic response to mycobacteria or their fragments, is uncommon in children. We report lupus vulgaris with papulonecrotic tuberculid in a 12-year-old girl who had a 3-year history of slowly growing plaques on her trunk, extremities, and the tip of her nose and papuloulcerative lesions over her entire body. A skin biopsy specimen showed minimally caseating granulomatous inflammation, Staining for acid-fast bacilli was negative in both plaques and papules. Polymerase chain reaction identified Mycobacterium tuberculosis DNA in the patient's sputum, gastric fluid, and plaques and was negative in the papules. She was started on antituberculous therapy with four drugs and her lesions responded rapidly.Öğe Giant vascular eccrine spiradenoma(Blackwell Science Ltd, 1998) Senol, M; Ozcan, A; Sasmaz, S; Ozen, S; Ciralik, HA 60-year-old man suffering from cardiac insufficiency consulted the Dermatology Department, Inonu University Turgut Ozal Medical Center, because of a bleeding tumor on his right hypochondrium. The tumor had begun as a small nodule approximately 5 years before, and had grown slowly with time. A small, superficial ulcer had appeared on the lesion approximately 6 months previously, and slight bleeding had occasionally occurred. The patient had no pain and no other complaint except bleeding. Dermatologic examination revealed a violaceous, ulcerated, and bleeding tumoral lesion below the mid-portion of the right costochondral line (Fig. 1). The tumor was a non-tender, hemispheric mass, approximately 3-4 cm in size, adherent to the epidermis, but movable on the underlying tissue. An incisional biopsy was performed with diagnoses of dermatofibrosarcoma protuberans and desmoid tumor. Histopathologic examination revealed prominent blood-filled vascular spaces (Fig. 2) and clearly delimited cords, showing two types of cell (Fig. 3). The vascular spaces contained a periodic acid-Schiff (PAS)-positive, granular, eosinophilic material. There was no malignant transformation. The lesion was totally excised and primarily sutured.Öğe Hair lead and cadmium concentrations in patients with epilepsy and migraine(Wiley, 2003) Sasmaz, S; Uz, E; Pinar, T; Vural, H; Eiri, M; Ilhan, A; Akyol, ÖEpilepsy and migraine are neurological manifestations of neurocutaneous diseases. The studies that investigate the etiology of these manifestations may illuminate the physiopathological bases of neurocutaneous disorders. The hypothesis that the elevation of toxic trace element concentration in the brain is an important triggering factor for seizures and subsequent neuronal damage in epilepsy and migraine was investigated in this clinical prospective study. The levels of two heavy metals (lead [Pb] and cadmium [Cd]) in scalp hair were measured in patients with epilepsy (n=33) and migraine (n=40) as well as healthy control subjects (n=26). The hair concentration of these two toxic trace elements was determined by atomic absorption spectrophotometry. There was a significant increase in Pb concentration in epilepsy group when compared to both control (p<0.006) and migraine group (p<0.02). There was no difference in mean Cd concentration of hair from epilepsy, migraine patients and control groups. Therefore, no conclusive findings were obtained for Cd. Elevated Pb content in epileptic patients was accepted as being of particular importance. Our findings support the hypothesis that the elevation in Pb concentration in the scalp hair amongst patients with epilepsy may show the elevation in the brain and constitute an important triggering factor for seizures.Öğe Hair, nail, serum, and urine copper levels in users of copper intrauterine devices and interactions between copper and some other trace elements(Dustri-Verlag Dr Karl Feistle, 1997) Akyol, O; Ersan, F; Akcay, F; Altuntas, Y; Senol, M; Sasmaz, S; Yasar, AWe studied copper (Cu) and some other trace element (Fe, Mg, Zn, and Ca) levels which continuously interact with Cu in hair, nail, serum, and urine of copper intrauterine device (IUD) wearers. This study was performed on 3 groups of women. Twenty-two healthy women were studied as control group (group II), the second group included 18 healthy women who had been using IUD for more than 2 years (group III), and third group included 23 healthy women who had been using IUD for less than 2 years (group III). Cu levels in hair were 37.9 +/- 16.3 ppm in control group, 49.3 +/- 20.0 ppm (p < 0.025) in group I, and 64.5 +/- 29.2 ppm (p < 0.0005) in group III. Cu levels in nail were 21.9 +/- 5.35 ppm in control group, 25.96 +/- 9.05 ppm (p < 0.05) in group II, and 37.71 +/- 11.3 ppm (p < 0.0005) in group III. There was a statistically significant difference between group II and III (p < 0.005). Cu levels were 2.51 +/- 1.1 mu g/ml and 0.33 mu g/ml in serum and urine, respectively in control group, and there were no significant differences between the ether groups. Important differences were also found in the levels of the other trace elements among the groups. In the intracorrelation analyses, positive and negative correlations were present among hair, nail, serum, and urine Cu and the other trace element levels of women using IUD. High levels of Cu in hair and nails showed that Cu, which is released from IUD to intrauterine cavity, was absorbed into the bloodstream and deposited into several organs and tissues like hair and nail. However, requirement of quantitative estimation of excess copper accumulation in tissues by periodical analyses of hair and nail samples from the subjects is controversial.Öğe Papular urticaria(Mary Ann Liebert Inc, 1998) Senol, M; Sasmaz, S; Ozerol, IHPapular urticaria, also known as strophulus, strophulus infantum, strophulus pruriginosus, lichen urticatus, flea-bite dermatitis, prurigo acuta simplex, and prurigo chronica multiformis, is a very pruritic and persistent dermatologic disease of childhood. It is primarily seen in children with atopic diathesis and represents a complex hypersensitivity reaction to many kinds of insect bites. The disease is a relatively common diagnosis in dermatology and pediatric clinics. In this article, we briefly outline recent concepts on its etiologic, epidemiological, physiopathological, clinical, histopathological, and diagnostic properties and review the information about its prevention and therapy.Öğe Prevalence of hypopigmented maculae and cafe-au-lait spots in idiopathic epileptic and healthy children(Sage Publications Inc, 2002) Karabiber, H; Sasmaz, S; Turanli, G; Yakinci, CThe cutaneous lesions and findings related to the central nervous system are frequently seen concomitantly in many patients. Neurocutaneous syndromes are the most typical examples supporting this observation. The prevalences of hypopigmented maculae and cafe-au-lait spots were investigated in 210 idiopathic epileptic children between the ages of 2 and 17 years and 2754 healthy children between the ages of 5 and 15 years. In the group of epileptic children, hypopigmented maculae and cafe-au-lait spots were observed in 30 (14.3%) and 63 (30%) children, respectively. In the group of healthy children, the prevalence of hypopigmented maculae was 1.6% (44 children) and of cafe-au-lait spots was 2.8% (78 children). The difference between the two groups was very significant statistically (P <.0001).Öğe The risk of coronary heart disease in men with androgenetic alopecia(Elsevier Science Bv, 1999) Sasmaz, S; Senol, M; Ozcan, A; Dogan, G; Tuncer, C; Akyol, O; Sener, SBackground The meaningful association of androgenetic alopecia and coronary heart disease has been well documented, but few studies have focused on the importance of lipid parameters, such as total cholesterol, triglycerides, high density lipoprotein-cholesterol, low density lipoprotein-cholesterol, lipoprotein (a), apolipoprotein A1 and apolipoprotein B in patients with androgenetic alopecia. Objective The aim of this study is to investigate the relation between androgenetic alopecia and coronary heart disease and to determine the significance of certain lipid parameters on this relationship. Subjects Forty-one men with vertex type androgenetic alopecia (study group) and 36 men, age-matched, with normal hair status (control group) were the subjects of this study. Results We found significant differences in serum lipoprotein (a) and triglyceride levels between the study and control groups (P < 0,05). Forty-seven percent of patients and 30% of controls had a lipoprotein (a) level more than 30 mg/dl higher than the level critical for atherosclerotic heart disease. Conclusion Dermatologists should investigate lipid profile, especially lipoprotein (a), of patients with androgenetic alopecia and refer to a cardiologist if necessary. (C) 1999 Elsevier Science B.V. All rights reserved.
