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Ozturk T, Kayabasi M, Ozbagcivan O, Ayhan Z, Utine CA. Common ocular findings in patients with acne rosacea. Int Ophthalmol 2021; 42:1077-1084. [PMID: 34727263 DOI: 10.1007/s10792-021-02093-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Accepted: 10/21/2021] [Indexed: 11/24/2022]
Abstract
PURPOSE To evaluate ocular surface manifestations in patients with acne rosecea (AR) and to find out main features indicating a propensity toward an association with disease diagnosis. METHODS Right eyes of consecutive 76 AR patients and 113 age-gender matched healthy subjects were enrolled. Ophthalmologic examinations including tear break-up time (t-BUT) and Schirmer-2 tests to analyze tear film insufficiency, optical coherence tomography (OCT)-assisted infrared meibography to analyze meibomian gland drop-out, and Ocular Surface Disease Index (OSDI) questionnaire were performed in all participants. RESULTS No statistically differences were found in visual acuity, intraocular pressure, central corneal thickness, and axial length assessments between the study and control eyes. Study eyes had more foreign body sensation, itching, dryness, hyperemia, conjunctival telangiectasia, and meibomitis (p ≤ 0.005, for all). Significantly higher t-BUT and Schirmer-2 tests; lower-eyelid and total OCT meibography; and OSDI scores were found in AR patients (p < 0.05, for all). Among all, only conjunctival telangiectasia (p = 0.001; OR:0.070, 95% CI:0.015-0.330) was found to be major independent predictor for AR diagnosis. CONCLUSION Detailed slit-lamp examination to detect any conjunctival telangiectasia seems to be crucial in recalcitrant dry eye cases, not to miss underlying AR. Especially, lower-eyelid OCT meibography score may be sensitively used for disease staging.
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Affiliation(s)
- Taylan Ozturk
- Department of Ophthalmology, Dokuz Eylul University School of Medicine, Balcova, 35340, Izmir, Turkey.
| | - Mustafa Kayabasi
- Department of Ophthalmology, Dokuz Eylul University School of Medicine, Balcova, 35340, Izmir, Turkey
| | - Ozlem Ozbagcivan
- Department of Dermatology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Ziya Ayhan
- Department of Ophthalmology, Dokuz Eylul University School of Medicine, Balcova, 35340, Izmir, Turkey
| | - Canan Asli Utine
- Department of Ophthalmology, Dokuz Eylul University School of Medicine, Balcova, 35340, Izmir, Turkey
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Ozbagcivan O, Ayozcan DF, Lebe B. Lichen sclerosus et atrophicus on dimples: a striking example of immunocompromised cutaneous district. J Eur Acad Dermatol Venereol 2021; 35:e817-e819. [PMID: 34242434 DOI: 10.1111/jdv.17509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/11/2021] [Accepted: 07/02/2021] [Indexed: 11/28/2022]
Affiliation(s)
- O Ozbagcivan
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, Izmir, Turkey
| | - D F Ayozcan
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, Izmir, Turkey
| | - B Lebe
- Faculty of Medicine, Department of Pathology, Dokuz Eylul University, Izmir, Turkey
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Maden S, Ozbagcivan O, Onur Aysevener BE, Aktan S. Quality of life, anxiety, depression, social anxiety and avoidance in patients with chronic hand eczema. Ital J Dermatol Venerol 2021; 156:562-569. [PMID: 33913662 DOI: 10.23736/s2784-8671.21.06645-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Previous studies have demonstrated that chronic hand eczema (CHE) causes negative effects on psychological status of patients. However, presence of social anxiety and avoidance has not been investigated in CHE patients. In this descriptive and prospective study, we aimed to examine the psychosocial dimensions of CHE in a more detailed manner. METHODS 70 patients with CHE and 70 controls were participated in the study. The quality of life (QoL) was assessed with the World Health Organization QoL Questionnaire-Short Form (WHOQoL-BREF); anxiety and depression were evaluated with the Hospital Anxiety and Depression Scale (HADS); and social anxiety and avoidance were evaluated with the Liebowitz Social Anxiety Scale (LSAS). RESULTS The physical and environmental subscale scores of the WHOQoL-BREF were significantly lower (P<0.001, P=0.041); whereas HADS-total (P=0.019), HADSanxiety (P=0.014), LSAS-total (P=0.025), LSAS-anxiety (P=0.037) and LSASavoidance (P=0,029) scores were significantly higher in CHE patients compared to controls. The physical (r=-0.260, p=0.002) and social (r=0.204, p=0.016) domains of the WHOQoL-BREF scale negatively correlated with the severity of eczema, while the psychological (r=-0.363, p=0.002) and environmental (r=-0.456, p<0.001) domains negatively correlated with the extent of eczema. HADS-total (r=0.284, p=0.017) and HADS-depression (r=0.311, p=0.009) also showed positive correlations with the extent of the CHE. CONCLUSIONS Considering that impairment in QoL may be associated with psychosocial morbidity, it is important to develop strategies to recognize and treat those psychiatric comorbidities in patients with CHE.
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Affiliation(s)
- Serap Maden
- Department of Dermatology, Faculty of Medicine, Near East University, Nicosia, North Cyprus, Turkey -
| | - Ozlem Ozbagcivan
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | | | - Sebnem Aktan
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
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Ipek SC, Uslu S, Can G, Ozbagcivan O, Ozdal PC, Saatci AO. An Unusual Presentation of Vogt-Koyanagi-Harada. J Ophthalmic Vis Res 2021; 16:140-144. [PMID: 33520140 PMCID: PMC7841286 DOI: 10.18502/jovr.v16i1.8263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Accepted: 10/17/2019] [Indexed: 11/24/2022] Open
Affiliation(s)
- Sefik Can Ipek
- Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey
| | - Sadettin Uslu
- Department of Rheumatology, Dokuz Eylul University, Izmir, Turkey
| | - Gercek Can
- Department of Rheumatology, Dokuz Eylul University, Izmir, Turkey
| | - Ozlem Ozbagcivan
- Department of Dermatology, Dokuz Eylul University, Izmir, Turkey
| | - Pinar Cakar Ozdal
- Ulucanlar Eye Research and Training Hospital, University of Health Sciences, Ankara, Turkey
| | - Ali Osman Saatci
- Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey
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Ozbagcivan O, Akarsu S, Nazli EC, Lebe B, Fetil E. Early morphea during treatment with ibrutinib in a patient with chronic lymphocytic leukemia. Ann Hematol 2020; 100:293-294. [PMID: 32221651 DOI: 10.1007/s00277-020-04009-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 03/20/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Ozlem Ozbagcivan
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, 35340 Inciraltı, Izmir, Turkey.
| | - Sevgi Akarsu
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, 35340 Inciraltı, Izmir, Turkey
| | - Ecem Canturk Nazli
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, 35340 Inciraltı, Izmir, Turkey
| | - Banu Lebe
- Faculty of Medicine, Department of Pathology, Dokuz Eylul University, Izmir, Turkey
| | - Emel Fetil
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, 35340 Inciraltı, Izmir, Turkey
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Ozbagcivan O, Akarsu S, Ikiz N, Semiz F, Fetil E. Dermoscopic Differentiation of Facial Lentigo Maligna from Pigmented Actinic Keratosis and Solar Lentigines. Acta Dermatovenerol Croat 2019; 27:146-152. [PMID: 31542057] [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: 06/10/2023]
Abstract
The differential diagnosis of lentigo maligna (LM) from pigmented actinic keratosis (PAK) and solar lentigines (SL) remains a challenge for clinicians, especially in the early stages of LM when there are no distinctive dermoscopic features. Objective of this study was to evaluate the frequencies of selective dermoscopic criteria in LM, PAK, and SL and to find the specific combination of distinguishing dermoscopic criteria for LM. Dermoscopists blinded to histopathological diagnosis evaluated 42 LM, 107 PAK, and 16 SL for the presence of predefined dermoscopic criteria. The differences in the presence of dermoscopic criteria between LM and others were evaluated with the chi-squared test or Fisher's exact test as appropriate. Multivariate logistic regression analysis with the forward conditional stepwise method were performed and odds ratios and corresponding 95% confidence intervals for LM, PAK, and SL were calculated. LM, PAK, and SL showed many common dermoscopic findings. In multivariate logistic regression analysis, darkening at dermoscopic examination (sevenfold), gray circles (sevenfold), target-like pattern (sixfold), gray rhomboids (sixfold), and slate-gray dots/globules (threefold) represented the strongest predictors of LM, while hyperkeratosis (thirteenfold), white circles (twelvefold), and red rhomboids (sixfold) represented the strongest predictors of PAK. The dermoscopic diagnosis of a given lesion should be based on the presence of the combination of specific dermoscopic criteria rather than a single benign or malignant criterion. Our results suggest that the presence of darkening at dermoscopic examination, gray circles, target-like pattern, gray rhomboids, and slate-gray dots/globules should be considered supportive findings for the diagnosis of early LM.
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Affiliation(s)
- Ozlem Ozbagcivan
- Ozlem Ozbagcivan, MD, Dokuz Eylul University, Faculty of Medicine, Department of Dermatology, 35340 Inciralti, Izmir, Turkey;
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Ozbagcivan O, Akarsu S, Canturk Nazli E, Lebe B, Fetil E. Isolated annular atrophic lichen planus of the mammary areola. Int J Dermatol 2019; 58:e167-e168. [PMID: 31198992 DOI: 10.1111/ijd.14469] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 03/21/2019] [Accepted: 03/25/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Ozlem Ozbagcivan
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, Izmir, Turkey
| | - Sevgi Akarsu
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, Izmir, Turkey
| | - Ecem Canturk Nazli
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, Izmir, Turkey
| | - Banu Lebe
- Faculty of Medicine, Department of Pathology, Dokuz Eylul University, Izmir, Turkey
| | - Emel Fetil
- Faculty of Medicine, Department of Dermatology, Dokuz Eylul University, Izmir, Turkey
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Ozbagcivan O, Akarsu S, Semiz F, Fetil E. Comparison of serum lipid parameters between patients with classic cutaneous lichen planus and oral lichen planus. Clin Oral Investig 2019; 24:719-725. [PMID: 31129877 DOI: 10.1007/s00784-019-02961-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Accepted: 05/09/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES Previous studies have shown that patients with lichen planus (LP) have an increased occurrence of inflammation-related dyslipidemia. Although classic cutaneous LP (CCLP) and oral LP (OLP) are basically known as the different subtypes of the same disease sharing the common histopathological features, they actually have significant differences both in the clinical behavior and in the molecular inflammatory pathogenesis. We aimed to compare the lipid profile of patients with CCLP and OLP. MATERIALS AND METHODS This study included 120 patients, 30 with isolated CCLP, 30 with isolated OLP, 30 with CCLP + OLP, and 30 controls consecutively admitted to the outpatient clinics of Dermatology Department of Dokuz Eylul University Hospital, Izmir, Turkey. RESULTS Triglycerides (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) values, TC/high-density lipoprotein cholesterol (HDL-C), and LDL-C/HDL-C atherogenic indexes were significantly higher, and HDL-C values were significantly lower in all LP subtypes compared with the controls. Among LP subtypes, although the differences were not statistically significant, TG, TC, and LDL-C values were markedly higher in OLP and OLP + CCLP patients compared with CCLP patients. OLP and CCLP + OLP patients also showed significantly higher TC/HDL-C and LDL-C/HDL-C atherogenic indexes compared with CCLP patients. CONCLUSIONS Patients with OLP have a more impaired lipid metabolism and significantly higher atherogenic indexes compared with patients with CCLP. The differences in the molecular inflammatory pathways between OLP and CCLP and the longer disease duration of OLP leading to long-lasting inflammation may elucidate this distinction. CLINICAL RELEVANCE We recommend to pay close attention to the early recognition of coexisting atherogenic dyslipidemia and to apply the early protective measures against the development of cardiovascular disease in OLP patients.
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Affiliation(s)
- Ozlem Ozbagcivan
- Department of Dermatology Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340, Izmir, Turkey.
| | - Sevgi Akarsu
- Department of Dermatology Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340, Izmir, Turkey
| | - Fatma Semiz
- Department of Dermatology Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340, Izmir, Turkey
| | - Emel Fetil
- Department of Dermatology Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340, Izmir, Turkey
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Ozbagcivan O, Akarsu S, Dolas N, Fetil E. Contact sensitization to cosmetic series of allergens in patients with rosacea: A prospective controlled study. J Cosmet Dermatol 2019; 19:173-179. [DOI: 10.1111/jocd.12989] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Revised: 04/13/2019] [Accepted: 04/16/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Ozlem Ozbagcivan
- Faculty of Medicine, Department of Dermatology Dokuz Eylul University Izmir Turkey
| | - Sevgi Akarsu
- Faculty of Medicine, Department of Dermatology Dokuz Eylul University Izmir Turkey
| | - Necla Dolas
- Faculty of Medicine, Department of Dermatology Dokuz Eylul University Izmir Turkey
| | - Emel Fetil
- Faculty of Medicine, Department of Dermatology Dokuz Eylul University Izmir Turkey
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10
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Akarsu S, Ozbagcivan O, Ilknur T, Semiz F, Inci BB, Fetil E. Xerosis cutis and associated co-factors in women with prurigo nodularis. An Bras Dermatol 2018; 93:671-679. [PMID: 30156616 PMCID: PMC6106662 DOI: 10.1590/abd1806-4841.20187127] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2017] [Accepted: 08/20/2017] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Current data regarding the associated factors of prurigo nodularis are still uncertain, except for atopic predisposition. OBJECTIVES The purposes of this study were to (1) determine the frequencies of xerosis and other accompanying diseases of female patients with prurigo nodularis; (2) compare the demographic, clinical and accompanying disease characteristics by grouping these patients according to whether they have associated xerosis (who were subsequently subgrouped as atopic or non-atopic) or not. METHODS In this retrospective descriptive study, 80 females with PN were categorized according to the accompanying diseases (dermatological, systemic, neurological, psychogenic, mixed, or undetermined origin). RESULTS A total of 45 associated co-factors including dermatological in 63 (78.8%), systemic in 57 (71.3%), psychological in 33 (41.3%) and neurological co-factors in 14 (17.5%) of all patients with prurigo nodularis were detected. Xerosis was observed in 48 (60%) patients (non-atopic co-factors in 66.7% of them). The ratio of patients with mixed co-factors, dermatological+systemic co-factors and dermatological+systemic+psychological co-factors were found to be significantly higher in patients with xerosis compared to those without xerosis. STUDY LIMITATIONS Our study has certain limitations such as the absence of an age-matched control group, absence of follow-up data and the fact that the diagnosis of xerosis has not been based on objective methods. CONCLUSIONS Xerosis has been identified in more than half of the patients with PN and it has been determined that in most patients xerosis is associated especially with diabetes mellitus and other conditions related to prurigo nodularis.
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Affiliation(s)
- Sevgi Akarsu
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University, Izmir, Turkey
| | - Ozlem Ozbagcivan
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University, Izmir, Turkey
| | - Turna Ilknur
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University, Izmir, Turkey
| | - Fatma Semiz
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University, Izmir, Turkey
| | - Burcu Bahar Inci
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University, Izmir, Turkey
| | - Emel Fetil
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University, Izmir, Turkey
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Affiliation(s)
- Ozlem Ozbagcivan
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University - Izmir, Turkey
| | - Sevgi Akarsu
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University - Izmir, Turkey
| | - Turna Ilknur
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University - Izmir, Turkey
| | - Emel Fetil
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University - Izmir, Turkey
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12
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Akarsu S, Fetil E, Ozbagcivan O, Gunes AT. Blocking or enhancing effects of some basic emollients in UVA penetration. An Bras Dermatol 2018; 93:238-241. [PMID: 29723354 PMCID: PMC5916397 DOI: 10.1590/abd1806-4841.20186869] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Accepted: 02/14/2017] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Topical agents used in combination with phototherapy or photochemotherapy may have both blocking or enhancing effects in ultraviolet rays. OBJECTIVE In this in vivo study, the effects of topical petrolatum, basis cream, glycerine, and olive oil on the transmission of ultraviolet A radiation were investigated. METHODS A test was performed to determine the minimal phototoxic dose on 29 volunteers with only psoralen plus ultraviolet A (PUVA) and then the same test was repeated with white petrolatum, basis cream, glycerine, olive oil, and sunscreen (0.3cc/25cm2). The effects of each agent on the minimal phototoxic dose were determined after 72 h. RESULTS When compared to pure PUVA, there was a statistically significant increase in the mean minimal phototoxic dose values by the application of white petrolatum (P = 0.011), but there was no significant increase or decrease in the mean minimal phototoxic dose values after the application of basis cream (P = 0.326), glycerine (P = 0.611) or olive oil (P = 0.799). STUDY LIMITATIONS Low number of patients Conclusion: The application of white petrolatum, which has a blocking effect, and also of basis cream immediately before PUVA therapy should not be recommended. Although we specify that glycerine and maybe olive oil can be used before photochemotherapy, there is a need for further research in larger series.
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Affiliation(s)
- Sevgi Akarsu
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University - Izmir, Turkey
| | - Emel Fetil
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University - Izmir, Turkey
| | - Ozlem Ozbagcivan
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University - Izmir, Turkey
| | - Ali Tahsin Gunes
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul
University - Izmir, Turkey
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Ozbagcivan O, Akarsu S, Avci C, Inci BB, Fetil E. Examination of the Microbial Spectrum in the Etiology of Erythema Nodosum: A Retrospective Descriptive Study. J Immunol Res 2017; 2017:8139591. [PMID: 28634591 PMCID: PMC5467334 DOI: 10.1155/2017/8139591] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 04/14/2017] [Accepted: 05/04/2017] [Indexed: 12/18/2022] Open
Abstract
Even though infections are the most common cause of erythema nodosum (EN), only certain microorganisms take the great interest such as streptococci in knowledge. Our aim was to examine the frequency and type of infections in EN, to determine the characteristics of patients with an infectious etiology, and to discuss the role of these microbes in EN pathology in the context of their interactions with humans. Charts of 81 patients with EN who were seen between 2003 and 2017 were retrospectively reviewed. Identified etiological factors were classified into three groups: infectious, noninfectious, and idiopathic. While there were no significant demographic and clinical differences between the infectious and idiopathic groups, systemic symptoms (p = 0.034) and the number of EN lesions (p = 0.016) were significantly lower; the mean erythrocyte sedimentation rate was significantly higher (p = 0.049), but the mean aspartate aminotransferase value was significantly lower in the infectious group compared to the noninfectious group (p = 0.019). Besides streptococci, many other microbes, including the ones living on and inside us, were identified in the etiology of EN. There is a need for large-scale prospective studies involving control groups for a better understanding of the microbial immunopathology of EN.
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Affiliation(s)
- Ozlem Ozbagcivan
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Sevgi Akarsu
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Ceylan Avci
- Department of Dermatology, Bilecik State Hospital, Bilecik, Turkey
| | - Burcu Bahar Inci
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Emel Fetil
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
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Akarsu S, Ozbagcivan O, Ilknur T, Semiz F, Fetil E. Influence of demographic and clinical characteristics of actinic keratosis patients on illness perceptions and readiness to increase sun protection behaviours: an exploratory study. Photodermatol Photoimmunol Photomed 2017; 33:143-155. [PMID: 28130797 DOI: 10.1111/phpp.12295] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/19/2017] [Indexed: 06/06/2023]
Abstract
BACKGROUND/PURPOSE There are no data comprehensively investigating the key beliefs and sun protection behaviours in patients with actinic keratosis (AK). Our aim was to determine and correlate the AK perceptions and readiness to increase sun protection (RISP) behaviours. METHODS AK patients' (n = 200) demographics and clinical findings were recorded. Participants completed questionnaires (Illness Perception Questionnaire-Revised and RISP behaviours scales). RESULTS The mean scores of giving up sunbathing of the patients aged <65 years, and giving up sunbathing and staying in the shade behaviours of females were higher. As the level of education increased, while the mean scores of giving up sunbathing decreased, using sunscreen scores increased. The mean scores of giving up sunbathing, using sunscreen and wearing protective clothing of those with the history of non-skin cancer (had cancer other than of the skin) were lower. The readiness to increase using sunscreen was found to be higher in patients with more chronic timeline beliefs, more positive perceived personal control and blaming sunlight more, and the wearing protective clothing was found to be higher in those with more cyclical timeline beliefs. CONCLUSION AK patients, especially the subjects aged ≥65 years, have non-skin cancer history, and male gender should be informed to apply sun-protective behaviours.
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Affiliation(s)
- Sevgi Akarsu
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Ozlem Ozbagcivan
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Turna Ilknur
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Fatma Semiz
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Emel Fetil
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
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Akarsu S, Ozbagcivan O, Ilknur T, Semiz F, Lebe B, Fetil E. Lupus Band Test in Patients with Borderline Systemic Lupus Erythematosus with Discoid Lesions. Acta Dermatovenerol Croat 2017; 25:15-21. [PMID: 28511745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Patients with lupus erythematosus (LE) that have discoid lesions who fulfill the four diagnostic criteria of systemic lupus erythematosus (SLE) with only mucocutaneous findings and antinuclear antibody (ANA) positivity were classified as borderline SLE in the literature. Objective of this study was to determine the place of borderline SLE with discoid lesions on the LE spectrum according to the lupus band test (LBT). Lesional and sun-protected non-lesional (SPNL) skin LBTs of 94 patients with LE that had discoid lesions were retrospectively evaluated. Firstly, patients were divided into two main groups: discoid LE (DLE; group A) and SLE (Group B); three subgroups were then classified as DLE (Group A), borderline SLE (Group B1) and SLE (Group B2) using another method. Each group had its own comparisons. Immunoreactant (IR) deposition was observed on the lesional skin in all patients and on the SPNL skin in 42 (44.7%). In patients with borderline SLE, the deposition of IgM was lower on the lesional LBTs, whereas isolated IgG was higher than SLE; thus, it shows similarity with DLE. Additionally, it was also closer to DLE because of the low deposition of C3, multiple IRs, and a double conjugate of IRs on the SPNL skin. However, it showed similarity with SLE in the high percentage of LBT positivity and more immunoglobulin M (IgM) and immunoglobulin G (IgG) deposition on the SPNL skin. The deposition of multiple conjugates on SPNL skin in patients with LE with discoid lesions may reflect systemic involvement. Despite the fact that LBT positivity on SPNL skin in borderline SLE was higher than DLE, less deposition of multiple conjugates compared to SLE indicates that the classification of borderline SLE with discoid lesions in the LE spectrum is questionable.
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Affiliation(s)
| | - Ozlem Ozbagcivan
- Ozlem Ozbagçıvan, MD, Department of Dermatology, Dokuz Eylul University, Faculty of Medicine, 35340 Inciraltı, Izmir, Turkey;
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Ozbagcivan O, Akarsu S, Ilknur T, Ozer E, Fetil E. Lichen planus after rabies vaccination. Int J Dermatol 2015; 54:e558-9. [DOI: 10.1111/ijd.12987] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Revised: 01/01/2015] [Accepted: 01/20/2015] [Indexed: 11/27/2022]
Affiliation(s)
- Ozlem Ozbagcivan
- Department of Dermatology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
| | - Sevgi Akarsu
- Department of Dermatology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
| | - Turna Ilknur
- Department of Dermatology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
| | - Erdener Ozer
- Department of Pathology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
| | - Emel Fetil
- Department of Dermatology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
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Gunes AT, Fetil E, Akarsu S, Ozbagcivan O, Babayeva L. Possible Triggering Effect of Influenza Vaccination on Psoriasis. J Immunol Res 2015; 2015:258430. [PMID: 26380315 PMCID: PMC4562095 DOI: 10.1155/2015/258430] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2014] [Accepted: 03/23/2015] [Indexed: 11/18/2022] Open
Abstract
Psoriasis is a chronic, recurrent, immune-mediated inflammatory disease and it can be provoked or exacerbated by a variety of different environmental factors, particularly infections and drugs. In addition, a possible association between vaccination and the new onset and/or exacerbation of psoriasis has been reported by a number of different authors. The aim of this study is to investigate the effects of influenza vaccination on patients with psoriasis. Here, we report the findings from 43 patients suffering from psoriasis (clinical phenotypes as mixed guttate/plaque lesions, palmoplantar or scalp psoriasis) whose diseases had been triggered after influenza vaccination applied in the 2009-2010 season. The short time intervals between vaccination and psoriasis flares in our patients and the lack of other possible triggers suggest that influenza vaccinations may have provocative effects on psoriasis. However, further large and controlled studies need to be carried out to confirm this relationship.
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Affiliation(s)
- Ali Tahsin Gunes
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340 Izmir, Turkey
| | - Emel Fetil
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340 Izmir, Turkey
| | - Sevgi Akarsu
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340 Izmir, Turkey
| | - Ozlem Ozbagcivan
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340 Izmir, Turkey
| | - Lale Babayeva
- Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Inciraltı, 35340 Izmir, Turkey
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Akarsu S, Ozbagcivan O, Ilknur T, Lebe B, Fetil E. An interstitial granulomatous pattern in scleromyxedema with dermato-neuro syndrome. J Eur Acad Dermatol Venereol 2015; 30:687-9. [DOI: 10.1111/jdv.12973] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- S. Akarsu
- Department of Dermatology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
| | - O. Ozbagcivan
- Department of Dermatology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
| | - T. Ilknur
- Department of Dermatology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
| | - B. Lebe
- Department of Pathology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
| | - E. Fetil
- Department of Dermatology; Faculty of Medicine; Dokuz Eylul University; Izmir Turkey
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