2.Carpal Tunnel Syndrome in Patients with Psoriatic Arthritis:Ultrasonography and Magnetic Resonance Imaging Findings
Ezgi Akyildiz TEZCAN ; Funda LEVENDOGLU ; Mehmet Sedat DURMAZ ; Hasan KARA ; Elif Balevi I BATUR ; Ilknur Albayrak GEZER ; Muslu Kazım KOREZ
Journal of Rheumatic Diseases 2023;30(1):36-44
Objective:
The aim of the present study is to assess carpal tunnel syndrome's (CTS’s) ultrasonography (US) and magnetic resonance imaging (MRI) findings in patients with psoriatic arthritis (PsA) and compare them with healthy controls.
Methods:
Thirty-nine PsA and twenty-eight healthy volunteers were examined in this study. Demographic and clinical features were recorded. CTS-6, a diagnostic algorithm, was used to estimate the probability of CTS. Electrodiagnostic study (EDS) was applied to all wrists included in the report, where the diagnosis of CTS was made by EDS. The cross-sectional area (CSA) of the median nerve was measured at pisiform bone level by US and MRI.
Results:
Regarding to the demographic characteristics, no statistically significant difference was found between the groups. Twelve of 39 (30.76%) PsA patients had CTS, whereas CTS was not detected in the control group (p=0.001). US and MRI showed increased median nerve CSA in PsA patients compared to healthy controls (p=0.005, p<0.001; respectively). Also, US and MRI showed increased median nerve CSA in CTS patients compared to others (p=0.002, p<0.001; respectively). The Pearson correlation coefficient between MRI and US measurements of the CSA was 0.85 (p<0.001).
Conclusion
CTS frequency in PsA patients is found higher than healthy controls. The relationship between CTS diagnosed by EDS and CSA measured by both US and MRI was observed in PsA patients.
4.Acute myocardial infarction and sub-acute stent thrombosis associated with occult essential thrombocythemia.
Zafer ISILAK ; Mehmet TEZCAN ; Murat ATALAY ; Ejder KARDESOGLU
Chinese Medical Journal 2014;127(19):3512-3513
Aged
;
Female
;
Humans
;
Myocardial Infarction
;
diagnosis
;
etiology
;
Stents
;
adverse effects
;
Thrombocythemia, Essential
;
complications
;
diagnosis
;
Thrombosis
;
diagnosis
;
etiology
5.Association between the neutrophil-to-lymphocyte ratio, a new marker of systemic inflammation, and restless legs syndrome.
Ceyhun VARIM ; Bilgehan Atılgan ACAR ; Mehmet Sevki UYANIK ; Turkan ACAR ; Neslihan ALAGOZ ; Ahmet NALBANT ; Tezcan KAYA ; Hasan ERGENC
Singapore medical journal 2016;57(9):514-516
INTRODUCTIONRestless legs syndrome (RLS), also known as Willis-Ekbom disease, is characterised by abnormal sensations in the legs as well as dysaesthesia. Although the aetiology of RLS has not yet been determined, it may be associated with systemic inflammation. The neutrophil-to-lymphocyte ratio (NLR) is a new and simple marker indicating systemic inflammation. The present study aimed to investigate the relationship between systemic inflammation and RLS through the use of the NLR.
METHODSA total of 75 newly diagnosed patients with RLS and 56 healthy control subjects were included in the study. Baseline NLR was calculated by dividing the absolute neutrophil count by the absolute lymphocyte count. The NLRs of the two groups were compared.
RESULTSThere were no significant differences in gender and age between the two groups. The NLR was 1.96 ± 0.66 in the patient group and 1.67 ± 0.68 in the control group (p = 0.005). Receiver operating characteristic analysis was performed to determine the cut-off value of NLR to predict RLS. The NLR was predictive at 1.58 with a 64% sensitivity and 50% specificity (95% confidence interval 0.55-0.74, area under curve 0.648 ± 0.05). The NLR was found to be statistically higher in patients with RLS and may be used to predict RLS.
CONCLUSIONThe aetiology of RLS remains undetermined. The present study showed that systemic inflammation may play a role in RLS. However, RLS could also be associated with systemic inflammatory diseases. This relationship is supported by high NLR values, which are related to chronic systemic inflammation.
Adult ; Case-Control Studies ; Female ; Humans ; Inflammation ; Leukocyte Count ; Lymphocyte Count ; Lymphocytes ; cytology ; Male ; Middle Aged ; Neutrophils ; cytology ; ROC Curve ; Restless Legs Syndrome ; blood ; Surveys and Questionnaires