Serap Polat

The frequency of body dysmorphic disorder in dermatology and cosmetic dermatology clinics: a study from Turkey.

Body dysmorphic disorder (BDD) is a distressing and impairing preoccupation with a slight or imagined defect in appearance. There are few reports on the prevalence of BDD in the Turkish population.

Treatment of primary hyperhidrosis with tap water iontophoresis in paediatric patients: a retrospective analysis

Abstract Objectives: Primary hyperhidrosis is an under-recognized condition in children and adolescents. Iontophoresis is the second line of treatment for palmoplantar hyperhidrosis following topical treatment. The studies evaluating the efficacy of iontophoresis in children are limited. We aimed to investigate the efficacy and reliability of tap water iontophoresis in children with primary hyperhidrosis. Methods: Twenty-one patients aged under 18 years, who received iontophoresis for primary palmoplantar hyperhidrosis, were included in the study. In our clinic, tap water iontophoresis was administered at regular intervals, starting with five times per week and decreased to once a week on fifth week. Then maintenance sessions once a week for 6 weeks are recommended. The presence of excessive sweating was scored by visual analogue scale (VAS): “0” as continuation of excessive sweating and “10” as the absence of excessive sweating. The demographic and clinical data were collected from files. Also, patients fulfilled a questionnaire for efficacy on follow-up visit. Results: Nineteen patients completed the whole 21 sessions. The mean VAS score was 5.89 ± 1.49 at the end of the 15th session and 6.36 ± 2.06 at the end of the treatment. Side effects were well tolerated. Only seven patients were still free of excessive sweating on third months after treatment. The mean satisfaction score was 4.95 ± 2.38, as measured by VAS where 0 indicated dissatisfaction and 10 indicated high satisfaction. Conclusion: Tap water iontophoresis is an effective method of treatment for primary palmoplantar and axillary hyperhidrosis in paediatric patients. But there are still unanswered questions about the mechanism of action, ideal session intervals and protocols for maximum efficacy.

Frequency of body dysmorphic disorder among patients with complaints of hair loss

Body dysmorphic disorder (BDD) is a psychiatric condition in which a disabling preoccupation with a non‐existent or slight defect in appearance is the main symptom. Hair concerns are frequent in patients with BDD.

The Evaluation of Efficacy of the Combination of Acoustic Cavitation and Radiofrequency Lipolysis in Body Sculpturing

DOI: 10.4328/JCAM.2490 Received: 14.04.2014 Accepted: 29.04.2014 Printed: 01.02.2014 J Clin Anal Med 2014;5(suppl 1): 15-8 Corresponding Author: Seval Doğruk Kaçar, Afyon Kocatepe Üniversitesi Tıp Fakültesi, Deri ve Zührevi Hastalıkları Anabilim Dalı 03100 Afyonkarahisar, Turkey. GSM: +905333133885 E-Mail: sevaldogruk@hotmail.com Özet Amaç: Yeni teknolojilerle beraber estetik dermatolojide non-invaziv vücut şekillendirme yöntemlerinin kullanımı yaygınlaşmıştır. Ancak bu yöntemlerle ilgili bilimsel veriler kısıtlıdır. Çalışmamızda akustik kavitasyon ve radyofrekans kombinasyonunun vücut şekillendirmedeki etkinliği retrospektif değerlendirilmiştir. Gereç ve Yöntem: 2012 Eylül-2013 Eylül tarihleri arasında Afyon Kocatepe Üniversitesi Hastanesi Dermatokozmetoloji Ünitesinde göbek ve bel bölgesi için vücut şekillendirme tedavisi alan hastalar retrospektif değerlendirilmiştir. Kliniğimizde göbek ve bel bölgesi için vücut şekillendirme için kavitasyon ve multipolar radyofrekans lipoliz teknolojileri kombinasyonu, hafta da 2, toplam 10 seans olarak uygulanmaktadır. Tedavi öncesi ve her seans sonu boy, kilo ve perimetrik ölçümler kaydedilir. Tedavi sonu hasta memnuniyeti vizüel analog skalası (VAS) ile 0 (hiç memnun değil, etki hiç yok) ve 5 (çok memnun, çok etkili) arasında değerlendirilmiştir. Bulgular: Toplam 15 bayan hastanın yaş ortalaması 36,4±10,2 (23-52) idi. Kilo ve göbek çevresi perimetrik ölçümlerde (göbek üst-alt ve umblikal çevre) tedavi sonu ve tedavi öncesi değerler arasında istatiksel anlamlı fark vardı (sırası ile p=0,002; diğer üç değer için p=0,001). Hastaların tedavi sonu memnuniyetleri VAS’a göre değerlendirildiğinde hastaların %60’ı tedaviyi memnuniyet verici olarak tanımladı. Kalan hastalar tedavi bir değişiklik oluşturmasına rağmen beklentilerini karşılamadığı belirtti. Tedavi süresince geçici eritem dışında yan etki izlenmedi. Tartışma: Egzersiz ve diyet optimal vücut şekli ve sıkılık için halen en geçerli yöntemlerdir. Bununla birlikte uygun vakalarda invazif ya da non invazif liposuction ve lipoliz ile vücut şekillendirme metodları ile fazla yağ ve deriden kurtulmak mümkündür. Çalışmamıza göre kavitasyon ve radyofrekans kombinasyonu vücut şekillendirmede etkili bir yöntemdir.

Juvenile localized scleroderma with port wine stain: coincidental or possible common pathogenetic association.

Port wine stain and juvenile localized scleroderma are two different dermatoses usually encountered in pediatric age group. Up to now, there are reports of morphea patients initially diagnosed and treated as port wine stain. Coexistence of both diseases is not found yet. We herein present a case of juvenile localized scleroderma on the left side of trunk, with congenital port wine stain located on the ipsilateral face at V1-V2 distribution.

İSOTRETİNOİN TEDAVİSİNİN NÖTROFİL/LENFOSİT ORANI VE DİĞER HEMOGRAM PARAMETRELERİNE ETKİSİNİN DEĞERLENDİRİLMESİ

Aim: There are reports of various side effects of isotretinoin. Recent studies have controversial results about the necessity of laboratory investigation including hemogram and blood chemistry of patients during the follow up periodon isotretinoin.We aimed to investigate the effects of isotretinoin on Neutrophil/lymhocyte ratio (NLR) a systemic inflammation marker and the other hemogram parameters. Material and methods: Sixty seven patients with moderate to severe acne vulgaris aged between 18 to 25, who were prescribed 0.5mg/kg isotretinoin, were included to the study. Patients’ hemogram parameters before treatment and at the third month of treatment were recorded on SPSS 20.0 programme retrospectively. The difference between two values <0.05 was considered as statistically significant. Results: There were 37 female and 30 male patients, with a mean age of 21.12±3.54 years. There were no differences between the two groups by means of white blood count, neutrophil, lymphocyte counts and NLR. Among the other parameters, there was a statistically significant increase in monocyte count whereas basophil, eosinophil, platelet counts and hematocrit values revealed no differences. Red blood cells, hemoglobin, mean corpuscular volume and plateletocrit values revealed a statistically significant decrease (p<0.01). Conclusion: Isotretinoin, which is used as a miracle drug and favorable treatment of acne, may cause changes in hemogram parameters. It may lead to decreased hemoglobin values and increase of monocyte count during treatment. Patients with prominent iron deficiency may require close monitorization. Besides the unchanged NLR values may support no inflammatory reactions occur during muticentered studies, evaluating these parameters with larger sample sizes are required. isotretinoin treatment. Obviously