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    Diagnosis Of Asthma In A Misdiagnosed Hemorrhoid Patient With Inappropriate Steroid Use: A Case Report
    (Düzce Üniversitesi, 2010) Yıldız, Fahrettin; Çoban, Sacit; Gencer, Mehmet; Terzi, Alpaslan
    Hemorrhoid is a frequently seen benign anorectal disease. Although its diagnosis is simple, it isfrequently misdiagnosed. Our patient was 55 years old female who had been diagnosed ashemorrhoid and using steroid pomades and suppozituars for 5 years. The patient had alsodyspnea complaints and those medications had help to relieve the symptoms. The patient hadapplied to our clinic for the repetition of her hemorrhoid prescription. Anal examination wasperformed since it was thought from her story that she does not suffer from hemorrhoid. Therewas no sign of hemorrhoid in the anal examination. As the patient had dyspnea complains, shewas referred to Chest Diseases Clinic and she was diagnosed as asthma. The importance ofanorectal examination is well established. But it still sometimes neglected and wrong andunnecessary treatments are given to the patients. In our case, there was an unnecessary treatmentfor hemorrhoid, but the medication helped the treatment of asthma despite its late diagnosis.This case is presented as it has made an interesting contribution to the diagnosis of asthma
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    The Association Between Microalbuminuria and Carbonmonoxide Diffusion Capacity in Patients with Type-II Diabetes Mellitus
    (Düzce Üniversitesi, 2011) Çelik, Yakup; Eren, Mehmet Ali; Dağ, Omer Faruk; Gencer, Mehmet; Çelik, Hakim; Aksoy, Nurten; Büyükhatipoglu, Hakan
    Aim: Microalbuminuria is an important indicator of microvascular changes. Identifying patientsat this stage is critical, since nephropathy might be at least partly reversible with aggressiveblood glucose control. Based on these facts, we aimed to evaluate whether any microvascularchanges occur in the lungs before microalbuminuria becomes apparent.Material and Methods: We research carbonmonoxide diffusion capacity (DLCO) in bothnormoalbuminuric and microalbuminuric type 2 diabetes mellitus patients. Age and gendermatched 40 microalbuminuric and 40 normoalbuminuric type 2 diabetes mellitus patients, and40 healthy controls were recruited to this study.Results: We evaluated DLCO results among these groups. We found no difference betweenthree groups in terms of DLCO (p=0.947).Conclusion: The results of the study indicate that as microvascular complications(microalbuminuria) develop in the kidneys, possibly no microvascular changes occur in thelungs, if any, the changes do not cause any functional changes in type 2 diabetes mellitus patientsat early stages