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    Lumbar intervertebral disc herniation in childhood: a report of 7 cases
    (CUKUROVA UNIV, FAC MEDICINE, 2018-01-01) Yilmaz, Dervis Mansuri; Haciyakupoglu, Ersin; Kisi, Omer Neset; Akgul, Erol; Haciyakupoglu, Sebahattin
    Lumbar disc herniation is a rare pathology in adolescent age and these patients only constitute 1-5\% of all patients who underwent surgery for disc herniation. Trauma and family history are reported as important initiating factors for disc herniations but degenerative changes are less important than adults. The objective of this study was to treat the lumbar intervertebral disc herniation in childhood. Between 2005 and 2016, we performed interlaminarmicrodiscectomy to 7 patients younger than 15 years of age for lumbar disc herniation. These patients were evaluated for clinical features, radiological features, operative findings and outcome of surgery. All patients were complaining of low back pain, six of them had radicular pain. Although most of our patients have significant trauma histories there are no evidences of severe trauma on imaging studies. We had excellent results in all patients for the improvement of low back pain and leg pain but neurological deficits were more resistant to improvement. We had excellent results with limited laminectomy and microdiscectomy without fusion. In all cases pains improved postoperatively and they got back to their normal lifestyle in one month.
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    Childhood alopecia areata: A study of 89 patients
    (DERI ZUHREVI HASTALIKLAR DERNEGI, 2014-01-01) Dogan, Sibel; Ersoy-Evans, Sibel; Gonc, Nazli; Sahin, Sedef
    Background and Design: Alopecia areata (AA) is a frequent type of acquired hair loss with a sudden onset. The aim of this study was to investigate the epidemiological and clinical features of AA and diseases associated with AA in the Turkish pediatric population. Materials and Methods: We retrospectively evaluated the medical data of patients under 16 years of age who were admitted to the pediatric dermatology outpatient clinic at Hacettepe University Hospital between 2006 and 2011 with a diagnosis of AA, alopecia totalis (AT) and alopecia universalis (AU). Results: A total of 89 patients (34 females and 55 males), were included in this study. The mean age of the subjects was 9.8 +/- 3.4 years (range:18 months-16 years). 9\% (n=8) patients had other autoimmune diseases: Hashimoto's thyroiditis in 5, vitiligo in 1, juvenile rheumatoid arthiritis (JRA) in 1 and morphea in 1 patient. AA was located on the scalp in 86.5\% (n=77) of the patients, 7.9\% (n=7) of the patients had AA on the scalp together with eyelashes, eyebrows and the body. AT was noted in 1, AU was noted in 4 patients. Severity of hair loss was <25\% in 94.3\% (n=84) of the patients according to the involved area. Hashimoto's thyroiditis was diagnosed in 5 patients