Objectives: Adropin is a novel marker of metabolic syndrome and insulin resistance. The aim of this study was to explore the association of serum adropin levels with hepatosteatosis among adult patients. Materials and Methods: Serum biochemical parameters including liver and renal function tests, insulin levels, and serum adropin levels were compared between adult patients with nonalcoholic fatty liver disease (NAFLD) and healthy control cases. Results: A total of 51 patients with a mean age of 37.9 ± 9.96 years diagnosed with grade 2–3 hepatosteatosis and 30 healthy control cases with a mean age of 34.8 ± 9.5 years were included in the study. Serum adropin levels in the NAFLD group were statistically significantly lower than in the control cases (588.4 ± 261.0 vs. 894.2 ± 301.2, respectively; p < 0.001). The study participants were further subdivided into 2 groups as patients with (n = 35) or without (n = 46) insulin resistance using the serum homeostatic model of assessment-insulin resistance (HOMA-IR). Serum adropin levels were statistically significantly lower in patients with insulin resistance (p < 0.01). There was a negative correlation between adropin levels and serum insulin, HOMA-IR, urea, gamma-glutamyl transferase, total cholesterol, and triglyceride levels. Conclusion: We observed a decrease in serum adropin levels among adult patients with NAFLD. We also found lower levels of serum adropin in patients with insulin resistance, supporting previous data in the literature. Studies investigating the association of adropin levels with other inflammatory parameters are warranted to define its exact role in the pathogenesis of hepatosteatosis.

Antihypertensive therapies were individualized, as suggested by the consensus report. However, there are proposals still to be considered in special patient groups.

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Objective: In inflammatory bowel disease (IBD), there is no reliable biomarker, yet. We aimed to determine whether Serum Soluble Triggering Receptor Expressed on Myeloid Cells-1 (sTREM-1) could be useful as a marker for the diagnosis and/or the determination of disease activity in patients with IBD.Material and Method: A total of 47 patients with ulcerative colitis (UC) and 25 patients with Crohn's disease (CD) were prospectively enrolled. Clinical disease activity was analyzed using the Crohn's Disease Activity Index (CDAI) for CD and the Truelove-Witts index for UC.Results: sTREM-1 levels were significantly lower in patients with IBD compared to healthy controls (p=0.001). In comparison of the levels of sTREM-1 between the different groups (CD, UC, and healthy controls) the difference was statistically significant. No considerable differences in sTREM-1 levels were determined in patients with active versus quiescent disease. The sTREM-1 levels negatively correlated with C-reactive protein, blood neutrophil-lymphocyte ratio, and positively with haemoglobin levels. Conclusion:sTREM-1 levels are decreased in IBD patients compared with the healthy individuals. It may, therefore, be useful for the diagnosis of IBD. However, it does not seem to be a precise marker of disease activity in IBD and cannot be suggested for assessing disease activity in these patients.

İst Tıp Fak Derg 2016; 79: 2 OLGU SUNUMU/ CASE REPORT J Ist Faculty Med 2016; 79: 2 http://dergipark.ulakbim.gov.tr/iuitfd http://www.journals.istanbul.edu.tr/iuitfd Date received/Dergiye geldiği tarih: 28.03.2016 -Date accepted/Dergiye kabul edildiği tarih: 12.04.2016 * Okmeydanı Eğitim ve ÖZET Amaç:Wells sendromu (eozinofilik sellülit), prodromal yanma veya kaşınmayla başlayan eritematöz papül, nodül, büller şeklinde, çeşitli morfolojilerde ve ciddiyette aylar, yıllar boyu persistan veya rekürren erüpsiyonlarla seyreden nadir bir inflamatuvar dermatozdur. Etiyoloji net olmamakla birlikte böcek ısırıkları, hematolojik bozukluklar, maligniteler, enfeksiyonlar ve çeşitli ilaçlarla ilgili bildirimler mevcuttur. Hastalığın klinik aktivitesiyle periferik kanda IL5, kan ve kemik iliğinde eozinofil seviyeleri arasında korelasyon olduğu gösterilmiştir. Histopatolojik olarak akut dönemde dermiste ödem ve eozinofillerden zengin infiltrat, subakut dönemde kollagen bantları çevreleyen eozinofillerin degranülasyonuyla ''alev figürleri'' ve sonrasında alev figürleri etrafında fagositik histiyositler ve dev hücreleri görülür; vaskülit bulguları yoktur. Burada akut farenjit sebebi ile antibiyotik kullanımı sonrası vücudunda yaygın ürtikeryal döküntüleri başlayan hastada Wells Sendromu tanısı koyduğumuzu ve dapson tedavisi sonrası methemoglobinemi gelişimini bildirmek istedik. Olgu: 24 yaşında kadın, amoksisilin klavulanik asit tedavisi sonrası tüm vücutta yaygın ürtikeryal lezyonlar ile polikliniğimize başvurdu. Lezyonlar anüler görünümde, eritemli, merkezi soluk, endüre plaklar şeklinde olup oral metilprednizolon/setirizin/topikal mometazon tedavisiyle düzeldikten sonra nüks gelişmiş; 6 hafta süre ile kullanılan hidroksiklorokine direnç sebebi ile dapson başlanmıştı. 2x100 mg dapson tedavisinin 5. gününde şiddetli baş ağrısı, baş dönmesi, çarpıntı, hâlsizlik, huzursuzluk sonrası methemoglobin: % 5.10 saptanan hastada dapsona bağlı methemoglobinemi düşünüldü ve olgu destek tedavi ile takip edildi. Sonuç: Wells sendromunda tedavinin temelini kortikosteroidler oluşturur; antihistaminikler, hidroksiklorokin, griseofulvin, dapson ve gereğinde immunsupresanlar (siklosporin, azotioprin, takrolimus) kullanılabilir. Dapson kullanan hastalar methemoglobinemi açısından yakından takip edilmeli ve gereğinde etkili bir şekilde tedavi edilmelidir. Anahtar kelimeler: Eozinofilik sellülit; dapson; methemoglobinemi. ABSTRACTWells syndrome (eosinophilic cellulitis), is a rare inflammatory dermatosis characterized by persistent/recurrent erythematous papules, nodules, blisters with various morphology and severity. Etiology is not clear, although insect bites, hematological disorders, malignancies, infections and various drugs have been reported. It has been shown that clinical disease activity is correlated with IL5 level/eosinophils in peripheral blood and bone marrow. Histopathological examination shows edema and eosinophil-rich infiltrate of dermis in acute period, "flame figures" via degranulation of eosinophils surrounding collagen bands in ...