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Öğe Ailesel liken planus: olgu sunumu(2011) Turan, Hakan; Okur, Mesut; Gürlevik, Zehra; Acer, ErsoyLiken planus deri, mukoza ve tırnakları etkileyen idiyopatik, inflamatuvar bir dermatozdur. Etyopatogenezi tam olarak bilinmemektedir ancak otoimmünite, virüsler, aşılar, kontakt alerjenler, ilaçlar, stres ve genetik e ğilimin rolü olabileceği düşünülmektedir. Ailesel liken planus nadir olarak bildirilmiştir. Ancak her geçen zaman ailesel vakaların sayısının artması genetik eğilimin patogenezdeki yerini kuvvetlendirmektedir. Burada bir anne ve kızında ortaya çıkan ailese l liken planus tablosu bildirilmektedir.Öğe Allergic contact dermatitis to para-phenylenediamine in a tattoo: a case report(Informa Healthcare, 2013) Turan, Hakan; Okur, Mesut; Kaya, Ertuğrul; Gün, Emrah; Aliağaoğlu, CihangirIt is highly popular among children and young adults to have temporary henna tattoos on their bodies in different colors and figures. Henna is a greenish natural powder obtained from the flowers and dry leaves of Lawsonia alba plant and its allergenicity is very low. Henna is also used in combination with other coloring substances such as para-phenylenediamine in order to darken the color and create a permanent tattoo effect. Para-phenylenediamine is a substance with high allergenicity potential and may cause serious allergic reactions. Here, we aimed to draw attention to the potential harms of para-phenylenediamine containing temporary tattoos by presenting a child patient who developed allergic contact dermatitis after having a scorpion-shaped temporary tattoo on his forearm.Öğe Association between e-NOS gene Polymorphisms and Cardiac Anomaly in Children with Down Syndrome(Elsevier Science Inc, 2013) Eröz, Recep; Okur, Mesut; Bektaş, Mehmet Selçuk; Gülşen, Süleyman; Bahadır, Anzel; Türker, Yasin; Güneş, Cemalettin…Öğe Bilateral Congenital Undescended Scapula (Sprengel Deformity)(Lippincott Williams & Wilkins, 2012) Özşahin, Mustafa; Uslu, Mustafa; İnanmaz, Erkan; Okur, Mesut…Öğe Biotidinase deficiency accompanied by diffuse demyelination and cerebral atrophy(2012) Okur, Mesut; Bektaş, Mehmet Selçuk; Temel, Hayrettin; Çaksen, Hüseyin; Açıkgöz, Mehmet; Sal, ErtanBiotinidaz eksikliği yaklaşık olarak 60.000 canlı doğumda bir görülen otozomal resesif geçişli herediter bir hastalıktır. Bu hastalıkta genellikle seboreik dermatit, alopesi, ataksi, konvülsiyon, hipotoni, gelişme geriliği, işitme kaybı, kronik laktik asidoz ve immün yetmezlik görülür. Serumda enzim düzeyi ve aktivitesi ölçülerek tanı konulur. Burada herhangi bir cilt bulgusu olmaksızın serebral atrofi ile başvuran 2,5 aylık erkek biotinidaz olgusu sunulmuştur. Hastamızda olduğu gibi etiyolojisi belli olmayan dirençli kon- vülsiyonlar ile başvuran ve herhangi bir cilt bulgusu olmayan hastalarda biotinidaz eksikliği göz önünde bulundurulmalıdır. Ayrıca gelişebilecek komplikasyonların önlenmesi için erken dönemde tedavi uygulanmalıdır.Öğe Biotidinase deficiency accompanied by diffuse demyelination and cerebral atrophy(2012) Okur, Mesut; Bektaş, Mehmet Selçuk; Temel, Hayrettin; Çaksen, Hüseyin; Açıkgöz, Mehmet; Sal, ErtanBiotinidase deficiency is an inherited disorder which has autosomal recessive pattern; it occurs in approximately 1 in 60,000 live births. Usually it manifests seborrheic dermatitis, alopecia, ataxia, convulsions, hypotonia, developmental delay, hearing loss, chronic lactic acidosis and immune deficiency. Its diagnosis is made by the measurement of serum biotinidase enzyme activity and determination of the enzyme. Herein presented that a two and half-month-old boy with biotinidase enzyme deficiency which had cerebral atrophy without any skin signs. In the patients presented with refractory convulsions with unexplainable etiology without any skin lesions, as in our patient, biotinidase enzyme deficiency should be considered and the treatment should be established in early period to prevent many complications that may develop.Öğe A Case of Bronchogenic Cyst Mimicking Foreign Body Aspiration(Lippincott Williams & Wilkins, 2013) Özkan, Aybars; Okur, Mesut; Kaya, Murat; Küçük, AdemBronchogenic cysts (BCs) can be life threatening if they compress vital structures in infants and small children. In particular, subcarinal cysts can be life-threatening and compromise the airways. In infants, the initial presentation may be respiratory distress. We report a case of mediastinal cystic mass compressing the main left bronchus. The case was an 18-month-old boy who had been admitted with acute respiratory distress. Chest x-ray showed overdistension of the left lung and a mediastinal shift. Foreign body aspiration was diagnosed. Magnetic resonance imaging was performed, which has shown a mediastinal cystic mass; therefore, the patient underwent thoracotomy. Surgical intervention revealed a subcarinal extrapulmonary BC that compresses the left main bronchus. The diagnosis of BC was confirmed with pathological investigation. In this report, we present a case of BC with the emphasis on the differential diagnosis with foreign body aspiration.Öğe A case of isolated thrombocytopenia due to cobalamin deficiency(Springer Japan Kk, 2011) Okur, Mesut; Özkan, Aybars; Güneş, Cemalettin; Kaya, Murat; Kocabay, KenanThe most common form of isolated thrombocytopenia is idiopathic thrombocytopenic purpura (ITP) in childhood. Hence, pediatricians consider a possible diagnosis of ITP in patients with isolated thrombocytopenia who are admitted to hospital with complaints of skin findings such as petechiae, purpura, and ecchymosis. It is well known that cobalamin deficiency may also cause thrombocytopenia together with anemia and leukopenia in children. However, isolated thrombocytopenia due to cobalamin deficiency has rarely been reported in literature. In this case report, we present a 7-year-old female patient with isolated thrombocytopenia that was improved by cyanocobalamin therapy.Öğe A child with deep face burn caused by chafing fuel(Kare Publishing, 2013) Özkan, Aybars; Katrancı, Ali Osman; Okur, Mesut; Kaya, Murat; Küçük, Adem[No abstract available]Öğe Çoklu Organ Yetersizliği ile Seyreden Bir Leptospiroz Olgusu(2011) Okur, Mesut[No abstract available]Öğe Öğe Determination of underlying causes in asymptomatic, earlystage renal diseases by dipstick test(Medical Association of Zenica-Doboj Canton, 2013) Okur, Mesut; Arslan, Şükrü; Güven, Ahmet Sami; Temel, Hayrettin; Bektaş, Mehmet Selçuk; Üstyol, LokmanAim To prevent possible chronic kidney diseases in healthy school- age children by screening for hematuria and proteinuria using a urine strip. Methods The incidence of hematuria and proteinuria was determined in 1848 healthy school-age children aged 7 to 14 years by urine screening in the eastern region of Turkey in 2008. Cases with persistent hematuria and/or proteinuria were referred to a pediatric nephrologist, and further examinations were carried out. Results Isolated hematuria, isolated proteinuria, and combined hematuria-proteinuria were found in 92 (4.9%), 16 (0.8%) and 10 (0.5%) patients, respectively. In addition, 11.9% (11/92) of cases of isolated hematuria and 40% (4/10) of cases of combined hematuria- proteinuria were observed to have persisted. Persistent hematuria and persistent hematuria-proteinuria were found in 11 (0.5%) and 4 (0.2%) patients, respectively. In these cases, underlying causes were found: renal stone disease, hypercalciuria, urinary tract infection, vesicoureteral relux, atrophic kidney, and IgA nephropathy. Conclusion According to this study, cases with persistent hematuria should be examined especially in terms of renal stones, hypercalciuria, and urinary tract infection.Öğe Do gastrointestinal and respiratory signs and symptoms correlate with the severity of gastroesophageal reflux?(2012) Uzun, Hakan; Alagöz, Demet; Okur, Mesut; Dikici, Bünyamin; Kocabay, Kenan; Şenses, Dursun Ali; Kaya, MuratBackground: Gastroesophageal reflux (GER) is a disorder that is common by seen in childhood and may lead to severe complications. In this study, we ascertained the incidence of GER among the children who had typical and atypical complaints of GER and whether there was a difference between two groups comparing the findings of 24-hour pH-meter.Methods: 39 out of 70 patients with typical and atypical GER symptoms were diagnosed as GER by 24-hour pH-meter monitoring. The patients were divided into three groups, those having gastrointestinal complaints, those having respiratory complaints and those having both gastrointestinal and respiratory symptoms.Results: Evaluated the GER prevalence in these groups, it was found to be 60% in the gastrointestinal group, 48.6% in the respiratory group and 75% in the mixed group. When pH-meter measurements of GER positive patients were compared within the clinical groups, the fraction of time that pH was lower than 4 was found to be significantly higher in the mixed group (p = 0.004).Conclusions: The coexistence of gastrointestinal and respiratory symptoms in the patients with GER may be related to the severe reflux. © 2012 Uzun et al; licensee BioMed Central Ltd.Öğe Down Sendromlu Çocuklarda AgNOR Sayısı İle Gelişim Arasında Bir İlişki Var mı?(Düzce Üniversitesi, 2011) Eröz, Recep; Okur, Mesut; Berik, ÖzgürDown sendromu (DS) ya da Trizomi 21 en genel ve en iyi bilinen kromozom anomalilerinden biridir. Bu anomalinin genel sebeplerinden birtanesi, mayozda homolog kromozomların ayrılmasında meydana gelen aksaklıklardır(nondisjunction). Bu olay b uuml;y uuml;k ccedil;oğunlukla oogenezis sırasında oluşur ve bu nedenle DS rsquo;deki anormal gametlerinkaynağı genellikle yumurta h uuml;cresidir. H uuml;crenin ccedil;ekirdeği i ccedil;erisinde oluşan NORs (Nucleolar Organiser Regions) rsquo;lar tandem şeklinde tekrarlanan, ribozomal DNA ilmekleridir. İnsan genomunda NOR rsquo;lar 5 ccedil;ift akrosentrik kromozomun (13, 14, 15, 21, 22) ikincil boğumlarında yerleşirler. İnterfazda transkripsiyonel olarak aktif olan NOR rsquo;lar, uygun şartlar altında g uuml;m uuml;ş nitrat ile se ccedil;ici olarak boyanabilirler.AgNOR proteini sentezinin ccedil;ocuk rsquo;lardaki gelişimi etkileyip etkilemediğini tespit etmek amacıyla, yaşları 5,5 ay ile 64 ay arasında değişen 20 DS rsquo;lu ccedil;ocuk ccedil;alışmaya dahil edilmiştir. İlk olarak psikolog tarafından bireylere AnkaraGelişim Tarama Envanteri (AGTE) testi uygulanarak gelişim d uuml;zeyleri dil-bilişsel, ince motor, kaba motor, sosyal beceri- ouml;z bakım ve genel gelişim olarak belirlenmiştir. Daha sonra bu ccedil;ocukların herbirisinden steril bir k uuml;rdan yardımıylaağız epiteli alınarak bir lam uuml;zerine yayma yapılmıştır. Daha sonra herbir preperata AgNOR boyama işlemi uygulanıp,her bir ccedil;ekirdek i ccedil;in AgNOR sayısı ouml;zel bir bilgisayar proğramı kullanılarak tespit edilmiştir. Her bir bireyden 100 ccedil;ekirdek değerlendirilmiş ve her biri i ccedil;in ortalama NOR sayısı değerleri hesaplanmıştır. Bulgulara g ouml;re ortalama NOR sayısı/ ccedil;ekirdek oranı 4.53 plusmn;0.82 bulunmuştur. Veriler, Spearmen korelasyon testi uygulanarak her bir gelişim d uuml;zeyi i ccedil;in istatistiksel olarak analiz edilmiştir. Bu bulgulara g ouml;re, sırasıyla dil-bilişsel, ince motor, kaba motor, sosyal beceri- ouml;z bakım ve genel gelişim ile NOR sayısı arasında anlamlı bir ilişki bulunamamıştır (p gt;0.05). Sonu ccedil; olarak NOR sayısında meydana gelen artma ve azalmaların AGTE testine g ouml;re DS rsquo;ların gelişim d uuml;zeylerine bir etkisi yoktur.Öğe An easy technique for removal of knotted catheter in the bladder: percutaneous suprapubic cystoscopic intervention(E-Century Publishing Corp, 2013) Özkan, Aybars; Okur, Mesut; Kaya, Murat; Büyükkaya, Ramazan; Katrancı, Ali Osman; Küçük, AdemUncontaminated urine samples are indispensable to precisely diagnose urinary tract infections in newborns or infants. Among many clinical interventions for urine collection are described, the most common noninvasive practice is using sterile bags, associated with significant contamination of samples. In children, however, invasive methods i.e. catheterization, are generally needed for reliable urine specimens. Almost always all the inserted catheters are easily drawn back, nevertheless, might not work as expected, and lead to considerable problems that cannot be overcome. Herein, a case of a female newborn treated with a successful percutaneous suprapubic cystoscopic procedure for extracting knotted urinary catheter in the bladder is presented. The least invasive and easiest technic is suggested to be used when catheter is knotted in the bladder, as elaborately stated.Öğe EEC SYNDROME WITH A DE NOVO MUTATION (c.953G > A) ON EXON 7 OF P63 GENE: A CASE REPORT(Medecine Et Hygiene, 2012) Okur, Mesut; Eröz, Recep; Mundlos, Stefan; Şenses, Dursun Ali; Ülgen, E.; İsmailler, Z.B.; Özçelik, DeryaEEC syndrome with a de novo mutation (c.953G>A) on exon 7 of p63 gene: a case report: EEC syndrome is characterized by ectodermal dysplasia, ectrodactyly and cleft lip and/or palate and associated anomalies such as lacrimal duct obstruction, urinary tract anomaly, and hearing loss. This syndrome is a rare autosomal dominant disorder caused by heterozygous mutations in the p63 gene. Herein, a newborn infant with EEC syndrome with secundum atrial septal defect who had a de novo mutation (c.953G>A) on exon 7 of p63 gene is presented.Öğe EEC syndrome with a de novo mutation (c.953G>A) on exon 7 of p63 gene: A case report(2012) Okur, Mesut; Eröz, Recep; Mundlos, Stefan; Şenses, Dursun Ali; Ülgen, E.; İsmailler, Z.B.; Özçelik, DeryaEEC syndrome is characterized by ectodermal dysplasia, ectrodactyly and cleft Hp and/or palate and associated anomalies such as lacrimal duct obstruction, urinary tract anomaly, and hearing loss. This syndrome is a rare autosomal dominant disorder caused by heterozygous mutations in the p63 gene. Herein, a newborn infant with EEC syndrome with secundum atrial septal defect who had a de novo mutation (c.953G>A) on exon 7 of p63 gene is presented.Öğe The Effect of Maximum Voided Volume on Response to Desmopressin Therapy in Children with Enuresis(Medical Assoc Nippon Medical Sch, 2012) Okur, Mesut; Özen, Semiha Fatma; Kocabay, Kenan; Çam, Kamil; Özkan, Aybars; Uzun, HakanPurpose: This study was aimed to determine the effect of maximum voided volume (MVV) on the efficacy of desmopressin. which is commonly used to treat primary monosymptomatic nocturnal enuresis (PMNE) in children and adolescents. Materials and Methods: Bladder capacity was measured with different methods in 52 patients with PMNE, and the effect of bladder capacity on desmopressin therapy was investigated. Results: Patients with PMNE in whom MVV was 70% or less of estimated bladder capacity were found to be unresponsive to desmopressin therapy. Conclusion: The MVV can be measured before desmopressin therapy in patients with PMNE as a marker to predict treatment success. Our results suggest that desmopressin should not be used in patients with low MVV. (J Nippon Med Sch 2012; 79: 255-258)Öğe The evaluation of children with monosymptomatic nocturnal enuresis for attention deficit and hyperactivity disorder(Taylor & Francis Ltd, 2012) Okur, Mesut; Rüzgar, Hacer; Erbey, Fatih; Kaya, AvniObjective. Monosymptomatic nocturnal enuresis (MNE) and attention deficit and hyperactivity disorder (ADHD) are multifactorial disorders and biological, social, and psychological factors may play significant roles in the development of both. Children with enuresis display a higher prevalence of ADHD compared to the normal population. This study aimed to evaluate the relationship between MNE and ADHD. Methods. A total of 64 children between the ages of 6 and 13 years who were referred due to primary MNE, their parents, and 42 healthy control cases, were evaluated in terms of attention deficit and hyperactivity by a child psychiatrist using the DSM-IV-2000-TR diagnosic scale. Results. Of the children with enuresis, 17 had predominantly inattentive type (26.6%), nine had predominantly hyperactive-impulsive type (14.1%), and eight had combined type (12.5%). In the control group, two cases had predominantly inattentive type (4.8%), two cases had predominantly hyperactive-impulsive type (4.8%), and one had combined type (2.4%). Conclusions. The prevalence of ADHD is higher in children with MNE compared to the normal population. As attention deficit may also negatively effect the treatment of enuresis, children with MNE should be evaluated in terms of attention deficit and those with positive symptoms should be provided with psychosocial support.Öğe An Extremely Rare Cause of Bruising in Children: Autoerythrocyte Sensitization Syndrome(Galenos Yayincilik, 2012) Okur, Mesut; Turan, Hakan; Özkan, Aybars; Güneş, Cemalettin; Kocabay, Kenan…
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