Browsing by Author "Kavak, Ayse"

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    Did Dermatological Hospital Referrals and Practice of Dermatologists Change in Between Pre-covid and Covid Era? A Short-term Preliminary Evaluation
    (WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2022-01-01) Kavak, Ayse; Erfan, Gamze; Aydingoz, IkbalEsen; Demir, Figen; Tukenmez-Demirci, Guelsen; Biyik-Ozkaya, Dilek; Demircioglu, Deniz; Yilmaz, Murat; Karapicak, Rabia; Sahin, Sedef
    Objective: In this descriptive study, we aimed to evaluate features of dermatology referrals before and after Covid-19 pandemic. Materials and Methods: The patients referred to dermatology outpatient clinics of Acibadem Group Hospitals in Istanbul between the time intervals 2019 March 1st and August 31st (Group G1) and 2020 March 1st and August 31st (Group G2) were included in this study. G1 and G2 groups were compared in terms of age, gender, mean duration of complaints, the most common five anatomic regions and the most common five dermatoses. Results: Referral rate after Covid-19 pandemic was decreased by 40\%. Face (p=.0013, OR= 1.20, 95\% CI=1.07-1.34), scalp (p=.02, OR=1.23, 95\% CI=1.02-1.48) and hand (p=.04, 95\% OR=1.24, 95\% CI=1.00-1.54) were more common locations in 2020 (group G2) than in 2019 (G2 group). The most common five dermatoses were contact dermatitis (8.3\%), acne (8,1\%), wart (7,0\%), seborrheic dermatitis (5,7\%) and pyoderma (5,5\%) in G1 (2019), while the order was contact dermatitis (10,6\%), acne (7,5\%), seborrheic dermatitis (6,5\%), wart (6,4\%) and pyoderma (4,9\%) in G2 (2020). Contact dermatitis showed a significant increase after pandemic (p=.0017, OR=1.29, 95\% CI=1.10-1.51). In 2020, psoriasis and lichen planus showed a two-fold increases (P <.001, OR=2.00, 95\% CI=1.43-2.79 and p=.03, OR=1.92, 95\% CI=1.09-3.38, respectively), whereas frequency of molluscum contagiosum decreased significantly (p=.03, OR=0.49, 95\% CI=0.26-0.92). Conclusion: Although we found some remarkable results, relatively short-term period design with the limited patient population of this study needs to be verified in more comprehensive studies.
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    Dupilumab combined with a short-term narrowband-ultraviolet B phototherapy in a pediatric case of severe atopic dermatitis
    (DERI ZUHREVI HASTALIKLAR DERNEGI, 2022-01-01) Kavak, Ayse; Aydogmus, Cigdem; Yilmaz, Kubra
    Recently, dupilumab treatment in atopic dermatitis (AD) has been an effective and safe option in terms of adverse effects. However, combination therapies can sometimes be better at increasing efficacy or reducing adverse effects or cumulative doses. Early combination therapies may be more rational, especially considering that dupilumab treatment alone is less effective and has a late-onset efficacy. Here, we discussed dupilumab and a short-term narrowband ultraviolet B combination therapy in a child with AD.
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    Pigmented fungiform papillae of the tongue: Co-existence of two patterns in the same patient and associated dental pigmentation
    (DERI ZUHREVI HASTALIKLAR DERNEGI, 2021-01-01) Kavak, Ayse; Topkarci, Zeynep; Gur, Emine Erismen; Erdogan, Bilgen; Yemisci, Ayse
    This report presents a case of pigmented fungiform papillae of the tongue (PFPT) in a 12-year-old girl. She had type 1 and 2 PFPT. Diffuse, patchy tongue pigmentation seen in our patient might be a racial pigmentation or a component of PFPT. We also discussed whether the associated dental pigmentation could be an incidental finding or chromogenic bacteria or previous oral iron treatment might have a role in PFPT.