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    An Adolescent Girl with the Recurrent Attacks of Different Type of Thromboses
    (Galenos Publ House, 2023) Selcuk, Senay Zirhli; Öncül, Yurday; Durmus, Hanim; Sozeri, Betul; Tabel, Yilmaz
    Introduction: Thrombosis is less common in childhood compared to adults and is usually acquired. Here, we present a patient who had recurrent thrombosis in different organs and was diagnosed with lupus secondary antiphospholipid syndrome (APS) when the lupus anticoagulant test was positive in the follow-up, which we treated quickly and effectively considering possible catastrophic prognosis due to kidney involvement in the same week. Case Report: Fifteen-year-old girl who presented to the emergency department with complaints of sensitivity, pain, and swelling in her left leg. Her medical history revealed recurrent thrombosis attacks and development of mental retardation after a seizure at around the age of three, and no underlying disease had been identified to date. Her family history revealed that her aunt had complained of hand swelling after cold exposure. No significant finding was detected in her thrombophilia panel. A thrombophilia panel was conducted, but no significant findings were detected. Due to a positive lupus anticoagulant test, the patient was diagnosed with APS. The diagnosis of systemic lupus erythematosus was also considered secondary to APS after positive results for anti-nuclear antibody (ANA) and dsDNA tests. Due to the recurrent thrombosis attacks and kidney involvement, a possible catastrophic outcome was considered. In addition to the on going heparin, warfarin, and aspirin therapy, high-dose steroids, cyclophosphamide, intravenous immunoglobulin, and 5 sessions of plasmapheresis were administered, and all treatments were met with a positive response. Conclusion: In this case presentation, we wanted to emphasize that despite the difficulties in the differential diagnosis of thrombosis in children and especially the diagnosis of catastrophic antiphospholipid syndrome (CAPS), prompt and effective treatment can be life-saving.
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    A hypertensive girl with failure to thrive accompanied by gastrointestinal symptoms: Answers
    (Springer, 2021) Selcuk, Senay Zirhli; Elmas, Ahmet Taner; Yildirim, Ismail Okan; Sigirci, Ahmet; Sozeri, Betul; Tabel, Yilmaz
    [Abstract Not Available]
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    A hypertensive girl with failure to thrive accompanied by gastrointestinal symptoms: Questions
    (Springer, 2021) Selcuk, Senay Zirhli; Elmas, Ahmet Taner; Yildirim, Ismail Okan; Sigirci, Ahmet; Sozeri, Betul; Tabel, Yilmaz
    [Abstract Not Available]
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    A rare cause of steroid resistant nephrotic syndrome in a child: Questions
    (Springer, 2020) Guliyeva, Lale; Tabel, Yilmaz; Duzova, Ali; Akpolat, Nusret; Ozen, Seza; Topaloglu, Rezan; Sozeri, Betul
    [Abstract Not Available]
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    A rare cause of steroid-resistant nephrotic syndrome in a child: Answers
    (Springer, 2020) Guliyeva, Lale; Tabel, Yilmaz; Duzova, Ali; Akpolat, Nusret; Ozen, Seza; Topaloglu, Rezan; Sozeri, Betul
    [Abstract Not Available]
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    Towards a standardized program of transitional care for adolescents with juvenile idiopathic arthritis for Turkey: a national survey study
    (Bmc, 2024) Sozeri, Betul; Sahin, Nihal; Acari, Ceyhun; Avar Aydin, Pinar Ozge; Baba, Ozge; Baglan, Esra; Bakkaloglu, Sevcan
    BackgroundJuvenile idiopathic arthritis (JIA) is a prevalent childhood chronic arthritis, often persisting into adulthood. Effective transitional care becomes crucial as these patients transition from pediatric to adult healthcare systems. Despite the concept of transitional care being recognized, its real-world implementation remains inadequately explored. This study aims to evaluate the thoughts and practices of healthcare providers regarding transitional care for JIA patients.MethodsA cross-sectional survey was conducted among pediatric and adult rheumatologists in Turkey. Based on the American Academy of Pediatrics' six core elements of transitional care, the survey included 86 questions. The respondents' demographic data, attitudes towards transitional care, and practical implementation were assessed.ResultsThe survey included 48 rheumatologists, with 43.7% having a transition clinic. The main barriers to establishing transition programs were the absence of adult rheumatologists, lack of time, and financial constraints. Only 23.8% had a multidisciplinary team for transition care. Participants agreed on the importance of coordination and cooperation between pediatric and adult healthcare services. The timing of the transition process varied, with no consensus on when to initiate or complete it. Participants advocated for validated questionnaires adapted to local conditions to assess transition readiness.ConclusionsThe study sheds light on the challenges and perspectives surrounding transitional care for JIA patients in Turkey. Despite recognized needs and intentions, practical implementation remains limited due to various barriers. Cultural factors and resource constraints affect the transition process. While acknowledging the existing shortcomings, the research serves as a ground for further efforts to improve transitional care and ensure better outcomes for JIA patients transitioning into adulthood.