Amaç: Akne vulgaris (AV), geç çocukluk ve ergenlik çaðýnda sýk görülen yaygýn dermatolojik hastalýklardan biridir. Bu çalýþmada, kutanöz enflamatuvar bir hastalýk olan AV’de, iskemi-modifiye albümin (ÝMA) seviyelerinin deðerlendirilmesi amaçlanmýþtýr.
Gereç ve Yöntem: Çalýþmaya klinik olarak AV tanýsý konulan 15-30 yaþ arasýnda 74 hasta ile yaþ ve cinsiyet açýsýndan eþleþtirilmiþ AV hastalýðý olmayan 60 saðlýklý kontrol alýndý. Serum (ÝMA) düzeyi, albümin kobalt baðlama testi ile ölçüldü. Ýskemik durumlarda, kobaltýn albümine baðlanmasýnýn azaldýðý bilinmektedir. Hasta serumu, kobalt klorid ile karýþtýrýlýp 5 dakika süreyle inkübe edilir. Bu süreçte kobaltýn albümine baðlanmasý saðlanýr. Ýnkübasyondan sonra ditiyotreitol (DTT) eklenerek karýþtýrýlýr ve DTT’nin albümine baðlanmamýþ kobalt ile renkli bir kompleks oluþturmasý saðlanýr. Oluþan renkli kompleks 500 nm dalga boyunda spektrofotometrik olarak ölçülür.
Bulgular: AV’li hasta grubunun yaþ ortalamasý 18,54 (±3,40), kontrol grubunun yaþ ortalamasý ise 17,68 (±3,37) olarak saptandý. AV hastalarýnda ortalama ÝMA düzeyi 0,82±0,023 iken, kontrol grubunda ortalama ÝMA düzeyi 0,80±0,017 olarak saptandý. Ýki grup arasýnda ÝMA düzeyi açýsýndan istatistiksel olarak anlamlý fark saptandý (p<0,001). AV hastalarýnýn alt gruplarý arasýnda ÝMA düzeyleri açýsýndan anlamlý farklýlýk tespit edilmedi.
Sonuç: Pubmed veri tabaný araþtýrýldýðýnda AV hastalarýnda ÝMA düzeylerini araþtýran baþka çalýþmaya rastlanmamýþtýr.

Background and Design: Acne vulgaris (AV) is one of the most common dermatological diseases seen in late childhood and adolescence. The purpose of this study is to evaluate ischemia-modified albumin (IMA) levels in AV, a cutaneous inflammatory disease. Materials and Methods: Seventy-four patients between 15 and 30 years of age with clinically diagnosed AV, and 60 healthy age and sex matched controls without AV were enrolled in the study. Serum IMA levels were measured using the albumin cobalt binding test. The capacity of cobalt to albumin decreases under ischemic conditions. Patient serum is mixed with cobalt chloride and incubated for 5 minutes, during which the cobalt is allowed to bind to the albumin. This is mixed with dithiothreitol (DTT) following incubation, and result in a colored complex with cobalt unbound to albumin for DTT. The resulting colored complex is measured spectrophotometrically at a wavelength of 500 nm.
Results: The mean age of the AV group with AV was 18.54 (±3.40), and the mean age of the control group was 17.68 (±3.37). The mean IMA level in the AV patients was 0.82±0.023, compared to 0.80±0.017 in the control group. The difference between the two groups was statistically significant (p<0.001). No significant difference was determined among the AV subgroups in terms of IMA levels.
Conclusion: Our search of the Pubmed database revealed no previous studies investigating IMA levels in patients with AV.

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Amaç: Pernio, soðuða maruz kalma sonrasýnda vücudun akral bölgelerinde oluþan enflamatuvar bir hastalýktýr. Çalýþmamýzda pernio hastalarýnýn demografik bulgularý incelenerek B12 vitamin, folat, ferritin düzeylerinin pernio patogenezindeki yerini bulmayý amaçladýk.
Gereç ve Yöntem: Bu çalýþma, Eylül 2015-Nisan 2016 tarihleri arasýnda dermatololoji polikliniðine baþvuran pernio tanýsý alan hastalar ile benzer yaþ ve cinsiyet özelliklerine sahip kontrol grubunda gerçekleþtirildi. Gruplarýn B12 vitamin, folat, ferritin düzeyleri karþýlaþtýrýldý.
Bulgular: Hasta ve kontrol gruplarý yaþ ve cinsiyet açýsýndan benzerdi. Hasta grubunda B12 vitamin ve ferritin düzeyi anlamlý olarak düþüktü (p<0,05). Folat düzeyi açýsýndan olgu-kontrol gruplarý arasýnda fark bulunmadý (p>0,05).
Sonuç: Çalýþmamýzda elde ettiðimiz veriler ýþýðýnda pernio hastalarýn demografik bulgularý literatürdeki çalýþmalarla karþýlaþtýrýldýðýnda, benzer sonuçlar bulunmuþtur. Çalýþmamýzda B12 vitamin düþüklüðün homosistein mekanizmasý üzerinden vazospazma yol açmak suretiyle pernio patogenezinde rol almasý muhtemel olabileceði düþünülmektedir.

Background and Design: Pernio is an inflammatory disease that occurs in the acral regions of the body after exposure to cold. The study aimed to investigate the demographic findings of patients diagnosed with pernio and to determine the role of vitamin B12, folate and ferritin values in the pathogenesis of pernio.
Materials and Methods: This study was conducted in pernio patients diagnosed at the Aðrý State Hospital, Clinic of Dermatology Outpatient Clinic (Aðrý, Turkey) between September 2015 and April 2016. The healthy control group participants were of similar age and gender. Vitamin B12, folate and ferritin level measurements were compared between the groups.
Results: The patient and control groups were similar in age and gender. Vitamin B12 and ferritin levels were significantly lower in the patient group (p<0.05). Folate levels did not differ significantly between the groups (p>0.05).
Conclusion: According to the data obtained from our study, when the demographic findings of the pernio patients were compared with those in the literature, the results were found to be similar. In the patients with pernio, it is likely that low Vitamin B12 was involved in the pernio etiology via the mechanism of vasoconstriction/vasodilatation.

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Amaç: Rozasea, yüz bölgesinde eritem, telenjiektazi, enflamatuvar papülopüstüler erüpsiyon ve flaþing ile karakterize bir deri hastalýðýdýr. Rozasea için farklý tedavi seçenekleri vardýr. Eritematelenjiektazik rozaseada 595 nm pulsed dye lazer (PDL) iyi bir seçenek olarak bildirilmektedir. Rozasea, yaþam kalitesini olumsuz yönde etkilemektedir. Anksiyete gibi ruhsal problemlere sebep olabilir. PDL tedavisinin hastalarýn klinikleri dýþýnda yaþam kaliteleri üzerine de etkisi olabilir. Bu çalýþmanýn amacý PDL’nin eritematelenjiektazik rozasealý hastalarýn yaþam kaliteleri üzerine etkisi olup olmadýðýný araþtýrmaktý.
Gereç ve Yöntem: Yirmi üç eritematelenjiektazik rozasea hastasýnýn, tedavi öncesi ve tedavi sonrasý Rozasea Araþtýrmacý Genel Deðerlendirme ölçeði ve Dermatoloji Yaþam Kalite Ýndeksi (DYKÝ) skorlarý karþýlaþtýrýldý.
Bulgular: Hastalarýn baþlangýçtaki DYKÝ skor ortalamasý 16,1±0,44 iken üç tedaviyi takiben DYKÝ skor ortalamasý 4,3±0,01 idi. PDL, DYKÝ altý alt kategorisinde de olumlu etkiye sahipti. Hastalara, hastalýklarýnýn iyiye gitmesi konusundaki görüþleri sorulduðunda ilk uygulama sonrasý ile 2. uygulama sonrasý arasýnda anlamlý farklýlýk yoktu. Ancak 2. uygulama sonrasý ile 3. uygulama sonrasý arasýnda anlamlý farklýlýk vardý. Lazer tedavisi, eritematelenjiektazik rozaseanýn tedavisinde diðer tedavi yöntemlerine göre bir devrim yaratmýþtýr. PDL eritematelenjiektazik rozasea hastalarýnýn DYKÝ’lerde pozitif etki göstermektedir.
Sonuç: PDL eritematelenjiektazik rozaseada güvenli ve etkili bir tedavi seçeneðidir. Ayrýca hastalarýn yaþam kalitelerini artýrmaya yardým eder.

Background and Design: Rosacea is a skin disease characterized by erythema, telangiectasia, inflammatory papulopustular eruption and flashing, preferentially affecting the convexities of the face. Among the various treatment options, 595 nm pulsed dye laser (PDL) has been reported to be a good option to treat the erythematotelengiectatic subtype of the disease. Rosacea affects the quality of life negatively, and can cause and clinical findings in patients. The aim of this study was to investigate the effect of PDL on the quality of life in patients with erythematotelengiectatic rosacea.
Materials and Methods: Twenty three patients with erythematotelengiectatic rosacea who were treated with three sessions of PDL were asked to complete the Rosacea Investigator Global Assessment scale and Dermatology Life Quality Index (DLQI) questionnaires before and after treatments.
Results: The mean pre-treatment DLQI score of the patients was 16.1±0.44, and the mean DLQI score of the patients was 4.3±0.01 after the third treatment. PDL had positive effects on six subcategories of the DLQI. When the patients were asked about the improvement of their disease, there was no significant difference between the first and second PDL applications. However, there was a significant difference between the second and third post-treatment scores. Laser therapy has revolutionized the treatment of erythematotelengiectatic rosacea according to other treatment modalities, and PDL shows a positive effect on the DLQI in patients with erythematotelengiectatic rosacea. Conclusion: PDL is a safe and effective treatment option in erythematotelangiectatic rosacea. It also helps to improve the quality of life in patients.

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Amaç: Eritrazma Corynebacterium minutissimum’un sebep olduðu yüzeyel, lokalize, hafif ve sýklýkla kronik seyreden bir deri enfeksiyonudur. Ýnterdijital varyantý ayaðýn en yaygýn bakteriyel enfeksiyonudur ve eritrazmanýn en yaygýn formudur. Sýklýkla fissür ya da skuamla beraber interdijital bölgelerin asemptomatik, kronik maserasyonu ile seyreder. Bu çalýþmanýn amacý interdijital maserasyonla baþvuran ve genellikle tinea pedis düþünülen hastalarda eritrazma sýklýðýný araþtýrmaktýr.
Gereç ve Yöntem: Çalýþma 15 Ocak 2018 ile 15 Nisan 2018 tarihleri arasýnda yapýldý. Çalýþmada interdijital maserasyon þikayeti ile baþvuran 116 hasta yer aldý. Tüm hastalar için demografik bilgileri içeren anket formu dolduruldu. Tüm hastalar Wood lambasý ile muayene edildi, alýnan smearlar Gram boyamayla boyandý ve %20 potasyum hidroksit ile direkt mikroskopik inceleme yapýldý.
Bulgular: Ýnterdijital maserasyonu olan 116 hastanýn 97’si (%83,6) eritrazma tanýsý aldý. Bu 97 eritrazmalý hastanýn; 66’sý erkek (%68), 31’i kadýn’dý (%32) ve ortalama yaþ 48,27±16,29 (minimum yaþ: 20, maksimum yaþ: 86 yýl) idi. Eritrazma tanýsý alan 97 hastanýn 15’inde sadece Gram boyama, yedi hastada ise sadece Wood muayenesi pozitifti. Yetmiþ beþ hastada ise hem Wood muayenesi hem de Gram boyama pozitifti. Altmýþ beþ hastada (%67) direkt potasyum hidroksit bakýsýnda fungal enfeksiyon tespit edildi.
Sonuç: Maserasyonlu hastalarda eritrazma sýk görülür. Taný oranýný artýrmak için Wood ýþýðý muayenesi ve Gram boyamayý birlikte kullanmak önemlidir. Ayrýca interdijital alanlar etkilendiðinde eritrazmanýn kandida ve dermatofit enfeksiyonu ile birlikte görülebileceðini göz önünde bulundurmak gerekir.

Background and Design: Erythrasma is a superficial, local, mild and chronic skin infection caused by Corynebacterium minutissimum. Interdigital variant is the most frequent site for bacterial infection of the feet and it is the most common form of erythrasma. It frequently involves moist and closed intertriginous areas together with fissure or squama. The purpose of this study is to research the frequency of erythrasma in patients who refer with interdigital maceration and who are generally considered to have tinea pedis.
Materials and Methods: The study was conducted between 15 January 2018 and 15 April 2018. A total of 116 patients who referred with the complaint of interdigital maceration were included in the study. A questionnaire form including demographic information were completed for all patients. All patients were examined with Wood lamp, smears taken were stained with Gram staining and examined under direct microscopy with 20% potassium hydroxide.
Results: Of all the 116 patients with interdigital maceration, 97 (83.6%) were diagnosed with erythrasma. Of these 97 erythrasma patients, 66 (68%) were male, 31 (32%) were female and the average age was 48.27±16.29 (minimum age: 20, maximum age: 86 years). Fifteen patients had only Gram staining positive, while 7 patients had only Wood examination positive. Seventy-five patients had both Wood examination and Gram staining positive. Fungal infection was found in direct potassium hydroxide examination of 65 (67%) patients. Conclusion: Erythrasma is frequently seen in patients with maceration. It is important to use Wood light examination and Gram staining together to increase diagnostic accuracy. In addition, it should be kept in mind that erythrasma can be seen with candida and dermatophyte infection when interdigital areas are affected.

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Amaç: Hidradenitis süpürativa (HS) aðrýlý, kronik, enflamatuvar bir deri hastalýðý olup, tedavisinde henüz efektif bir standart yöntem bulunmamaktadýr. HS tedavisinde adalimumab ile baþarýlý sonuçlarýn alýndýðý çalýþma sayýsý gittikçe artmaktadýr.
Gereç ve Yöntem: Dirençli HS tanýsýyla adalimumab baþlanýlan 9 hastada adalimumabýn etkinliði, yan etkileri retrospektif olarak incelendi. Adalimumab haftada 40 mg subkutan olarak uygulandý. Tedavi süresince enfeksiyonlar ve olasý diðer yan etkiler açýsýndan hastalar yakýn takibe alýndý. Hastalarda nodül, apse ve fistüller tedavinin baþýnda, tedavinin 4. haftasýnda ve 12. haftasýnda sayý olarak belirlendi. Tedavi öncesi ve tedavinin 12. haftasýnda kayýt altýna alýnan global aðrý skorlarýnýn, hastalarýn yaþam kalite indeks skorlarýnýn ve C-reaktif protein (CRP) düzeylerinin deðerleri, tedavi öncesi ve tedavinin 12. haftasýnda incelendi.
Bulgular: Þiddetli HS nedeniyle adalimumab alan 9 hastanýn yaþlarý 33-67 (ortalama 50,6) arasýnda olup, hastalarýn 7’si erkekti. Hastalýk süreleri 2-25 yýl (ortalama 13 yýl) arasýnda deðiþmekte idi. Hastalarýn 5’i Hurley sýnýflamasýna göre evre 2, 4’ü ise evre 3 olarak tespit edildi. On ikinci haftada yapýlan deðerlendirmede nodül sayýsýnda %60,2, apse sayýsýnda %69,3 ve akýntýlý fistül sayýsýnda %52,1 azalma saptandý. Tedavinin baþlangýcýnda ortalama 16,3 mg/L olan CRP düzeyleri 12. haftada 5,5 mg/L olarak tespit edildi. Hastalara tedavi öncesi uygulanan yaþam kalite indeksi skoru ortalama 23,4 iken 12 haftanýn sonunda skor 6,8’e gerileyerek, hastalarýn yaþam kalitesinde belirgin düzelme saptandý. Tedavi öncesi 6,6±3,4 olan aðrý skorlarý, tedavinin 12. haftasýnda 1,5±2,5’e geriledi. Adalimumab tedavisi sýrasýnda hastalarda herhangi bir yan etki gözlenmedi.
Sonuç: Bu çalýþmada adalimumab, orta ve þiddetli HS’de efektif ve iyi tolere edilen bir tedavi seçeneði olarak deðerlendirilmiþtir.

Background and Design: Hidradenitis suppurativa (HS) is a painful, chronic, inflammatory skin disease and there is no effective standard method for its treatment. The studies on the successful results of adalimumab in the treatment of HS are increasing and its use is approved by the Ministry of Health in our country.
Materials and Methods: The efficacy and side effects of adalimumab were evaluated retrospectively in 9 patients who were diagnosed with resistant HS. Adalimumab was administered 40 mg subcutaneously per week. Patients were followed closely for infections and other side effects. In patients, nodules, abscesses and fistulas were determined at the beginning of the treatment, at the 4th and 12th week of the treatment. The values of global pain scores, life quality index scores and C-reactive protein (CRP) levels recorded at the beginning and at the 12th week of the treatment were evaluated.
Results: The ages of 9 patients receiving adalimumab for severe HS were between 33-67 (mean: 50.6), and 7 of the patients were male. The disease duration ranged from 2 to 25 years (mean: 13 years) 5 of the patients according to the Hurley classification was determined as stage 2 and 4 as stage 3. In the 12th week, the number of nodules, abscess and draining fistulas were decreased respectively 60.2%, 69.3% and 52.1%. C-reactive protein levels CRP of 16.3 mg/L at the beginning of treatment were 5.5 mg/L at 12 weeks. Before the treatment, life quality index score was 23.4, and after 12 weeks, the score decreased to 6.8. There was a significant improvement in the quality of life. Pain scores of 6.6±3.4 before the treatment were reduced to 1.5±2.5 in the 12th week of treatment. No side effects were observed during treatment.
Coclusion: In this study, adalimumab was evaluated as an effective and well tolerated treatment option in moderate and severe HS.

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Amaç: Týrnak dermatoskopisi veya onikoskopi, proksimal ve lateral týrnak kývrýmlarý, hiponiþyum, týrnak plaðý ve týrnak yataðýndan oluþan týrnak ünitesinin, non-invaziv bir þekilde incelenmesidir. Týrnak psoriazisinin tanýsýnda, cerrahi tecrübe gerektiren invasiv bir iþlem olan, týrnak biyopsisi, dermatologlar tarafýndan nadiren uygulanýr. Çocukluk çaðý týrnak psoriazisinin tanýsýnda týrnak dermatoskopisi, týrnak biyopsisinden kaçýnmayý saðlayarak önemli bir avantaj saðlayabilecektir. Bir grup pediyatrik psoriazisli hastada, týrnak psoriazisinin dermatoskopik özelliklerini araþtýrmak ve bu bulgularý saðlýklý çocuklarýn bulgularý ile karþýlaþtýrmak.
Gereç ve Yöntem: Týrnak psoriazisi olan 45 hasta (23 kýz, 22 erkek) ve 45 saðlýklý çocuk bu çalýþmaya dahil edildi. Aktif psoriazis deri lezyonu (deri biyopsisi ile verifiye) ve en az 1 adet psoriatik týrnak tutulumu bulgusu olan hastalar, týrnak psoriazisi olarak kabul edildi. Psoriazis Alan Þiddet Ýndeksi ve Týrnak Psoriazisi Þiddet Ýndeksi skorlarý hesaplandý. Onikomikozlu hastalar çalýþmaya dahil edilmedi. Ýncelemeler manuel dermatoskop ile yapýldý (Dermlite DL4 PigmentBoost Plus X10; 3 Gen, San Juan Capistrano, CA, USA). χ2 testi kullanýldý.
Bulgular: Týrnak yataðý ve matriksinde en sýk izlenen dermatoskopik bulgular piting (%62,2), punktat lökoniþi (%55,5), hemorajiler (splinter veya noktasal) (%40), distal onikoliz (%40), siyah filamentöz yapýlar (%35,5), trakiyoniþi (%33,3) ve salmon yamalarý (%26,6), proksimal ve lateral týrnak foldlarýnda ise en sýk kýrmýzý zeminde daðýnýk noktasal damarlar (%46,6) izlenirken, periferdeki deride en sýk periungual deskuamasyon izlendi (%48,8).
Sonuç: Bu çalýþma, týrnak dermatoskopisinin, týrnak psoriazisi tanýsýndaki önemini ve týrnak biyopsisinden kaçýnmada yararlýlýðýný vurgulamaktadýr.

Background and Design: Nail dermatoscopy or onychoscopy refers to the examination of the nail unit which consists of the proximal and lateral nail folds, hyponychium, nail plate and nail bed non-invasively. Nail biopsies which require surgical expertise are invasive procedures that are seldom performed by dermatologists in diagnosis of psoriasis. Nail dermatoscopy may offer a distinct advantage by helping avoid nail biopsies in diagnosis of childhood psoriasis. To evaluate the dermatoscopic features of nail psoriasis in a pediatric group of patients and to compare these findings with healty children.
Materials and Methods: A total of 45 pediatric patients with nail psoriasis (23 girls, 22 boys) and 45 healthy children were enrolled in the study group. Patients with active psoriatic skin lesions (confirmed by skin biopsy) who had at least one psoriatic nail feature were considered to have nail psoriasis. Psoriasis Area and Severity Index and Nail Psoriasis Severity Index scores are evaluated. Patients with onychomycosis were excluded. Dermatoscopic examination of all nails was performed using a manual dermatoscope with x10 magnification. χ2 test was used.
Results: The most frequent dermatoscopic features in the nail bed and matrix were pitting (62.2%), punctate leukonychia (55.5%), haemorrhages (splinter and/or dot) (40%), distal onycholysis (40%), black filamentous structures (35.5%), trachyonychia (33.3%) and salmon patches (26.6%) while a reddish background with sparse dotted vessels (46.6%) and periungual desquamation (48.8%) were the most frequent findings in the proximal and lateral nail folds and in the adjacent skin, respectively.
Conclusion: This study highlights the usefulness of nail dermoscopy in helping the diagnosis of nail psoriasis by avoiding an additional nail biopsy in the pediatric population.

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Liken sklerozus (LS) etiyolojisi bilinmeyen kronik enflamatuvar bir dermatozdur. Olgularýn büyük kýsmý prepubertal ve perimenopozal dönemde olmakla beraber, hastalýk her yaþ grubunu etkileyebilir. Aðýrlýklý olarak anogenital bölge etkilenmekte olup, ektsragenital tutulum çocuklukta nadir görülür. Anogenital lezyonlar klasik olarak kaþýntýlý ve aðrýlý beyaz ya da kýrmýzý yamalar þeklindeyken, ekstragenital lezyonlar sýklýkla asemptomatik beyaz papül ya da yamalar þeklindedir. Ekstragenital lezyonlarýn en sýk yerleþtiði alanlar gövde, boyun ve aksilladýr. Kýzlardaki genital LS lezyonlarýnýn çoðunluðu puberte döneminde spontan gerilerken, çocuklardaki ekstragenital LS lezyonlarýnýn prognozuna iliþkin bilgi sýnýrlýdýr. Burada, ekstragenital LS lezyonunda spontan regresyon görülen 14 yaþýnda bir kýz olgu sunuldu.

Lichen sclerosus (LS) is an inflammatory chronic dermatosis with unclear etiology. It can affect all individuals with any age, although the majority of cases occur in prepubertal and perimenopausal periods. The anogenital region is predominantly affected, and the extragenital involvement is uncommon in childhood.Anogenital lesions are classically pruritic and painful white or red patches; however extragenital lesions are generally asymptomatic white papules or patches. The most common sites for extragenital lesions are trunk, neck, and axillae. Most genital LS cases resolve spontaneously during puberty in girls; however we have limited knowledge about the prognosis of extragenital LS in children. Here, we report a case of spontaneous regression of extragenital LS in a 14-year-old girl.

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Dermatofitozlar, epidermisin stratum korneumunu, týrnaklarý ve kýllarý etkileyen, ölü keratin dokusunda yaþayabilen mantarlarýn enfeksiyonlarýdýr. Tinea korporis saçlý deri, sakal, el, ayak ve inguinal bölgeler dýþýndaki deride görülen yüzeyel dermatofit enfeksiyonudur. Burada, kýllarýn endotriks olarak etkilendiði bir tinea korporis olgusu sunulmaktadýr. Yirmi altý yaþýnda erkek hasta sol el sýrtý ve önkol dýþ yüzünde iki adet endüre plak nedeniyle baþvurdu. Alýnan skuamlardan yapýlan potasyum hidroksit (KOH) incelemesi negatif, ancak lezyon yerindeki kýllardan KOH incelemesi pozitif bulundu. Hasta sistemik terbinafin tedavisine iyi yanýt verdi. Klinik olarak tinea düþünülen hastalarda skuamdan direk KOH incelemesi negatif olursa lezyon yerindeki kýllardan inceleme yapmak tanýyý kolaylaþtýrabilir.

Dermatophytoses are the infections of fungi which can live in dead keratin tissue and affect the stratum corneum of epidermis, nails and hairs. Tinea corporis is a superficial dermatophytosis which is seen in skin parts except hairy skin, beard, hand, foot and inguinal region. This report describes a tinea corporis case with endothrix type of hair involvement. A 26-year-old male patient referred for two indurated plaques on the dorsum of the right hand and the extensor surface of the forearm. A potassium hydroxide (KOH) analysis of lesional skin scrapings was negative, while the KOH analysis of the hairs was positive. The patient responded well to systemic terbinafine therapy. In patients who are considered clinically as tinea, if direct KOH analysis from skin scrapings is negative, examination of the hairs at the lesional area may facilitate diagnosis.

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Filiform hiperkeratoz özellikle palmoplantar tutulum yapan ve nadiren vücudun diðer bölgelerini de tutabilen bir hastalýktýr. Genellikle maligniteler veya sistemik hastalýklar ile birlikte görülmekte olup nadiren idiyopatik olarak da geliþebilmektedir. On sekiz yaþýnda kadýn hasta 6 aydýr el ve ayaklarýnda dikensi karakterde deri uzantýlarý ile kliniðimize baþvurdu. Öncesinde herhangi bir kontakt madde temasýnýn olmadýðýný, bu þikayetlerine yönelik herhangi bir topikal veya sistemik tedavi almadýðýný ifade etti. Özgeçmiþinde ve soygeçmiþinde herhangi bir özellik yoktu. Sistem muayenesi normal olarak deðerlendirildi. Dermatolojik muayenesinde; bilateral palmoplantar bölgede yaygýn filiform karakterde hassas papüller izlendi. Hastanýn palmar bölgesindeki lezyondan alýnan deri biyopsisinde; yüzeyde hiperkeratoz, fokal regüler akantoz gösteren epidermis görüldü. Bu olguda ailesinde benzer lezyonu olan birey yoktu ve yapýlan radyolojik incelemelerinde, biyokimya, hemogram ve tümör belirteçlerinde herhangi bir patolojik bulguya rastlanmadý. Böylece hasta edinsel idiyopatik palmoplantar filiform hiperkeratoz olarak deðerlendirildi ve 20 mg/gün isotretinoin tedavisi baþlandý. Tedaviden 2 ay sonra lezyonlarda tama yakýn gerileme gözlendi.

Filiform hyperkeratosis is a disease that often involves the palmoplantar region and rarely can involve other parts of the body. It is usually associated with malignancies or systemic diseases, but rarely it can also occur as idiopathic. An 18-year-old woman was admitted to our clinic with the complaints of dermatological skin extensions on her hands and feet for 6 months. She stated that there was no contact of any chemical agent and did not receive any topical or systemic treatment for these complaints. The patient was otherwise healthy and her past medical history and family history were non‐contributory. The systemic examination was evaluated as normal. In dermatologic examination, painful, filiform papules were observed in both palmoplantar regions. Hyperkeratosis and focal regular acanthosis was detected in the skin biopsy from the palmar region of the patient. There was no individual with a similar lesion in in her family, and no pathological findings were found in biochemistry, hemogram and tumor markers. Patient was evaluated as idiopathic palmoplantar filiform like hyperkeratosis with these findings and 20 mg/day isotretinoin treatment was started. It was observed that the lesions almost completely retreat after 2 months of treatment.

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Vestibuler papillomatozis (VP), vulvanýn bir anatomik varyantý olarak kabul edilmekte olup, erkekteki penil incimsi papülün kadýndaki karþýlýðý olduðu düþünülür. Kadýnlarýn yaklaþýk %1’inde görülmekte olup, labia minör ve vajinal introitus çevresinde yerleþen küçük, pembe, yumuþak papüllerle karakterizedir. Genellikle semptom oluþturmamakla birlikte, bazý kadýnlar kaþýntý, yanma, hassasiyet ve aðrý gibi þikayetlerden yakýnýrlar. Etiyolojisinde insan papillomavirüs suçlanmakla birlikte, bu iliþkiyi destekleyen bulguya rastlanmamýþtýr. VP ve genital verrü benzerliði nedeniyle yapýlan gereksiz inceleme ve tedaviler hastalarda anksiyeteye neden olabilir. Burada, genital verrü tanýsý nedeniyle sezaryen ile doðum planlanan 37 haftalýk gebe kadýn sunuldu.

Vestibular papillomatosis (VP) is considered as an anatomical variant of vulva and suggested as the counterpart of pearly penile papules in males. The condition, approximately present in about 1% of women, is characterized by pink, smooth, small papules located around the labia minor and vaginal introitus. Although it usually shows no symptoms; some women suffer from complaints such as itching, burn, sensitivity, and pain. Despite human papillomavirus has been accused in the etiology, no outcomes are found to support this association. The similarity of VP to genital warts leads to unnecessary examinations and treatments, thus causing anxiety in patients. Here, we present a case with 37 weeks of pregnancy, who is planned to undergo cesarean section due to diagnosis of genital warts.

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