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    Determination of dermatology life quality index, and serum C-reactive protein and plasma interleukin-6 levels in patients with chronic urticaria
    (Termedia Publishing House Ltd, 2013) Ucmak, Derya; Akkurt, Meltem; Toprak, Gulten; Yesilova, Yavuz; Turan, Enver; Yildiz, Ismail
    Introduction: C-reactive protein (CRP) and interleukin-6 (IL-6), which is one of its most important simulators, were determined in great amounts in the sera of patients with chronic urticaria (CU). Aim: To determine the levels of IL-6 in patients with urticaria, and evaluate its relationship with urticaria activity scores and Dermatology Life Quality Index (DLQI). Material and methods: Fifty-three patients with CU were included in the study successively by determining their urticaria activity scores (0-3) and DLQI (0-5). The CRP and IL-6 were measured by immune assay methods. Thirty-two healthy subjects were included as a control group. Results: Serum levels of IL-6 and CRP were significantly higher in patients with CU compared to healthy controls (p < 0.001, p = 0.026 respectively). There was a statistically significant correlation among urticaria activity scores and IL-6 and CRP concentration (p = 0.004, p = 0.042). This correlation was more significant in patients who had moderate and severe disease activity scores than in those who had mild disease activity score (p < 0.001, p < 0.001, respectively). There was a statistically significant association between DLQI and IL-6 (p = 0.025). This correlation was very significant in patients who had severe and very severe disease activity scores (p < 0.001, p < 0.001, respectively). DLQI scores and serum levels of IL-6 were significantly different in the very severe group compared to healthy controls (p = 0.024). Conclusions: The levels of CRP and IL-6 are increased in patients with CU. A relationship of DLQI and urticaria activity scores with CRP and IL-6 was found. These findings support the relationship between the inflammatory process in CU and the clinical findings.
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    Evaluation of choroidal thickness in psoriasis using optical coherence tomography
    (Springer, 2016) Turkcu, Fatih Mehmet; Sahin, Alparslan; Yuksel, Harun; Akkurt, Meltem; Ucmak, Derya; Cinar, Yasin; Yildirim, Adnan
    The purpose of this study was to evaluate choroidal thickness (CT) in patients with psoriasis using enhanced depth imaging optical coherence tomography (EDI-OCT) and to determine its relationship with psoriasis activity indices. In this prospective study, EDI-OCT images were obtained in consecutive patients with psoriasis and in age-gender-matched healthy individuals. Comprehensive ophthalmic examination and EDI-OCT evaluation were performed. CT was measured in the subfoveal area. Correlation analyses were performed to identify the relationship of the CT with disease duration and clinical disease activity score. In total, 65 individuals were evaluated in this study, 35 with psoriasis and 30 controls. The mean disease duration of the patients with psoriasis was 15.7 +/- 8.8 years (0.3-34 years). There was no difference between groups with respect to age and gender (p = 0.695 and p = 0.628, respectively). Five of the 35 patients with psoriasis had anterior uveitis. None of the patients with psoriasis had signs of posterior uveitis. CT was significantly higher in the psoriasis group than that of control subjects (p < 0.001). The mean central foveal thickness was comparable between groups (p = 0.672). There was also no significant correlation between EDI-OCT, disease activity score, and disease duration (p < 0.05). Choroidal thickness is increased in psoriasis patients. Large serial and comparative studies are necessary to evaluate EDI-OCT, an examination that may be helpful in understanding the effects of psoriasis on the eye and its pathophysiology.
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    Investigation of dermatology life quality index and serum prolactin and serum dehydroepiandrosterone sulphate levels in patients with chronic urticaria
    (Allergy Immunol Soc Thailand,, 2014) Ucmak, Derya; Akkurt, Meltem; Ucmak, Feyzullah; Toprak, Gulten; Acar, Gurbet; Arica, Mustafa
    Background: Chronic urticaria (CU) is known to be one of the most disturbing diseases which significantly affect the quality of life. Prolactin (PRL) and DHEA-S (dehydroepiandrosterone sulfate) are stress-associated hormones in chronic urticaria. Objective: In the present study, we measured DHEA-S and prolactin levels of CU patients, compared them with healthy subjects and evaluated the association between disease status and serum levels. Methods: Plasma DHEA-S and serum PRL concentrations were measured in 48 CU patients and 31 healthy subjects. CU activity was assessed with the use of the symptom scores recommended with EAACI/GALEN/EDF guidelines. All the patients participating in this study were evaluated by means of Dermatology Life Quality Index (DLQI). With respect to DLQI and clinical activity scores, plasma DHEA-S and serum prolactin levels were compared. Results: Median plasma concentration of DHEA-S was significantly lower in CU patients as compared with healthy subjects (p = 0.026). DHEA-S levels of females were significantly lower than males (p = 0.001). Mean PRL values of the patients were higher than the controls, but not statistically significant (p = 0.619) and there was a statistically signifcant inverse correlation with DHEA-S levels (p = 0.04, r = -0.298). There was a significant correlation between DLQI and clinical disease activity (p < 0.001, r = 0.748). Conclusions: The exact relation of hormones to CU pathogenesis remains to be determined by further clinical studies. In addition, therapies aiming to increase DHEA-S and decrease PRL may be subject to trial in CU.
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    Mean Platelet Volume in Ocular Behcet's Disease
    (Hindawi Ltd, 2013) Turkcu, Fatih Mehmet; Cingu, Abdullah Kursat; Yuksel, Harun; Cinar, Yasin; Akkurt, Meltem; Sahin, Muhammed; Ozkurt, Zeynep
    Objective. To determine whether mean platelet volume (MPV) is an indicator of disease severity in ocular Behcet's Disease (BD). Materials and Methods. The study population was 30 newly diagnosed ocular BD patients who presented with active uveitis. These patients had no past history of smoking, drug use, or systemic diseases including diabetes mellitus, hypertension, cardiovascular disease, and renal disease. A control group consisting of 34 healthy individuals was included for comparison. MPV measurements were performed serially upon presentation with active uveitis and at one and three month thereafter in BD group whereas only at presentation in the controls. Results. Upon presentation with active uveitis, the mean MPV levels were 7.88 +/- 1.14 femtoliters (fL) for BD group. During the posttreatment follow-up period at first and third months, BD patients demonstrated a mean MPV level of 7.71 +/- 1.12 fL and 7.65 +/- 1.04 fL, respectively. The mean MPV value of control group, was 8.39 +/- 0.66 fL at presentation. Fluctuations in MPV values were not significant in the BD group, while there was a significant difference between the initial measurements of the BD and control groups. Conclusion. MPV measurement in ocular BD is not a predictive laboratory test to determine the clinical improvement in early stages following classical immunosuppressive treatment.
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    Nötrofil/lenfosit Oranının Pemfigus Vulgaris ile İlişkisi
    (2015) Arıca, Mustafa; Uçak, Haydar; Akkurt, Meltem; Uçmak, Derya
    Amaç: Pemfigus vulgaris (PV), otoimmün kökenli, bül oluşumuyla seyreden bir deri hastalığıdır. Bu çalışmanın amacı, PV hastalarındaki inflamasyon ile nötrofil-lenfosit oranı (NLO) arasındaki ilişkiyi belirlemektir. Yöntem: Çalışmaya 49 yeni tanı konan pemfigus vulgaris hastası ile 48 sağlıklı birey dahil edildi. Hastalar, hastalığın şiddetine bağlı olarak başlanan steroid dozuna göre; hafif, orta ve şiddetli hastalık olarak üç alt grupta sınıflandırıldı. Tüm veriler yatan hasta kayıtlarının incelenmesiyle elde edildi. Tüm hastalarda hastalık şiddet indeksi, muayene bulguları, tam kan sayımı (TKS), C reaktif protein (CRP) ve eritrosit sedimentasyon hızı (ESH) incelendi. Lenfosit ve nötrofil sayısı TKS verilerinden not edildi. Nötrofil-lenfosit oranı (NLO), hastalık alt grupları arasında ve kontroller ile SPSS 15,0 programı kullanılarak karşılaştırıldı. Bulgular: Çalışmamızda nötrofil sayısı, NLO, ESH ve CRP düzeyleri pemfiguslu hastalarda kontrollerden yüksekti (sırasıyla, p<0,001, p=0,002, p<0,001, p<0,001). NLO, CRP ve ESH düzeyleri hastalık şiddet skoruyla korele değildi. Sonuç: NLOnun birçok hastalıkta şiddet ve prognoz belirteci olarak kullanışlı ve yararlı bir parametre olduğu saptanmıştır. Kolayca hesaplanan bu ölçeğin, PVli hastalarda da kontrollerden ayırt edici bir gösterge olduğu saptandı.