1.The Co-Existence of Vulvar Lichen Sclerosus, Ulcerated Calcinosis Cutis, and Dermatomyositis: Coincidence or Immunological Mechanism?.
Didem Didar BALCI ; Ebru CELIK ; Gokhan SARIKAYA ; Julide Zehra YENIN ; Esin ATIK
Annals of Dermatology 2011;23(Suppl 3):S375-S379
Calcinosis cutis is a condition characterized by the deposition of calcium salts in the skin and subcutaneous tissues, and patients suffering from it encounter various connective tissue disorders, such as dermatomyositis (DM), scleroderma, and systemic lupus erythematosus. Although calcinosis cutis is frequently accompanied by juvenile dermatomyositis, rare cases have been reported in adult patients with DM. On the other hand, lichen sclerosus (LS) is a chronic inflammatory disease of the skin and mucosal surfaces. In the present report, we present a rare case of a 71-year-old patient with DM accompanied by ulcerated calcinosis cutis and vulvar LS.
Adult
;
Aged
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Calcinosis
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Calcium
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Connective Tissue
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Dermatomyositis
;
Hand
;
Humans
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Lichen Sclerosus et Atrophicus
;
Lupus Erythematosus, Systemic
;
Salts
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Skin
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Stress, Psychological
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Subcutaneous Tissue
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Ulcer
;
Vulvar Lichen Sclerosus
2.Ocular surface epithelial thickness changes with SD-OCT in patients treated with oral isotretinoin
Ersoz Giray MEHMET ; Gunes Botan IRFAN ; Hazar LEYLA ; Balci Didar DIDEM ; Oman BERKANT
International Eye Science 2018;18(1):7-11
AIM:To use in vivo spectral-domain optical coherence tomography (SD-OCT) to investigate ocular surface epithelial thickness changes in patients treated with oral isotretinoin.METHODS:A total of 64 eyes of 64 acne vulgaris patients were enrolled into two group:thirty-two patients received 0.5 mg/kg isotretinoin daily (Group A),and the other 32 patients received 0.8 mg/kg daily (Group B).The central corneal thickness (CCT),central corneal epithelium thickness (CCET),central corneal epithelium basal membrane thickness (CCEBMT),non-epithelial central corneal thickness (NECCT) and bulbar conjunctival epithelium thickness (BCET) were evaluated using SD-OCT at baseline,at the 45th day,at the fourth month of treatment and at the first month after the end of treatment.RESULTS:There were 44 females (68.75%) and 20 males (31.25 %) with a mean age of 21.68±3.75y.In both groups,CCET,CCT and BCET were significantly thinner at the 45th day,at the fourth month of the treatment and at the first month after the end of treatment as compared with baseline.CCEBMT decreased significantly at the 45th day and at the fourth month of treatment,but there was no difference between the baseline and the last visit.There were no significant difference in NECCT during and after treatment as compared with the baseline.CONCLUSION:Ocular surface epithelial thickness decreased in patients treated with oral isotretinoin,whereas NECCT was not affected.The decreasing corneal thickness in patients treated with isotretinon is mainly due to epithelial thinning.After a one-month cessation of isotretinoin treatment,CCEBMT returned to the baseline value,and ocular surface epithelial thickness increased.
3.Internalized Stigma in Pediatric Psoriasis: A Comparative Multicenter Study
Erkan ALPSOY ; Mualla POLAT ; Ibrahim Halil YAVUZ ; Pelin KARTAL ; Didem Didar BALCI ; Ayse Serap KARADAG ; Asli BILGIC ; Ercan ARCA ; Bilge Fettahlioglu KARAMAN ; Selma EMRE ; Esra ADISEN ; Neslihan SENDUR ; Ozlem BILGIC ; Ayca Cordan YAZICI ; Basak YALCIN ; Rafet KOCA ; Kamer GUNDUZ ; Murat BORLU ; Tulin ERGUN ; Pinar DURSUN ; Serap Gunes BILGILI ; Asli Surer ADANIR ; Ayla GULEKON ; Gizem YAGCIOGLU ; Ertan YILMAZ ; Ufuk KAVUZLU ; Yesim SENOL
Annals of Dermatology 2020;32(3):181-188
Background:
Internalized stigma, adoption of negative attitudes and stereotypes of the society regarding persons’ illness, has not been studied previously in pediatric psoriasis patients.
Objective:
We aimed to investigate the internalized stigma in pediatric psoriasis patients and to determine differences according to factors affecting internalized stigma compared to adult psoriasis patients.
Methods:
This multicenter,cross-sectional, comparative study included 125 pediatric (55 female, 70 male; mean age±standard deviation [SD], 14.59±2.87 years) and 1,235 adult psoriasis patients (577 female, 658 male; mean age±SD, 43.3±13.7 years). Psoriasis Internalized Stigma Scale (PISS), Dermatology Life Quality Index (DLQI), Perceived Health Status (PHS), and the General Health Questionnaire (GHQ)-12 were the scales used in the study.
Results:
The mean PISS was 58.48±14.9 in pediatric group. When PISS subscales of groups were compared, the pediatric group had significantly higher stigma resistance (p=0.01) whereas adult group had higher scores of alienation (p=0.01) and stereotype endorsement (p=0.04). There was a strong correlation between mean values of PISS and DLQI (r=0.423, p=0.001). High internalized stigma scores had no relation to either the severity or localization of disease in pediatric group. However, poor PHS (p=0.007) and low-income levels (p=0.03) in both groups, and body mass index (r=0.181, p=0.04) in the pediatric group were related to high PISS scores.
Conclusion
Internalized stigma in pediatric patients is as high as adults and is related to poor quality of life, general health, and psychological illnesses. Unlike adults, internalized stigma was mainly determined by psoriasis per se, rather than disease severity or involvement of visible body parts, genitalia or folds.