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Öğe Age and sex distribution of colorectal carcinoma in the southeast of Turkey(1999) Degertekin H.; Sari Y.; Arslan A.; Akgul Y.; Buyukbayram H.In this study, the relationship between colorectal carcinoma and distribution of age and sex was investigated. We studied 102 cases from 1990- 1996 in the southeast of Turkey and compared the results with other similar studies. Fifty three percent of cases were female and 47% were male. The mean age of patients was 48 years F 47 yrs, M49 yrs. Of all cases, 30.3% of patients were under 40 years, 50.8% under 50 years and 80.2% under 60 years old. Carcinoma was seen most frequently at the 5th decade (29.4%) then 4th decade (20.5%) and 3rd decade (14.7%) respectively. The ratio of carcinoma over 60 years was 19.58%. These findings show that colorectal carcinoma was found equally in both sexes, the mean age was 48 yrs and at least half of the patients were under 50 years old. Although the mean age was lower our region, these results are roughly similar to other studies from our country, while in western countries 90% of colorectal carcinoma cases are known to occur at a mean age of over 50 years. Our findings were significantly different from these results. In conclusion, we can say that colorectal carcinoma has been considered in all suspected cases despite age of patient, and further epidemiological and etiological studies are needed in our region and country.Öğe Brief psychotic disorder in patients with systemic lupus erythematosus: Case reports(1999) Özen Ş.; Özbulut Ö.; Sari Y.; Işikakdo?an A.; Yücel Y.; Başak F.Systemic Lupus Erythematosus (SLE) is a chronic and multisystem-involved autoimmune disease. The etiology of SLE still remains unclear. Central nervous system involvement is a common and an important complication of SLE. Neuropsychiatric manifestations consist of the symptoms which are directly related to the vascular lesions and also cognitive and affective disorders. In this report, two cases of SLE with symptoms of brief psychotic disorder were presented and discussed under literature.Öğe Crescentic glomerulonephritis requiring hemodialysis and elevated MPO-ANCA level and vasculitis allergica cutis in a 21-year-old girl.(2002) Kara I.H.; Yilmaz M.E.; Sari Y.; Gür A.; Büyükbayram H.Microscopic polyangiitis (mPA) is a systemic necrotizing nongranulomatous vasculitis that affects small blood vessels. Clinical features include constitutional symptoms such as fever, anorexia, fatigue, and weight loss. Skin lesions include purpura and splinter hemorrhages, which occur in 50% of patients. Another characteristic feature is rapidly progressive glomerulonephritis, which often affects the kidneys in the early stages of the condition. Diagnosis is based on typical clinical features, biopsy, and presence of antineutrophil cytoplasmic antibodies (ANCA). This disorder tends to involve middle-aged and older persons, with a predilection for males; it is very rare in children. A 21-year-old female patient with mPA who did not respond well to treatment, required hemodialysis, developed vasculitis allergica cutis (VAC) later, and had a relatively short-term survival is reported herein.Öğe Seroprevalence and risk factors of HCV in dialysis patients in a university hemodialysis center of southeast Anatolia, Turkey(2001) Yilmaz M.E.; Kara I.H.; Sari Y.; Düzen S.; Usul Y.; Işikog?lu B.Nowadays, the increased seroprevalence of hepatitis C virus (HCV) in hemodialysis (HD) patients is an important problem. The aim of this study was to investigate the seroprevalence and risk factors that lead to the spread of HCV in HD and continuous ambulatory peritoneal dialysis (CAPD) patients. Sixty-seven HD and 35 CAPD patients were enrolled in the study, 44 (43.1%) of whom were female and 58 (56.9%) of whom were male. Any risk factor for HCV infection was questioned. In our HD center, all precautions have been taken for the prevention of the spread of HCV. Rooms and dialysis machines used by HCV (+) patientsmean age, 41.6 ± 15.3 yr (range, 19-75 yr) are separated from the others. All HCV (+) cases except two had received blood transfusions, and all cases had at least one surgical intervention (central venous catheter and/or arteriovenous shunting operation). Eight (7.8%) of the cases had dental interventions, including conservative tooth treatment or tooth extractions. There was no relation between socioeconomic status or duration on dialysis with a higher prevalence of HCV in the dialysis patients (p > O.05). In general, anti-HCV seropositivity in our center was 41%, and these cases were generally asymptomatic except for elevated liver enzyme levels and slightly decreased albumin levels. All cases had at least one risk factor. The seroconversion rate/yr of our anti-HCV (-) patients was 0.148/patient-yr in HD patients and 0.002/patient-yr in CAPD patients. The seroconversion rate/yr and prevalence of HCV were higher in the HD patients than in the CAPD patients. It is necessary to take additional measures with regard to universal precautions for the prevention of the spread of HCV, including separation of dialysis machines, education of nurses, and the regular changing of gloves when moving from patient to patient.
