Browsing by Author "Özgüven, A"

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    Childhood Pityriasis rosea inversa without Herald Patch Mimicking Cutaneous Mastocytosis
    Ermertcan, AT; Özgüven, A; Ertan, P; Bilaç, C; Temiz, P
    Background: Pityriasis rosea is a self-limited inflammatory condition of the skin that mostly affects young adults. Several less common atypical presentations have been reported. Case Presentation: A 6-year old girl with red-brown maculopapular eruption sized 0, 5-1 cm in diameter localized on neck, trunk and popliteal region visited our general pediatric outpatient clinic. The eruption was wide spread especially on flexural areas. After consulting dermatologist skin biopsy was performed. According to clinical and histopathological findings as inverse (flexural) pityriasis rosea was diagnosed. For treatment, systemic antihistamine, topical corticosteroid cream and emollient were applied. The lesions healed in two months. Spontaneous healing of the eruption also confirmed the diagnosis of pityriasis rosea. Conclusion: We present this interesting pediatric case to show and discuss pityriasis rosea, atypical presentations, differential diagnosis and the importance of dermatological examination and importance of dermatologic consultation for pediatric patients with skin eruption.
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    INVESTIGATION OF NASAL CARRIAGE OF COMMUNITY-ACQUIRED METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS IN PRIMARY AND HIGH SCHOOL STUDENTS
    Özgüven, A; Tünger, O; Çetin, CB; Dinç, G
    The aim of this study was to evaluate the carriage rate and risk factors of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) among the students in Manisa, Turkey. A total of 2015 students (1012 from the last phase of high schools and 1003 from the first phase of primary schools) were included in the study. None of the students had nasal MRSA carriage. Methicillin-sensitive S.aureus (MSSA) colonization rate was 14.7% (296/2015). Nasal carriage of MSSA was significantly higher in the primary school students (17.8%) than the high school students (11.6%) (p < 0.001). MSSA carriage was also higher in students of higher socioeconomical status than the students of lower status (p < 0.05). A statistically significant relationship was not determined between the nasal carriage and the risk factors (history of hospitalisation or surgical operation in the previous one year, use of antibiotics or history of skin/soft tissue infection in the last 6 months, presence of children < 15 years old in the family, presence of healthcare workers in the same house, living in a crowded house). Penicillin and erythromycin resistance was found in 93.6% and 14.2% of MSSA strains, respectively. No resistance was detected against ciprofloxacin, co-trimoxazole, linezolid and vancomycin. There was a statistically significant difference between erythromycin resistance and antibiotic use within the last six months and the number of family members (p < 0.05). In conclusion, current treatment regimens still seem to be affective and safe for the empirical treatment of community-acquired S.aureus infections. Although CA-MRSA infections seem not to be a serious threat in our region yet, it is essential to carry out prevalence studies in the different populations of the community.
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    Neuroblastoma in a Case with Congenital Horner's Syndrome
    Mayali, H; Ilker, SS; Kiliç, S; Sürücü, B; Özgüven, A
    Miosis, ptosis, and ipsilateral facial anhidrosis are normally present in Horner's syndrome. Pathologies which show central, preganglionic and postganglionic residence in sympathetic chain are present in its etiology. A 3-month-old girl baby was admitted to our clinic for ptosis in the left eye. Heterochromia, ptosis in the left eye, myosis and, ipsilateral anhidrosis were detected in her examination. In view of these findings, it seemed possible that her disease could be congenital Horner's syndrome. Brachial plexus injury due to birth trauma plays a major role in the etiology of congenital Horner's syndrome. There was not any birth trauma history in our patient. The patient was diagnosed to have neuroblastoma as a result of etiologic tests. In conclusion, Horner's syndrome can be the presenting sign of childhood neuroblastoma. Therefore, it is advisable to examine the oculosympathetic system in detail in order to leave out any underlying serious disorder.
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    Covid-19 Infection in children with Cancer after the First Wave in Turkey: A Study of the Turkish Pediatric Oncology (TPOG) and Hematology (TPHD) Societies
    Kebudi, R; Kurucu, N; Tugcu, D; Eker, N; Ince, D; Tokuç, G; Çeçen, RE; Sevinir, B; Vural, Ö; Erdem, M; Demirdag, T; Koç, A; Kara, B; Uzel, H; Tuncel, D; Çitak, Ç; Kartal, I; Canpolat, C; Özgüven, A; Elli, M; Acipayam, C; Töret, E; Karakas, Z; Türkkan, E; Koçak, Ü; Tüfekçi, Ö; Buyukkapu, SB; Orhan, M; Albayrak, C; Albayrak, D; Sen, H; Biçakçi, Z; Özbek, N; Somer, A; Kara, A