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    Comparative study of 5% and 2.5% potassium hydroxide solution for molluscum contagiosum in children
    (Taylor & Francis Ltd, 2014) Ucmak, Derya; Akkurt, Meltem Zeynep; Kacar, Seval Dogruk; Sula, Bilal; Arica, Mustafa
    Background: Molluscum contagiosum (MC) is a pediatric viral infection that is fairly contagious. Although various treatment methods are available, the presence of facial lesions limits options of therapy. Aim: We aimed to test an alternative treatment consisting of application of two different concentrations of potassium hydroxide (of KOH 5% solution and of KOH 2.5% solution) aqueous solution. Methods: In this study we evaluated the effectiveness and side-effects of daily applications of potassium hydroxide (KOH) aqueous solution at 2.5% and 5% concentrations, twice daily in 29 children with MC. Out of a total of 29 patients with molluscum contagiosum included in the study, 13 patients in the 2.5% KOH group and 12 patients in the KOH 5% group completed the study. Families were instructed to apply potassium hydroxide twice a day. The assessment of response and side-effects were performed on days 0, 15, 30, 45 and 60 (visits were numbered 1, 2, 3, 4 and 5, respectively) and one month after. Results: We had a total of 11 (44%) patients who completely recovered after the fifth visit. While eight (66.7%) of these 11 patients were in the 5% treatment group, three (23.1%) patients were in the 2.5% treatment group, and there was a statistically meaningful difference (p<0.047). Patients with fewer lesions remitted better (p<0.05). When number of lesions were taken into consideration, difference between the two treatment groups appeared after the fourth visit (p<0.001). There were no statistical differences between the two groups with respect to side-effects (p = 0.682). Conclusions: Potassium hydroxide solution at a concentration of 5% was more effective than 2.5% in our patients. The treatment was well-tolerated on the face with the advantage of administration of lower concentrations. This study suggests potassium hydroxide may be a more preferable mode of treatment for molluscum contagiosum lesions on the face.
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    Öğe
    Patients' view on medical students in dermatology practice
    (Deri Zuhrevi Hastaliklar Dernegi, 2014) Kacar, Seval Dogruk; Ucmak, Derya; Ozuguz, Pinar; Akkurt, Zeynep Meltem; Karaca, Semsettin; Arica, Mustafa
    Background and Design: Practical training of medical students, especially in specialties such as dermatology, is performed in outpatient clinics where mostly outpatients are encountered. The aim of this study was to compare patients' perspectives on medical students in two university hospitals (X-Y) situated in different regions of Turkey. Materials and Methods: A total of 250 patients, who visited outpatient clinics of X (group 1) and Y (group 2) university hospitals during practical training for fifth year medical students, were included in this study. A questionnaire composed of 16 items was filled by all patients. The first eight questions were about patients' consent and preferences on the presence of medical students during their interview and the remaining eight questions inquired patients' overall thoughts on medical students. Results: The patients in both groups were willing to be a part of the educational programme of medical students (39.8%, 53.5%, respectively). The patients were aware that they had the right to refuse the presence of medical students (61.0%, 62.3%) and majority wanted to be informed on the presence of medical students during the interview (72.4%, 80.7%). While patients in group 1 evaluated being with medical students as pleasurable (43.1%), patients in group 2 did not agree (44.7%). In addition, both groups were not bothered to share personal information with medical students (50.4%, 44.7%) and stated that they would recommend their friends and relatives to have a physical examination done by medical students (51.2%, 41.2%). Conclusion: The active role of medical students during dermatology training is positively viewed by patients in both western and eastern parts of our country. The patients' request on being informed for the presence of medical students during clinical examination reveals the requirement of oral and written informed consent.