Abant Medical Journal最新文献

{"title":"Acute infantile hemorrhagic edema following measles mumps rubella vaccine: A case report","authors":"M. Bekdas, E. İldeş","doi":"10.5505/abantmedj.2019.09821","DOIUrl":"https://doi.org/10.5505/abantmedj.2019.09821","url":null,"abstract":"Akut İnfantil hemorajik ödem (AİHÖ) ateş, ödem ve purpurik deri döküntüleri ile karakterize derinin lökositoklastik vaskülitidir. Gürültülü bir başlangıcı olmasına rağmen birkaç haftada spontan iyileşmektedir. Spesifik bir tedavisi yoktur. Bu makalede aşı sonrası AİHÖ tipik bulguları gelişen bir vaka sunuyoruz. Amacımız, döküntülü hastalıklarla ayırıcı tanıda nadir görülen bu hastalık hakkında bir hatırlatma yapmak ve böylece hastaları gereksiz tetkik ve tedavilerden kurtarmaktır. Abstract","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121741193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple Epidural Hematomas: Systematic Lıterature Review and an Unusual Case Presentation","authors":"Guner Menekse, Y. Gezercan, A. I. Ökten","doi":"10.5505/ABANTMEDJ.2018.95825","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2018.95825","url":null,"abstract":"","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122175990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scar endometriosis after caesarean section: A rare surgical complication","authors":"İsmail Çetinkaya, M. Kafadar, Bahar Memiş","doi":"10.5505/abantmedj.2019.85579","DOIUrl":"https://doi.org/10.5505/abantmedj.2019.85579","url":null,"abstract":"","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122672313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical localized giant apocrine hydrocystoma: Case report","authors":"H. U. Ozkol, Abdullah Unal, G. Bulut","doi":"10.5505/ABANTMEDJ.2015.03016","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2015.03016","url":null,"abstract":"Apokrin hidrokistomalar (kistadenomalar) apokrin kaynakli benin kistik yapilardir. Apokrin hidrokistomlar genellikle soliter lezyonlar seklinde olusur. Bununla birlikte nadiren multiple olabilirler. Lezyonlar siklikla bas ve boyun bolgesinde, ic epikantus ve goz kapaklari boyunca yerlesir. Bir apokrin hidrokistoma gelisimi icin uyaranlar tam olarak bilinmemektedir. Bu yazida apokrin kistadenom tanisi alan 66 yasinda bir bayan hasta sunuldu. Hastamizin 2 yildir sag dizinde kabarti sikâyeti vardi. Dermatolojik muayenesinde sag dizde 2x1 cm ebatli mavimsi-morumsu kist mevcuttu. Histopatolojik ve klinik olarak apokrin kistadenom tanisi konulan lezyonun dev boyutlu ve atipik yerlesimli olmasindan dolayi olguyu sunmayi uygun bulduk. Apocrine hydrocystomas (cyst adenomas) are apocrine originated benign cystic structures. Apocrine hydrocystomas are generally formed as solitary lesions and may be occasionally multiple. Lesions are located in the regions around the head and neck and internal epicanthus, along the eyelids. The principle cause of apocrine hydrocystoma is still unknown. In this article a 66 years old female patient is presented with the diagnosis of apocrine hydrocystomas. The patient had papule on right knee for 2 years. Upon dermatologic examination there was a bluish- purplish cyst 2x1cm in size on her right knee. We decided to present the case since the patient was histopathologically and clinically diagnosed as apocrine hydrocystoma, the patient's lesion giant in size and located atypically.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125413704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resorption Mechanisms Related with Neo-Vascularization for the Lomber Disc Herniation","authors":"Bunyamin Koc, B. Nacır, H. Erdem","doi":"10.5505/ABANTMEDJ.2015.19483","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2015.19483","url":null,"abstract":"Lomber disk herniasyonu (LDH) bel agrisi ve siyatigin onemli bir nedenidir. LDH'nin magnetik rezonans goruntuleme (MRG) ile incelenmesi neo-vaskularizasyonla iliskili rezorbsiyon mekanizmasini ortaya cikarmistir. Aktive makrofajlarin disk dokusuyla etkilesimlerinin infamatuvar sitokinlerin uretimine yol actigi gosterilmistir. Buna ek olarak tumor nekrozis faktor-α (TNF-α) gibi infamatuvar sitokinler, vaskuler endotelyal growt faktor (VEGF) gibi anjiogenezi uyaran faktorlerin induksiyonu icin gereklidir. VEGF endotel hucresine ozgu bir mitojendir ve yeni kan damarlarinin olusumunda esasli bir rolu vardir. Yeni olusmus kan damarlari ve makrofaj infiltrasyonu LDH rezorbsiyonu sirasinda onemli bir rol oynarlar. Bu derlemede LDH'da rezorbsiyon mekanizmalari hakkindaki guncel bilgiler ozetlendi. Lomber disc herniation (LDH) is a major cause of low back pain and sciatica. MRI investigation of LDH has revealed a resorption mechanism related with neo-vascularization. It has shown that the interaction of activated macrophages with disc tissues leads to the generation of inflammatory cytokines. In addition, inflammatory cytokines such as tumor necrosis factor-α (TNF-α) is required for the induction of angiogenesis stimulating factors such as vascular endothelial growth factor (VEGF). VEGF is an endothelial cell-specific mitogen, and it has an essential role in the formation of new blood vessels. The newly formed vessels and infiltrating macrophages play an important role during LDH resorption. In this review, recent knowledge on the resorbtion mechanisms of LDH is summerized.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128482904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usefulness of the QuantiFERON-TB GOLD (in Tube) Test for the Differantial Diagnosis of Sarcoidosis from Tuberculosis Lymphadenitis","authors":"Emine Özsarı, H. Simsek, Ayşe Gözü, B. Samurkaşoğlu","doi":"10.5505/abantmedj.2017.42275","DOIUrl":"https://doi.org/10.5505/abantmedj.2017.42275","url":null,"abstract":"Özet GİRİŞ ve AMAÇ: Mediastinal benign lenfadenopatinin en sık nedenleri sarkoidoz ve tüberküloz lenfadenit hastalıklarıdır. Çalışmamızda, TB lenfadenitin ayırıcı tanısında yeni yöntemlerden birisi olan QuantiFERON–TB Gold (in tube) (QFTGIT) testinin değerini araştırmayı amaçladık. YÖNTEM ve GEREÇLER: Toraks BT’de transvers çapı 10 mm ve üzerinde olan mediastinal lenf nodlarının etiyolojisinin araştırılması amacıyla kliniklerimize yönlendirilerek 36’sı sarkoidoz ve 37’si TB lenfadenit tanısı konulan toplam 73 hastanın prospektif olarak yaş, cinsiyet, eşlik eden ek hastalık, tüberküloz temas öyküsü, semptomları, BCG skar sayısı, TCT sonuçları ve QFT-GIT testi sonuçları kaydedildi. BULGULAR: Sarkoidoz hastalarının yaş ortalamaları 42,2±17,2 idi. Olguların 19’u kadın (%52.8), 17’si erkekti (% 47,2). Ortalama takip süreleri 14,6±12,3 ay idi (3 – 36 ay). Sarkoidoz ile TB lenfadenit ayırıcı tanısında halen kullanılmakta olan TCT nin, TB lenfadenit tanısında duyarlılığı %62, özgüllüğü %75; QFT-GIT testinin duyarlılığı %92, özgüllüğü %83 olarak hesaplandı. Sarkoidozda QFT-GIT testi ve TCT sonuçları arasında anlamlı korelasyon bulunmazken [p=0,618]; TB lenfadenit için anlamlı korelasyon saptandı [p=0,028]. TARTIŞMA ve SONUÇ: Ülkemizde olduğu gibi rutin BCG aşılamasının ve TCT sonucuna göre yeniden aşılanmaların uygulandığı topluluklarda, tüberküloz enfeksiyonun ayırıcı tanısında BCG den etkilenmeyen QFT-GIT testinin TCT ile birlikte kullanılması önerilebilir. Ayrıca sistemik steroid tedavisi alması planlanan hastalarda INH proflaksisi başlanması için tek başına TCT’den ziyade QFT-GIT testi pozitifliğinin gözönüne alınması uygun olabilir. Abstract INTRODUCTION: There is one of the new methods in the differential diagnosis QuantiFERON-TB Gold (in tube) (QFTGIT), in which the most common cause of sarcoidosis and tuberculosis lymphadenitis of benign mediastinal lymphadenopathy, we aimed to investigate the value of the test for TB lymphadenitis. METHODS: Chest CT transverse diameter of 10 mm and directed to our clinic to investigate the etiology of mediastinal lymph nodes above sarcoidosis was diagnosed in 36 patients with TB lymphadenitis was diagnosed in 37 patients, including 73 patients age, sex, comorbid disease, the tuberculosis contact history, symptoms, number of BCG scar, TST and QFTGIT results were recorded test results. RESULTS: The mean age of patients with sarcoidosis 42.2± 17.2) were female (52.8%), 17 were male (47.2%). Average follow-up time was 14.6 ± 12.3 months. (3-36 months). With sarcoidosis, which is still being used in the differential diagnosis of TB lymphadenitis, TCT's sensitivity in diagnosis of TB lymphadenitis was 62%, specificity 75%; QFT-GIT sensitivity of the test was 92%, specificity of 83% was calculated. Sarcoidosis QFT-GIT and TST test results of there were no significant correlation between [p = 0.618]; Significant correlation was found for TB lymphadenitis [p = 0.028]. DISCUSSION AND CONCLUSION: As our country and communit","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122512557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toxic Epidermal Necrolysis After Phenytoin Use","authors":"H. Oguzturk, M. G. Turtay, M. Pepele, T. Guven, Kasım Turgut","doi":"10.5505/ABANTMEDJ.2015.19484","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2015.19484","url":null,"abstract":"","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121286576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of aortic elasticity and its relation with left ventricular filling and diastolic parameters by transthoracic and transesophageal echocardiography","authors":"M. Kurt, I. Tanboğa, M. F. Karakaş, E. Buyukkaya, A. Akçay, N. Şen","doi":"10.5505/abantmedj.2013.08370","DOIUrl":"https://doi.org/10.5505/abantmedj.2013.08370","url":null,"abstract":"Ozet Background: There are limited data comparing aortic dimensions and elastic properties between transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE). Therefore, we aimed to investigate aortic dimensions and indices of aortic elastic properties as well as their relation with left ventricular (LV) filling and diastolic parameters obtained from TTE and TEE. Method: Forty two patients were included in the study. Aortic dimensions and related elasticity parameters, LV filling and diastolic parameters, left atrial volume index (LAVi), LV mass index were calculated from TTE and TEE recordings in all patients. The correlation analyses were performed for aortic elasticity indices and LV filling and diastolic parameters obtained from TTE and TEE. Results: There were no significant differences in aortic dimensions and elasticity indexes obtained from TTE and TEE. The correlation analysis r evealed that while age E/A, E/E` and LAVi were significantly correlated with aortic elasticity indexes obtained from both TTE and TEE, LV mass index was significantly correlated with only TEE aortic elasticity indices. Conclusion: When compared to TTE, aortic elastic properties obtained from TEE were more closely related with LV filling and diastolic parameters. In addition, the indexes of aortic function were comparable between TEE and TTE with good intra and interobserver variability. Amac: Aort boyutlar ve elastik ozelliklerini transtorasik ekokardiyografi (TTE) ve transozofageal ekokardiyografi","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116337815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous trombosed ruptured abdominal aortic aneurysm","authors":"Ömer Yazgan, Sibel Yazgan, A. Buyukkaya, R. Buyukkaya","doi":"10.5505/ABANTMEDJ.2015.92408","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2015.92408","url":null,"abstract":"Yapilan calismalarda abdominal aort anevrizmasinin (AAA) yasli erkeklerde gorulme sikliginin %3-8 arasinda degistigi bildirilmistir. AAA gelismis ulkelerdeki olumlerin yaklasik %1’inden sorumludur. Yasli erkeklerde bu oran %2’ye ulasmaktadir (1). Rupture abdominal aort anevrizmasi gunumuzde hala yuksek oranlarda mortalite ve morbiditeye neden olmaktadir. Mortalite rupture sahip olgularda %50-60 civarindadir (2). Intraperitoneal ruptur hemen daima cok hizli hemodinamik bozulma ve acil cerrahi mudahaleye gereksinim gosterse de, retroperitoneal ruptur bizim olgu da oldugu gibi cok nadiren spontan tromboze olmaktadir (3). AAA rupturu olan hastalar acil servise bizim vakamizda oldugu gibi hipotansiyon ve sok ile gelirler. Ayrica rupture aort anevrizmali olgularda goruntuleme bulgulari piyojenik vertebral spondilit, osteomiyelit veya retroperitoneal neoplazi ile karisabileceginden tanisi guctur ve karakteristik goruntuleme bulgularinin bilinmesini gerektirir. Erken tani ve hedefe yonelik tedavi basarili sonuca ulasmak icin sarttir. Şoktaki bir hastada abdominal aorta capi >5 cm ise ekarte edilene kadar olgu abdominal aort anevrizma rupturu olarak kabul edilmelidir (4). Bu olgu calismasinin amaci, sok tablosu ile acil servise basvuran hastada abdominal aort anevrizma rupturu goruntuleme bulgularini sunmak ve literatur ile karsilastirmaktir.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125464110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sample Dilution in Omentin Measurement","authors":"M. Tosun","doi":"10.5505/ABANTMEDJ.2012.03511","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2012.03511","url":null,"abstract":"In the studies, specific enzyme linked immunoassay (ELISA) method is generally used to determinate the plasma omentin level (1,2). There may be matrix effect interferences the omentin measurement. According to international union of pure and applied chemistry, matrix effect is the combined effect of all components of the sample other than the analyte on the measurement of the quantity. In standard laboratory procedures to determinate the plasma omentin by ELISA method, various proportions of dilution should be applied to the samples to reduce matrix interference effect. If the dilution operation is performed for any reason, the measured value must be multiplied by the dilution factor in good laboratory practice. The dilution factor will be 5, if 5fold dilution is applied to samples to reduce the matrix effect. If the sought parameter is measured 23 ng/mL in diluted sample, this value is multiplied by a dilution factor and 115 ng/mL should be reported which is the real value. In one of ours study, we used the BioVendor (BioVendorLaboratomi Medicina, Brno, Czech Republic) Human Omentin-1 ELISA reagent. In standard laboratory procedure, 40-fold dilution had been applied to the samples. In this case, the results had to be multiplied by 40. In this study, the average omentin values of the patients and control group were found 606.6±313.0 ng/mL and 357.5±147.4 ng/mL respectively (3). Although study of the Omentin-1 reference range not enough, manufacturer of the reagent we used in ours study has reported the omentin-1 level approximately 480±21 ng/mL in precision analysis. It has seen that the dilution factor was taking into account in some other similar studies, when the omentin levels were analyzed (4, 5).","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121395563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}