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Öğe Clenched fist syndrome with palmar lichen planus(Wiley, 2005) Aytekin, S; Turhanoglu, AD; Ozkan, M; Uzunlar, AKA 16-year-old girl had a 4-year history of hyperkeratosis and fissures on the palm. The skin lesions had gradually progressed to thick hyperkeratosis with mild pruritus, diffusely covering the right palm, and leading to flexion contractures of the fingers with mild pain. There was no family history of similar lesions. Her father had died 4 years previously. Dermatologic examination revealed hyperkeratosis, scaling, a mild yellow color, fissures, and maceration on the palm and volar surface of the fingers of the right hand ( Fig. 1). There was an approximately 3 cm x 4 cm hyperkeratotic lesion on the palm of the left hand. Flexion contractures were found at the metacarpophalangeal and proximal interphalangeal joints of the three fingers of the right hand ( Fig. 1). There was no pain, tenderness in the joints of the fingers, or palpable nodular lesions on the palmar surface of the hand. Forced extension was difficult, and there was pain with passive extension. Radiography of the patient's hands revealed no abnormality, other than the clenched fingers. Electromyography of the upper extremities was normal. There were no lesions of the oral mucosa. The nails and scalp were normal. The patient showed very poor eye contact, and responded tersely and somewhat reluctantly to questions about her medical history. The patient was evaluated by psychiatry, but did not meet the diagnostic criteria for any mental disorder. There was a schizoid personality characteristic on both the structured clinical interview for DSM-IV personality disorders (SCID-II) and the Minnesota Multiphasic Personality Inventory ( MMPI). In addition, there was an increase in scores on the hostility and resentment/ aggression subscales of the MMPI. The results of routine laboratory tests were within normal limits or negative, including the venereal disease research laboratory ( VDRL) test. A skin biopsy specimen showed histopathologic changes of lichen planus ( orthokeratotic hyperkeratosis, focal hypergranulosis, acanthosis, papillomatosis, and vacuolization with dense lymphocytic reaction at the dermo- epidermal junction) ( Fig. 2). The patient was treated with topical 5% salicylic acid and 0.1% methylprednisolone aceponate ointment. Static splinting plus stretching was used for hand therapy. Active assisted motion was employed. The treatment produced a remarkable reduction in the skin lesions ( Fig. 3), but no improvement in the flexion posture of the hand. The psychiatric and clinical findings were thought to be consistent with clenched fist syndrome and lichen planus.Öğe Coexistence of psoriasis vulgaris and bullous disorders(Wiley, 1999) Aytekin, S; Inalöz, HS; Harman, M; Akdeniz, S; Deveci, E; Inalöz, SS[Abstract Not Available]Öğe An epidemiological study of Pityriasis rosea in the Eastern Anatolia(Kluwer Academic Publ, 1998) Harman, M; Aytekin, S; Akdeniz, S; Inaloz, HSThe purpose of this study was to investigate the epidemiological features of pityriasis rosea (PR) in the Eastern Anatolia, Turkey. Three hundred ninety-one patients (214 females, 177 males) with PR seen during the years 1992-1995 were analyzed for annual incidence among dermatologic outpatients, sex, age, and distribution by month and year. The average annual incidence was 0.75 per 100 dermatologic patients. PR was reported to be slightly more common in women by margin of 1.2.1.0. Eighty-seven percent of the cases were between the ages of 10 and 39 years, with a peak in the 20-29 age group. The incidence of the disease was much higher in the rainy and snowy months. No declining incidence was observed over the years. Changes in incidence from year to year, though not great, were statistically significant.Öğe Kyrle's disease in diabetes mellitus and chronic renal failure(Elsevier Science Bv, 1998) Harman, M; Aytekin, S; Akdeniz, S; Derici, M[Abstract Not Available]Öğe Laugier-Hunziker syndrome associated with actinic lichen planus(Wiley, 2004) Aytekin, S; Alp, S[Abstract Not Available]Öğe Linear verrucous epidermal nevus with cutaneous horn(Wiley, 2003) Askar, I; Aytekin, S[Abstract Not Available]Öğe Naevoid hyperkeratosis of the nipple and areola(European Acad Dermatology & Venereology, 2003) Aytekin, S; Tarlan, N; Alp, S; Uzunlar, AK[Abstract Not Available]Öğe Outbreak of demodex folliculitis on the face and upper trunk during 311-nm UVB therapy for psoriasis(Blackwell Publishing Ltd, 2004) Aytekin, S[Abstract Not Available]Öğe Pyoderma gangrenosum in pregnancy(Wiley, 2002) Aytekin, S; Tarlan, N; Kalkanli, N; Yaldiz, M; Ünlü, G[Abstract Not Available]
