Yazar "Kilic, Sevilay Oguz" seçeneğine göre listele

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    COVID-19 Among Patients with Psoriasis: A Single-Center Retrospective Cross-Sectional Study
    (Doc Design Informatics Co Ltd, 2023) Kaya, Ozge; Keskinkaya, Zeynep; Mermutlu, Selda Isik; Kilic, Sevilay Oguz; Cakir, Haile
    Objective: Psoriasis patients may have been affected by COVID-19 differently than the nor-mal population due to using different types of treatments, including immunosuppressive agents and biological therapies, the probability of lower effectiveness, and different side effects of the vaccines. This study aimed to evaluate the epidemiologic and clinical features of COVID-19 and the effect of the psoriasis treatment on it. Materials and Methods: Psoriasis patients followed up in our clinic between March 2020 and July 2022 were evaluated in terms of clinicodemographic characteristics, treatment methods, and COVID-19 vaccination status and compared regarding COVID-19 history. Results: A total of 110 patients (female:male ratio=1:1.2) with a mean age of 45.6 +/- 14.3 years were evaluated. Thirty patients (27.2%) developed COVID-19 during psoriasis treatment. Unvaccinated patients had COVID-19 (6/11, 55%) more frequently than vaccinated ones (24/99, 24%), but it was not statistically significant (p=0.067). Although patients who re-ceived biological therapy were also more frequently infected with SARS-CoV-2 than pa-tients who received other types of therapies (18/53 [34%] versus 12/57 [21%], respectively), the difference was again not statistically significant. A patient with hypertension using acitretin was hospitalized for pulmonary involvement because of COVID-19. No exacerba-tion of psoriasis was observed in patients who developed COVID-19, while psoriasis flares occurred following COVID-19 mRNA vaccination in two patients. Conclusion: Patients with psoriasis should get vaccinated against COVID-19, as vaccination prevents the disease and does not result in serious side effects. Although using biological agents for the treatment of psoriasis could be related to a higher risk of getting COVID-19, these agents do not increase the risk of severe COVID-19. Therefore, they may be beneficial in reducing the risk of both psoriasis exacerbations and severe COVID-19 due to the cy-tokine storm among patients using biological for psoriasis. However, large-scale and con-trolled studies are needed to support our conclusions.
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    Evaluation of Clinical and Laboratory Findings of COVID-19 Patients with Dermatological Involvements: A Single-Center Retrospective Cross-Sectional Study
    (Bilimsel Tip Yayinevi, 2023) Kaya, Ozge; Alkan, Sevil; Keskinkaya, Zeynep; Cinpolat, Yasemin Havva; Mermutlu, Selda Isik; Kilic, Sevilay Oguz
    Introduction: Cutaneous manifestations of the coronavirus disease-2019 (COVID-19) are increasingly reported, with their incidence and pathophysiological mechanisms yet to be clarified. The aim of this study was to evaluate COVID-19 patients presenting with dermatological involvement.Materials and Methods: COVID-19 patients with dermatological involvements followed up in a single tertiary center between August 2020 and August 2021 were assessed in terms of demographic characteristics, clinical and laboratory findings, and treatment methods.Results: A total of 65 patients (female:male ratio= 0.4:1, mean age= 59.7 +/- 18.2 years) were evaluated. The dermatological involvements due to COVID-19 were maculopapular rash (n= 49, 75.4%), urticaria (n= 9, 13.8%), herpes zoster (HZ) (n= 6, 9.2%), and pernio (n= 1, 1.5%). In COVID-19 patients with dermatological involvements pulmonary involvement rate was 96.9%. The most common accompanying symptoms were anosmia (n= 47, 72.3%) and ageusia (n= 43, 66.2%), The mean time between the first COVID-19 symptom and the onset of dermatological involvement was 3.3 +/- 1.2 days, and the mean time to regression of the lesions was 3.2 +/- 1.8 days.Conclusion: Anosmia, ageusia, and pulmonary involvement were common findings especially in patients with maculopapular rash and HZ, probably due to increased inflammation and cytokine storm. The assessment of anosmia and ageusia, especially in patients presenting with maculopapular rash and HZ, may help early recognition of COVID-19 cases. In addition, it should be predicted that individuals with this combination may have a higher risk of pulmonary involvement and disease severity and necessary precautions should be taken during the early stages.
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    Evaluation of Serum Tumor Necrosis Factor-alpha-Induced Adipose-Associated Protein (TIARP/STEAP4) Level and Its Association with Disease Activity in Patients with Psoriasis: ASingle-Center Prospective Comparative Study
    (Galenos Publ House, 2024) Kaya, Ozge; Keskinkaya, Zeynep; Sehitoglu, Muserref Hilal; Mermutlu, Selda Isik; Kilic, Sevilay Oguz
    Aim: Tumor necrosis factor-alpha (TNF-alpha)-induced adipose-associated protein (TIARP/STEAP4) is a protective metalloreductase against oxidative stress that is induced by various proinflammatory cytokines, including TNF-alpha and interleukin-17. This study aimed to evaluate whether STEAP4 is elevated in patients with psoriasis and whether it is associated with disease activity. Materials and Methods: In this prospective cross-sectional single-center study, serum STEAP4 levels measured by the ELISA method in serum samples collected from psoriasis patients and healthy individuals. The association between STEAP4 levels and demographic characteristics and clinical findings in patients with psoriasis was further evaluated. Results: Forty-one psoriasis patients with a female: male ratio of 1:1 and a median age of 44 years and 40 controls were included in the study. The median STEAP4 level of the patients with psoriasis (9.25) was significantly higher than that of the control group (1.04) (P < 0.001). Although STEAP4 levels did not differ significantly in patients with psoriasis regarding sex, joint, and nail involvement, no significant correlation was found with age, age at disease onset, disease duration, and severity. Conclusion: The high levels of STEAP4 detected in patients with psoriasis might reflect its anti-inflammatory effects on Th-1 and Th-17 responses and on neutrophil and macrophage infiltration. On the other hand, a possible genetic variation or defect at the receptor level for STEAP4 in patients with psoriasis might hamper an adequate anti-inflammatory effect and lead to increased STEAP4 expression as a compensation mechanism. The present study not only indicates that STEAP4 might play a role in the pathogenesis of psoriasis but also suggests potential implications for its role in treatment and follow-up, which offers a promising direction for further investigation.
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    Long-Term Omalizumab Therapy in Patients with Chronic Spontaneous Urticaria: Does it Increase the Risk of COVID-19?
    (Mattioli 1885, 2023) Kaya, Ozge; Keskinkaya, Zeynep; Mermutlu, Selda Isik; Kilic, Sevilay Oguz; Ozturk, Sevgi
    Introduction: Based on the existing literature, omalizumab (OMZ) is considered a safe treatment modality in chronic spontaneous urticaria (CSU) during the coronavirus disease 19 (COVID-19) era. Objectives: The aim of this study is to evaluate the effects of OMZ on CSU patients regarding COVID-19 infection. Methods: In this retrospective study, files of CSU patients using OMZ during the COVID-19 pandemic were reviewed in terms of demographic features, medical history including COVID-19 vaccination status, clinical characteristics, pretreatment laboratory parameters, duration, and dosing regimen of OMZ treatment. Patients with a history of COVID-19 infection while on OMZ therapy and patients without COVID-19 history were compared with respect to these parameters. The urticaria activations following COVID-19 infection or vaccination were also recorded. Results: Sixty-eight patients with CSU (female:male ratio = 1.8:1; mean age = 47.2 +/- 15.1 years) continued to receive OMZ treatment. The median duration of OMZ treatment was 12 months (range: 6-60). Twelve patients (17.6%) were diagnosed with COVID-19 showing no exacerbation in urticaria. The duration of OMZ treatment was significantly higher in the group with COVID-19 infection history compared to patients with no history of COVID-19 (P = 0.01). Among 51 patients (75%) vaccinated against COVID-19, urticaria activation occurred in 4 patients without any recurrence following booster vaccinations. Conclusions: Considering the likelihood of increased COVID-19 infection risk in the setting of long-term OMZ in CSU patients, the duration of OMZ therapy might be kept at a minimum, or a temporary interruption of the treatment period might be preferred, particularly in high-risk patients regarding COVID-19.
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    Prevalence of skin disorders in primary and secondary school age children in Canakkale, Turkey: a community-based survey
    (Termedia Publishing House Ltd, 2016) Uludag, Aysegul; Kilic, Sevilay Oguz; Isik, Selda; Ertekin, Yusuf Haydar; Tekin, Murat; Cevizci, Sibel; Ogretmen, Zerrin
    Introduction: Skin lesions may be of dermatological importance, affect appearance, and cause problems communicating with peers and may be especially more significant in childhood. Aim: Information on the prevalence of pediatric dermatoses in Western Turkey. This study was aimed to define the existing data. Material and methods: A cross-sectional study was conducted in Canakkale, Turkey, in September-December 2013. It involved 1,957 students from five randomly selected primary and secondary schools. Each student was interviewed for age, gender, and family history, and a dermatologic examination was performed by a dermatologist. Data were coded and analyzed. Results: Of the students, 79.9% revealed at least one dermatosis. The most common disease was benign neoplasms (76%), followed by pigmentary disorders (26.8%), and xerosis (5.8%). In primary schools, the acquired melanocytic nevus, hypopigmented macule, and xerosis; in secondary school the acne was statistically significantly more common. Acne and xerosis was more common in girls, and pityriasis alba was statistically more common in boys. Students who had at least one dermatosis were positively correlated with monthly income. Conclusions: In Turkish school age children, the prevalence of dermatosis is 79.9%. It may be due to not using preventive means for adequate protection from the sun and other environmental factors. Infectious dermatosis and atopic dermatitis are rare and it may depend on the adequacy of public health work.