Background and Design:This study aimed to evaluate the knowledge of dermatologists on complementary and alternative medicine (CAM), common methods that are widely used in their daily practices and their general approach to CAM. Materials and Methods: This cross-sectional and descriptive study was carried out between May 2012 and May 2013. A questionnaire comprising 14 questions was sent to dermatologists via electronic mail. The questionnaires which were returned completely and correctly were included in the study. Results: Two hundred questionnaires were taken into consideration. 25.5% of participants were working at universities, while 20% were working at training and research hospitals, 21% were working at public hospitals and the other 33% were working at private hospitals. 80.5% of participants defined the level of their knowledge about CAM as "little, a little and not at all", 16% -moderate, and the other 3.5% of them as "a lot, very much". The most frequently recommended methods among the dermatologist were topical herbal treatment (59.6%), oral herbal treatment (48.1%), herbal shampoo (46.2%), and dietary supplement and thermal spring (38.5%), respectively. Conclusion: Although many of our colleagues have lack of information about CAM, a considerable number of them could use CAM in their daily practices. A substantial proportion of dermatologists would like to be better informed about CAM. (Turkderm 2015; 49: 31-6)
ÖzetAmaç: Becker nevüs (BN) erkeklerde kadınlara göre 4-6 kat daha sık görülen, unilateral yerleşim gösteren, keskin sınırlı, düzensiz hiperpigmente makül ve yamalar ile karakterize, hipertrikozun eşlik edebildiği hamartamatöz bir lezyondur. Genellikle peripubertal dönemde ortaya çıkar. BN ile ilgili epidemiyolojik veriler hakkında çok az bilgi mevcuttur, ülkemizdeki prevalansı ise bilinmemektedir. Biz bu çalışmada, ülkemizdeki genç erkeklerde prospektif ve kesitsel olarak BN prevalansını belirlemeyi amaçladık. Gereç ve Yöntem: Mart 2012-Ağustos 2012 tarihleri arasında ülkenin farklı bölgelerinden dermatoloji polikliniğine başvuran, bir devlet okuluna öğrenci olarak alınacak, 8207 erkek öğrenci adayı çalışmaya dahil edildi. Adaylar yapılan kapsamlı sağlık muayenelerinde, BN varlığı, yerleşim yeri ve hipertrikoz birlikteliği yönünden de değerlendirilerek elde edilen bulgular kaydedildi. Bulgular: Çalışmaya alınan 8207 erkek adayın yaşları 18 ile 22 arasında değişmekteydi. Yaş ortalaması 20,02±1,40, BN'ün ortalama başlangıç yaşı ise 12,2 olarak hesaplandı. Adayların 68'inde (birisinde iki farklı lokalizasyonda) BN tespit edildi. BN prevalansı %0,82 olarak hesaplandı. BN en fazla pektoral alanda (%24,64), sonra azalan sıra ile skapular (%23,18), omuz (%18,84), infraskapular (%17,39), kol (%5,80), abdomen (%5,80) ve uylukta (%4,35) yerleşmişti. Altmış sekiz adayda saptanan 69 BN'ün 34'ünde (%49,2) hipertrikoz bulunuyordu. Sonuç: Çalışmamızda BN'ün ağırlıklı olarak skapular ve pektoral alan olmak üzere iki bölgede yerleşim gösterdiği, prevalansının %0,82 olduğu ve lezyonların %49,2'sinde hipertrikoz bulunduğu saptandı. (Türk derm 2013; 47: 80-3) Anah tar Ke li me ler: Epidemiyoloji, Becker nevüs, genç erkekler Sum maryBackground and Design: Becker nevus (BN), characterized by sharply and irregularly bordered, unilaterally localized, hyperpigmented macules and patches which can go along with hypertrichosis, is a kind of hamartomatous lesion that predominantly affects males 4-6 times more frequently than females. It is usually seen in peripubertal period. There are scarce epidemiological data on BN and the prevalence in our country is also unknown. In this prospective, cross-sectional study, we aimed to determine the prevalence of BN among young adult males in Turkey. Materials and Methods: 8207 male candidates from different regions of Turkey who would be selected as a student in a governmental school and were referred to the dermatology outpatient clinic between March 2012 and August 2012, were included in our study. In addition to comprehensive medical examination, candidates were also inspected for the presence of BN, its localization, the asociation with hypertrichosis, and the findings were recorded. Results: The mean age of the candidates was 20.02±1.40 (range: 18-22) years and the mean age at BN onset was 12.2. BN was detected in 68 out of 8207 candidates (two different localizations in one subject). The prevalence of BN was calculated as 0.82%. The distribution of BN localization was as follows: mostly on the p...
Background and Design:This study aimed to evaluate the knowledge and general approach towards complementary and alternative medicine (CAM) among patients admitted to our outpatient clinic. Materials and Methods: This descriptive cross-sectional survey was carried out between May 2012-2013. A questionnaire comprising 25 questions was prepared and filled by using face to face interview technique in our outpatient clinic. Results: A total of 1.021 patients were included. Six hundred nineteen (60.6%) were male and 402 (39.4%) were female. 30.5% of the participants reported CAM and 21.8% reported dermatological purpose. Women in the 30-39 age group and patients, who were college graduate and having high income levels, were using CAM more frequently. The most common conditions for CAM use were pigmentation disorders, hair diseases and inflammatory dermatoses. The most commonly used methods were herbal products, prayer and megavitamins. 61.1% of patients using CAM reported positive effects while 5.5% had side effects. Patients were using CAM because it was often recommended. 71.3% of patients reported not knowing the side effects, 59.5% of patients stated that they would inform their doctors about CAM usage, 1/3 of the patients wanted reimbursement of CAM by the Social Security Institution and would recommend CAM they used to others, 85% of patients reported that they would prefer medical treatments firstly. 12.9% of patients using CAM had a family history of CAM use.
There are some tendencies among the dermatologists while selecting a physician for the procedures. They usually have MICPs after dermatology residency to seem younger and more beautiful by an experienced dermatologist in private setting. Male Turkish dermatologists have MICPs more frequently than the general population. Their satisfaction level with MICPs is very high. Most of dermatologists who do not have MICPs are planning to have MICPs.
Sturge-Weber syndrome (SWS) is a neurocutaneous syndrome characterized by facial port wine stains, vascular lesions in the ipsilateral brain and meninges, and glaucoma. Klippel-Trenaunay syndrome (KTS) is a rare congenital malformation associated with cutaneous vascular malformation, bony or soft tissue hypertrophy and venous varicosities in the affected limb. Although some cases have been reported in the literature, an overlap between these two phakomatoses is extremely rare and they have systemic and ocular affects. Here, we present a case showing the properties of both SWS and KTS and having interesting ophthalmological findings. This case is presented to emphasize that eye related complications might also be seen in these syndromes. Keywords: Sturge-Weber syndrome, Klippel-Trenaunay syndrome, corneal thickness Sturge-Weber sendromu (SWS) yüzde Porto şarabı lekesi, aynı taraf beyinde ve meninkste vasküler lezyonlar ve gözde glokom ile karakterize bir nörokutanöz sendromdur. Klippel-Trenaunay sendromu (KTS) ise kutanöz vasküler malformasyon, kemik ya da yumuşak doku hipertrofisi ve etkilenen ekstremitede venöz genişlemelerle karekterize nadir görülen bir konjenital malformasyondur. Literatürde az sayıda olgu bildirilmiş olmakla birlikte bu iki fakomatozun birlikte görülmesi nadir bir durumdur ve sistemik, oftalmolojik patolojilere neden olabilmektir. Burada SWS ve KTS özelliklerini bir arada gösteren, aynı zamanda ilginç oftalmolojik bulguları da olan bir olgu sunulmuştur. Bu olgu sunumu, bu sendromlarda gözle ilgili komplikasyonların da görülebileceğini vurgulamak amacı ile sunulmuştur. Anahtar Kelimeler: Sturge-Weber sendromu, Klippel-Trenaunay sendromu, kornea kalınlığı Summary GirişSturge-Weber sendromu (SWS) yüzde Porto şarabı lekesi, göz ve merkezi sinir sisteminde hemanjiyomlar ile karakterize nörokutanöz sendromdur. Glokomla seyreden vasküler lezyonlar, beyin hemisferlerini tutan leptomeningeal anjiyomatozis, erken başlangıçlı konvülsiyonlar, nörolojik gelişmede gecikme hastalığa eşlik edebilen diğer bulgulardır 1,2 . Klippel-Trenaunay sendromu (KTS) ise vücudun herhangi bir yerinde görülebilen deri ve organlarda hemanjiyom, venöz genişlemeler ve etkilenen ekstremitede yumuşak doku ve kemik hipertrofisi ile karakterizedir 3 . Literatürde az sayıda olgu bildirilmiş olmakla birlikte bu iki fakomatozun birlikte görülmesi nadir bir durumdur 4,5 . Birlikteliği ender olarak görülen bu sendromların klinik özelliklerinin bilinmesi, etkileyeceği sistemlerdeki komplikasyonların erken saptanması açısından önem taşımaktadır. Olgu SunumuYirmi yaşındaki erkek hasta polikliniğimize yüzünün ve vücudunun sağ tarafında kırmızı-renkli geniş lekeler şikayeti A case of overlapping of Sturge Weber syndrome-Klippel Trenaunay syndrome and ophthalmological findingsSturge Weber sendromu-Klippel Trenaunay sendromu birlikteliği olgusu ve göz bulguları
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