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Oğuz ID, Direkel Ş, Akşan B, Kulakli S, Aksoy S. In vitro antifungal susceptibility of the dermatophytes: a single center study from Eastern Black Sea Region of Turkey. Eur Rev Med Pharmacol Sci 2024; 28:2144-2154. [PMID: 38567576 DOI: 10.26355/eurrev_202403_35717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
OBJECTIVE A large number of patients applying to the dermatology clinics are affected by fungal diseases, and a significant portion of which are superficial fungal infections. Dermatophyte infections are a notable public health concern and frequently encountered in clinical practice. Dermatophytosis not only compromises the quality of life but also predisposes individuals to various comorbidities due to its role as a gateway for secondary bacterial agents. This study aims to determine the species distribution of dermatophytes prevalent and assess their susceptibility to antifungal drugs. PATIENTS AND METHODS Skin, nail, and hair samples were obtained from patients with a clinical diagnosis of dermatophytosis. Samples were all cultured to isolate and identify the species. In vitro liquid microdilution tests were conducted to assess the susceptibility of the isolated strains against terbinafine, fluconazole, griseofulvin, and butenafine. RESULTS A total of 353 samples were obtained from the hair, skin, and nail lesions of 326 patients. Dermatophyte was isolated in 71 of the samples (20.1%). The cultured dermatophyte subtypes included Trichophyton rubrum (13.8% in 49 samples), Microsporum audouini (5.7% in 20 samples), and Trichophyton mentagrophytes (0.6% in 2 samples). Antifungal susceptibility testing revealed that terbinafine was the most effective antifungal drug against all dermatophyte species, while fluconazole exhibited the highest resistance. CONCLUSIONS The most common dermatophytosis agent in our region is T. rubrum. The least antifungal resistance was found against terbinafine. Conducting antifungal susceptibility tests is crucial for selecting effective treatment regimens and early detection of resistance development.
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Affiliation(s)
- I D Oğuz
- Department of Dermatology, Faculty of Medicine, Giresun University, Giresun, Turkey.
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Kulakli S, Kulakli F, Yilmaz B, Sari İF, Oğuz ID. Is seborrheic dermatitis associated with early-stage osteoarthritis? Medicine (Baltimore) 2024; 103:e37217. [PMID: 38335384 PMCID: PMC10860987 DOI: 10.1097/md.0000000000037217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/12/2024] Open
Abstract
Seborrheic dermatitis (SD) and osteoarthritis involve similar factors in their pathogenesis. Both of these diseases are associated with an increased frequency of metabolic syndrome and underlying systemic inflammation. This study evaluated the thickness of the distal femoral cartilage using ultrasonography in patients with SD. The study enrolled 60 patients with SD (19 females and 41 males, mean age: 34.07 ± 12.56 years) and 60 controls matched for age and sex (20 females and 40 males, mean age: 35.08 ± 12.78 years). Ultrasonography was used to measure the distal femoral cartilage thickness (FCT) of the right medial condyle, right lateral condyle, right intercondylar area, left medial condyle, left lateral condyle, and left intercondylar area. FCT values at all points were significantly higher in patients with SD than in the controls (P < .05). Further, all FCT values were significantly higher in patients with moderate SD than in those with mild SD (P < .001). A strong positive correlation was observed between disease severity and FCT measured at right medial condyle (r = .7, P < .001), right lateral condyle (r = .749, P < .001), right intercondylar area (r = .79, P < .001), left medial condyle (r = .624, P < .001), and left intercondylar area (r = .703, P < .001). Further, a moderately positive correlation was observed between disease severity and FCT measured at left lateral condyle (r = .581, P < .001). Increased FCT in patients with SD might be an early indicator of osteoarthritis. However, further studies, especially those evaluating older patients with SD, are required to support our findings.
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Affiliation(s)
- Sevgi Kulakli
- Giresun University Faculty of Medicine, Department of Dermatology and Venereology, Giresun, Turkey
| | - Fazil Kulakli
- Giresun University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Giresun, Turkey
| | - Betül Yilmaz
- Giresun University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Giresun, Turkey
| | - İlker Fatih Sari
- Giresun University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Giresun, Turkey
| | - Işil Deniz Oğuz
- Giresun University Faculty of Medicine, Department of Dermatology and Venereology, Giresun, Turkey
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Oğuz ID, Kulakli S. Analysis of treatment adherence in patients undergoing phototherapy. Eur Rev Med Pharmacol Sci 2023; 27:11294-11302. [PMID: 38095378 DOI: 10.26355/eurrev_202312_34568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
OBJECTIVE Phototherapy is a convenient and effective treatment alternative for a range of skin diseases. However, a major challenge in patient adherence to phototherapy may be the necessity of visiting a phototherapy center regularly over an extended period of time. The aims of this study were (i) to investigate the adherence rate to phototherapy and (ii) to determine factors associated with adherence to narrow-band ultraviolet B phototherapy (nbUVB) treatment. PATIENTS AND METHODS A retrospective review of patient records who underwent nbUVB phototherapy between January 1, 2018, and March 31, 2023, was performed. Patient records were reviewed for age, gender, skin type, diagnosis, type of phototherapy applied, duration of treatment, total number of sessions, presence of side effects, reasons for discontinuation of treatment, and perceived benefits of treatment. RESULTS Of a total of 729 patients undergoing phototherapy, 281 (38.5%) discontinued treatment before completing 20 sessions. In particular, younger patients and those who experienced fewer side effects tended to discontinue treatment prematurely. The most common reason for discontinuing treatment was difficulty in visiting the hospital regularly. CONCLUSIONS The patient's compliance with phototherapy was 61.5%. These results indicate that phototherapy is still one of the preferred treatment methods, although many new treatment agents have been developed in dermatology in recent years. Identifying and addressing factors that affect patient adherence will certainly help increase the effectiveness of treatment.
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Affiliation(s)
- I D Oğuz
- Department of Dermatology, Faculty of Medicine, Giresun University, Giresun, Turkey.
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Kutlu Ö, Demircan YT, Yıldız K, Kalkan G, Demirseren DD, An İ, Oba MÇ, Emre S, Şenel E, Bilgili SG, Savaş SE, Aktürk AŞ, Türkmen D, Çakmak SK, Kulaklı S, Demirbaş A, Altunışık N, Coşansu NC, Aksoy GG, Tosun M, Kurt BÖ, Şentürk N, Şener S, Özden HK, Temiz SA, Atak MF, Süslü H, Oğuz ID, Kılıç S, Ustaoğlu E, Topal İO, Akbulut TÖ, Korkmaz İ, Kılıç A, Hızlı P, Küçük ÖS, Çaytemel C, Kara RÖ, Koska MC, Tatar K, Dikicier BS, Ağırgöl Ş, Akşan B, Karadağ AS. The effect of COVID-19 on development of hair and nail disorders: a Turkish multicenter, controlled study. Int J Dermatol 2023; 62:202-211. [PMID: 36281828 PMCID: PMC9874876 DOI: 10.1111/ijd.16454] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 08/07/2022] [Accepted: 10/05/2022] [Indexed: 01/28/2023]
Abstract
BACKGROUND A broad spectrum of skin diseases, including hair and nails, can be directly or indirectly triggered by COVID-19. It is aimed to examine the type and frequency of hair and nail disorders after COVID-19 infection. METHODS This is a multicenter study conducted on consecutive 2171 post-COVID-19 patients. Patients who developed hair and nail disorders and did not develop hair and nail disorders were recruited as subject and control groups. The type and frequency of hair and nail disorders were examined. RESULTS The rate of the previous admission in hospital due to COVID-19 was statistically significantly more common in patients who developed hair loss after getting infected with COVID-19 (P < 0.001). Telogen effluvium (85%) was the most common hair loss type followed by worsening of androgenetic alopecia (7%) after COVID-19 infection. The mean stress scores during and after getting infected with COVID-19 were 6.88 ± 2.77 and 3.64 ± 3.04, respectively, in the hair loss group and were 5.77 ± 3.18 and 2.81 ± 2.84, respectively, in the control group (P < 0.001, P < 0.001). The frequency of recurrent COVID-19 was statistically significantly higher in men with severe androgenetic alopecia (Grades 4-7 HNS) (P = 0.012; Odds ratio: 2.931 [1.222-7.027]). The most common nail disorders were leukonychia, onycholysis, Beau's lines, onychomadesis, and onychoschisis, respectively. The symptoms of COVID-19 were statistically significantly more common in patients having nail disorders after getting infected with COVID-19 when compared to the control group (P < 0.05). CONCLUSION The development of both nail and hair disorders after COVID-19 seems to be related to a history of severe COVID-19.
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Affiliation(s)
- Ömer Kutlu
- Department of Dermatology and Venereology, School of Medicine, Tokat Gaziosmanpaşa UniversityTokatTurkey
| | | | - Kenan Yıldız
- Department of Dermatology and Venereology, Adana Seyhan State HospitalAdanaTurkey
| | - Gӧknur Kalkan
- Department of Dermatology and Venereology, School of Medicine, Ankara Bilkent City Hospital, Ankara Yıldırım Beyazıt UniversityAnkaraTurkey
| | - Duriye Deniz Demirseren
- Department of Dermatology and Venereology, School of Medicine, Ankara Bilkent City Hospital, University of Health ScienceAnkaraTurkey
| | - İsa An
- Department of Dermatology and Venereology, Şanlıurfa Training and Research HospitalŞanlıurfaTurkey
| | - Muazzez Çiğdem Oba
- Department of Dermatology and Venereology, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research HospitalIstanbulTurkey
| | - Selma Emre
- Department of Dermatology and Venereology, School of Medicine, Ankara Bilkent City Hospital, Ankara Yıldırım Beyazıt UniversityAnkaraTurkey
| | - Engin Şenel
- Department of Dermatology and Venereology, School of Medicine, Erol Olcak Training and Research Hospital, Hitit ÜniversityÇankırıTurkey
| | - Serap Güneş Bilgili
- Department of Dermatology and Venereology, School of Medicine, Van Yüzüncü Yıl UniversityVanTurkey
| | - Sevil Erdoğan Savaş
- Department of Dermatology and Venereology, School of Medicine, Sultan 2. Abdülhamid Han Training and Research Hospital, Health Science UniversityIstanbulTurkey
| | - Aysun Şikar Aktürk
- Department of Dermatology and Venereology, School of Medicine, Kocaeli UniversityKocaeliTurkey
| | - Dursun Türkmen
- Department of Dermatology and Venereology, School of Medicine, İnönü UniversityMalatyaTurkey
| | - Seray Külcü Çakmak
- Department of Dermatology and Venereology, School of Medicine, Ankara Bilkent City Hospital, University of Health ScienceAnkaraTurkey
| | - Sevgi Kulaklı
- Department of Dermatology and Venereology, School of Medicine, Giresun UniversityKocaeliTurkey
| | - Abdullah Demirbaş
- Department of Dermatology and Venereology, School of Medicine, Evliya Çelebi Training and Research Hospital, Kütahya Health Science UniversityKonyaTurkey
| | - Nihal Altunışık
- Department of Dermatology and Venereology, School of Medicine, İnönü UniversityMalatyaTurkey
| | - Nur Cihan Coşansu
- Department of Dermatology and Venereology, Sakarya Training and Research HospitalSakaryaTurkey
| | - Güneş Gur Aksoy
- Department of Dermatology and Venereology, School of Medicine, Ankara Bilkent City Hospital, University of Health ScienceAnkaraTurkey
| | - Mustafa Tosun
- Department of Dermatology and Venereology, School of Medicine, Sivas Cumhuriyet UniversitySivasTurkey
| | - Birgül Özkesici Kurt
- Department of Dermatology and Venereology, Adıyaman Training and Research HospitalAntalyaTurkey
| | - Nilgün Şentürk
- Department of Dermatology and Venereology, School of Medicine, Samsun Ondokuz Mayıs UniversitySamsunTurkey
| | - Serpil Şener
- Department of Dermatology and Venereology, School of Medicine, İnönü UniversityMalatyaTurkey
| | - Hatice Kaya Özden
- Department of Dermatology and Venereology, Kocaeli Derince Training and Research HospitalKocaeliTurkey
| | - Selami Aykut Temiz
- Department of Dermatology and Venereology, Meram School of Medicine, Necmettin Erbakan UniversityKonyaTurkey
| | - Mehmet Fatih Atak
- Department of Dermatology and Venereology, Tokat State HospitalTokatTurkey
| | - Hülya Süslü
- Department of Dermatology and Venereology, ıstanbul Haseki Training and Research HospitalIstanbulTurkey
| | - Işil Deniz Oğuz
- Department of Dermatology and Venereology, School of Medicine, Giresun UniversityKocaeliTurkey
| | - Sevilay Kılıç
- Department of Dermatology and Venereology, School of Medicine, Çanakkale Onsekiz Mart UniversityÇanakkaleTurkey
| | - Eda Ustaoğlu
- Department of Dermatology and Venereology, Bursa City HospitalBursaTurkey
| | - İlteriş Oğuz Topal
- Department of Dermatology and Venereology, Prof. Dr. Cemil Tascioglu City Hospital, Health Science UniversityIstanbulTurkey
| | - Tuğba Özkök Akbulut
- Department of Dermatology and Venereology, ıstanbul Haseki Training and Research HospitalIstanbulTurkey
| | - İbrahim Korkmaz
- Department of Dermatology and Venereology, ıstanbul Haseki Training and Research HospitalIstanbulTurkey
| | - Arzu Kılıç
- Department of Dermatology and Venereology, School of Medicine, Balıkesir UniversityBalıkesirTurkey
| | - Pelin Hızlı
- Department of Dermatology and Venereology, School of Medicine, Balıkesir UniversityBalıkesirTurkey
| | - Özlem Su Küçük
- Department of Dermatology and Venereology, School of Medicine, Bezmialem Vakıf UniversityIstanbulTurkey
| | - Ceyda Çaytemel
- Department of Dermatology and Venereology, School of Medicine, Başakşehir Çam ve Sakura City HospitalIstanbulTurkey
| | - Rabia Öztaş Kara
- Department of Dermatology and Venereology, Sakarya Training and Research HospitalSakaryaTurkey
| | - Mahmut Can Koska
- Department of Dermatology and Venereology, Artvin State HospitalArtvinTurkey
| | - Kübra Tatar
- Department of Dermatology and Venereology, School of Medicine, Van Yüzüncü Yıl UniversityVanTurkey
| | - Bahar Sevimli Dikicier
- Department of Dermatology and Venereology, School of Medicine, Sakarya Training and Research Hospital, Sakarya UniversitySakaryaTurkey
| | - Şenay Ağırgöl
- Department of Dermatology and Venereology, School of Medicine, Başakşehir Çam ve Sakura City HospitalIstanbulTurkey
| | - Burak Akşan
- Department of Dermatology and Venereology, School of Medicine, Giresun UniversityKocaeliTurkey
| | - Ayşe Serap Karadağ
- Memorial Health Group, Atasehir and Sisli Hospital, Dermatology ClinicIstanbulTurkey
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