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Öğe Can we treat scabies adequately using topical medication? Retrospective analysis of 74 patients(2020) Tamer, FundaAim: Scabies is a contagious parasitic skin disorder, which is characterized by severe pruritus. Scabies usually presents with papules and excoriations on hands, feet, axillae, umbilicus and genitalia. Recently, both increased prevalence of the disease and resistance to anti-scabies treatment have been reported. Therefore, early diagnosis and appropriate treatment of scabies are crucial. The aim of this study was to evaluate the characteristics of patients with scabies and treatments that the patients received in order to provide successful management of scabies.Material and Methods: Medical records of the patients who were diagnosed with scabies between June 2019 and February 2020 were reviewed retrospectively. Age, gender, disease duration, similar symptoms in household members, dermatological examination, prior treatments and treatments that we recommended were recorded.Results: The study included 74 patients (39 female, 35 male) with scabies. The mean age of the patients was 40.6±16.7 years. The mean disease duration was 53.5±5.5 days. Pruritus was observed in the household members of 37 (50%) patients. 18 (24.3%) patients received only symptomatic treatment since they were diagnosed as other pruritic dermatoses including xerosis or dermatitis, previously. However, we treated 58 (78.4%) patients using topical permethrin 5%. In addition, 4 (5.4%) patients were treated with topical sulfur 12.5% and 3 (4.1%) patients were treated with balsam of Peru. 9 (12.2%) patients who were resistant to topical treatment received oral ivermectin for complete cure of scabies. Conclusion: The results indicated that most of the patients with scabies (78.4%) were treated with topical permethrin successfully, whereas 12.2% patients required oral ivermectin in addition to topical anti-scabies treatment. Nevertheless, delay in diagnosis of 24.3% patients might increase the risk of spread of scabies. Therefore, we recommend topical permethrin, oral ivermectin and immediate further clinical and laboratory evaluation for indeterminate cases.Öğe Dermatological diseases of the feet in Turkey: The analysis of 634 patients(2020) Tamer, Funda; Avci, EmineAim: Dermatological diseases of the feet may be hereditary, inflammatory, infectious or malignant. The patients may be primarily evaluated by general surgeons, orthopedists, primary care physicians and podiatrists. Moreover, foot health centers are becoming increasingly popular. Therefore, we aimed to determine the most common skin disorders affecting the feet to guide the physicians in managing of skin-related foot disorders.Material and Methods: Between March 2017 and March 2019, 634 patients (55.5% female, 44.5% male) with skin disorders affecting feet were included in this study. The patients were evaluated in three groups according to the age including younger than 18, between the age of 18-65, and older than 65.Results: The most common disease group and skin disease observed in all patients were infections 272 (42.9%) and onychomycosis 106 (16.7%), respectively. Onychomycosis was followed by ingrown nail 67 (10.6%), tinea pedis 56 (8.8%) and warts 53 (8.4%). The most common disease group and skin disease were infections 18 (34.6%) and ingrown nail 17 (32.7%) in patients younger than 18, and infections 199 (45%) and onychomycosis 76 (17.2%) in patients aged 18-65. Similarly, infections 55 (39.3%) and onychomycosis 27 (19.3%) were the most common disorders observed in patients older than 65.Conclusion: This study revealed that the most common skin diseases affecting feet were onychomycosis, ingrown nail, tinea pedis and warts. However, frequency of these disorders varied depending on age. These results will guide the physicians in making diagnosis, differential diagnosis or referring the patients to a specialist when needed.Öğe May quinacrine be considered for the treatment of patients with Covid-19?(2021) Tamer, Funda; Yuksel, Mehmet Eren











