Ertugrul Egilmez - Academia.edu (original) (raw)

Papers by Ertugrul Egilmez

Research paper thumbnail of Broken stent in oesophageal malignancy: a rare complication

Acta gastro-enterologica Belgica

Metallic expandable stents are used increasingly for palliative treatment of inoperable malignant... more Metallic expandable stents are used increasingly for palliative treatment of inoperable malignant tumours of oesophagus to improve dysphagia. We report a rare case of oesophageal stent fracture that was broken and left in situ within the stomach uneventfully until the end of the patient's life after the application of another stent.

Research paper thumbnail of The Relationship Between Concha Bullosa and Septal Deviation

kbb-forum.net

ÖZET Amaç: Konka bullosa (KB) ve septal deviasyon (SD) arasındaki ilişki araştırılmıştır. Yöntem ... more ÖZET Amaç: Konka bullosa (KB) ve septal deviasyon (SD) arasındaki ilişki araştırılmıştır. Yöntem ve Gereçler: Paranasal sinüs bilgisayarlı tomografi (BT) çekilmiş olan 200 septal deviasyon hastasının deviasyon açıları ve KB alanlarının orbital alana oranı üzerinden konka bullosa pnömatizasyon indeksi (KBPİ) hesaplanmıştır. Bulgular: Doksan sekiz kadın, 102 erkek hastanın SD açısı ortalama 10.39±4.19'dur. Toplam 143 (71.5%) hastada KB saptandı. KBPİ ipsilateral için 4.2±2.8 iken kontralateral için 6.0±3.7 dereceydi. KBPİ kontralateralde ipsilaterale göre anlamlı derecede yüksekti (p<0.05). Sonuç: KB varlığı ile SD açısı arasında anlamlı bir ilişki yoktur. Bilateral KB olgularında septal deviasyonun karşı tarafındaki konka aynı taraftakine göre anlamlı derecede daha büyüktür. BT üzerinde hesaplanan KBPİ standardizasyon için uygun ve kullanışlı bir yöntemdir.

Research paper thumbnail of Twin pregnancy with a complete hydatidiform mole and co-existing fetus

Acta Obstetricia et Gynecologica Scandinavica, 2004

Research paper thumbnail of Increased carotid artery intima-media thickness may be associated with stroke in primary antiphospholipid syndrome

Annals of the Rheumatic Diseases, 2003

Objective: To investigate the prevalence and clinical significance of carotid artery intima-media... more Objective: To investigate the prevalence and clinical significance of carotid artery intima-media thickness (IMT) in patients with primary antiphospholipid syndrome (APS). Methods: 28 patients with primary APS with at least a five year follow up, and 28 healthy subjects, matched by age and sex, were included in the study. Colour Doppler with high resolution B mode carotid ultrasonography and spectral analysis were performed in patients and controls. Information on cardiovascular risk factors and the clinical course were collected. Results: The mean (SD) age of patients and controls (12 male, 16 female in each group) was 40 (8.5) years; the mean (SD) disease duration 7.7 (3) years. Carotid artery IMT was found in 23/28 patients (2.6 (1.14) mm) and 7/28 controls (1.2 (0.44)) (p=0.0001). A decrease in the lumen diameter was also found in 11/28 patients with primary APS without carotid atherosclerotic plaque, and 2/28 controls (p=0.004). Hyperlipidaemia, diabetes, smoking, obesity, and hypertension were not associated with carotid artery IMT. Patients with carotid artery IMT had arterial vascular disease more often than patients without: 9/23 v 0/5 (p<0.009). These patients had stroke (seven patients), myocardial infarction (one), and mesenteric thrombosis (one). Subjects with IMT had a threefold higher risk for stroke than those without IMT (95% CI 0.78 to 14.3). Conclusions: Patients with primary APS have a high prevalence of carotid artery IMT and a decreased lumen diameter. IMT in primary APS may be associated with stroke. Patients with primary APS with IMT must be considered as carriers of atherosclerosis.

Research paper thumbnail of CT assessment of main pulmonary artery diameter

Diagnostic and interventional radiology (Ankara, Turkey), 2008

The purpose of this study was to determine the normal range of the main pulmonary artery diameter... more The purpose of this study was to determine the normal range of the main pulmonary artery diameter (MPAD) by computed tomography (CT) in persons with normal pulmonary artery pressure, and then to evaluate the relationship of the diameter with age, gender, and body surface area (BSA). Between October 2005 and June 2007, among patients who had previously undergone a contrast-enhanced thorax CT scan, 112 persons (47 females, 65 males) without pulmonary pathology were selected for the study. All patients had normal mean pulmonary artery pressure. The widest diameter perpendicular to the long axis of the main pulmonary artery was measured at the pulmonary artery bifurcation level. The outer limits of the contrast were used to determine vessel diameter. Pulmonary artery diameters showed a homogeneous distribution; the CT-determined mean pulmonary artery diameter was 26.6 +/- 2.9 mm. The mean MPAD in males was 27 +/- 2.8 mm, and 25.9 +/- 3.0 mm in females. This difference was considered to ...

Research paper thumbnail of Knee arthroplasty for ochronotic arthropathy

The journal of knee surgery, 2002

1. J Knee Surg. 2002 Fall;15(4):231-3. Knee arthroplasty for ochronotic arthropathy. Yilmaz A, Eg... more 1. J Knee Surg. 2002 Fall;15(4):231-3. Knee arthroplasty for ochronotic arthropathy. Yilmaz A, Egilmez E. Numune State Hospital, Adana, Turkey. PMID: 12416905 [PubMed - indexed for MEDLINE]. Publication Types: Case Reports. MeSH Terms. ...

Research paper thumbnail of The prevalence and significance of incidental middle ear and mastoid cavity abnormalities on MRI in a pediatric population

International Journal of Pediatric Otorhinolaryngology, 2008

Research paper thumbnail of Long-term effect of varicocele repair on intratesticular arterial resistance index

Journal of Clinical Ultrasound, 2008

To investigate the long-term effect of varicocele repair on ipsilateral intratesticular arterial ... more To investigate the long-term effect of varicocele repair on ipsilateral intratesticular arterial resistance index (RI) using color Doppler sonography (CDS). A total of 26 infertile patients with left varicocele who underwent a testicular artery and lymphatic-sparing subinguinal varicocelectomy were examined with CDS for intratesticular flow parameters before and at least 6 months after surgery. We also evaluated preoperative and postoperative semen parameters. The mean values of RI, end-diastolic velocity and pulsatility index decreased significantly after surgery, whereas no significant change was observed in peak systolic velocity. Repair of the varicocele resulted in a statistically significant increase in the total sperm count, motility, morphology, and total motile sperm count. However, no significant correlation was found between sperm parameters and RI values (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 0.05). Our data show that a significant improvement occurs in testicular blood supply and sperm parameters after surgical varicocele repair, without significant correlation between these 2 changes.

Research paper thumbnail of Effects of diffuse fatty infiltration of the liver on portal vein flow hemodynamics

Journal of Clinical Ultrasound, 2008

To investigate the effects of various degrees of diffuse fatty infiltration of the liver on porta... more To investigate the effects of various degrees of diffuse fatty infiltration of the liver on portal vein blood flow with Doppler sonography. One hundred forty subjects were examined with color and spectral Doppler sonography. The subjects were divided into 4 groups of 35 subjects each according to the degree (normal, grade 1, grade 2 and grade 3) of hepatic fatty infiltration assessed on gray-scale images. The portal vein pulsatility index (VPI) and time-averaged mean flow velocity (MFV) were calculated for each subject. VPI was calculated as (peak maximum velocity - peak minimum velocity) / peak maximum velocity. VPI and MFV values were, respectively, 0.32 +/- 0.06 and 16.8 +/- 2.6 cm/second in the normal group, 0.27 +/- 0.07 and 14.2 +/- 2.2 cm/second in the group with grade 1 fatty infiltration, 0.22 +/- 0.06 and 12.2 +/- 1.8 cm/second in the group with grade 2 fatty infiltration, and 0.18 +/- 0.04 and 10.8 +/- 1.5 cm/second in the group with grade 3 fatty infiltration. There was a negative inverse correlation between the grade of fatty infiltration and both VPI (f = 55.3, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001) and MFV (f = 43.9, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The pulsatility index and mean velocity of the portal vein blood flow decrease as the severity of fatty infiltration increases.

Research paper thumbnail of Dermatofibrosarcoma protuberans: A case report of a rare, bulky tumor that was managed with surgical therapy

International Journal of Shoulder Surgery, 2009

We report a case of this rare tumor and describe the surgical approach that we adopted and the cl... more We report a case of this rare tumor and describe the surgical approach that we adopted and the clinical outcome; we also report his condition at 24 months' follow-up. Although treatment was with radical surgery, sufficient shoulder function could be obtained in our patient. We also describe the interesting MR findings of this tumor which correlated well with the histopathologic findings.

Research paper thumbnail of Increased Amount of Visceral Fat in Patients with Psoriasis Contributes to Metabolic Syndrome

Dermatology, 2010

Background: Psoriasis is associated with obesity and metabolic syndrome. Metabolic syndrome is as... more Background: Psoriasis is associated with obesity and metabolic syndrome. Metabolic syndrome is associated with visceral fat accumulation. There is no study on the accumulation of visceral fat in patients with psoriasis. Objective: The aim of this study was to compare the visceral fat accumulation in patients with psoriasis and controls. Subjects and Methods: 46 patients with psoriasis and 46 sex- and age-matched control patients were included in this study. The abdominal fat area [visceral fat area (VFA), subcutaneous fat area (SFA) and total fat area (TFA)] at the level of the umbilicus was evaluated by computed tomography. Results: The mean VFA value and VFA/SFA ratio of the psoriasis patients were significantly higher compared with the control patients (123.4 ± 80.3 vs. 81.2 ± 59.8 cm2 and 0.734 ± 0.593 vs. 0.491 ± 0.336; p = 0.005 and p = 0.017, respectively). Fasting blood sugar levels were also found to be significantly higher in psoriasis patients, compared with the control p...

Research paper thumbnail of Newsletter No. 10/2010

Research paper thumbnail of Thyroid Doppler indices in patients with sickle cell disease

Clinical Imaging, 2013

To evaluate the intrathyroidal hemodynamic changes and thyroidal volume in sickle cell disease (S... more To evaluate the intrathyroidal hemodynamic changes and thyroidal volume in sickle cell disease (SCD) patients. Methods: Thirty-two patients with homozygous SCD and 32 control subjects were examined with color Doppler ultrasonography. None of the patients and control subjects had clinical or laboratory evidence of thyroid disease. Results: SCD patients had significantly higher resistance index (RI) and pulsatility index (PI) values and lower thyroid volume compared with control group. Conclusion: Increased intrathyroidal RI and PI and decreased thyroid volume may be due to impaired thyroidal microcirculation. Further and follow-up studies are needed to explain the relationship between Doppler parameters and thyroid functions.

Research paper thumbnail of Patients with psoriasis have an increased amount of epicardial fat tissue

Clinical and Experimental Dermatology, 2013

Psoriasis is associated with coronary artery disease, and ischemic heart disease is associated wi... more Psoriasis is associated with coronary artery disease, and ischemic heart disease is associated with increased amounts of epicardial fat tissue (EFT). There has as yet been no study published on the accumulation of EFT in patients with psoriasis. To compare epicardial fat accumulation and coronary artery calcium score (CACS) in patients with psoriasis and controls. We enrolled 38 patients with psoriasis and 38 controls matched for age and gender. Epicardial fat area (EFA) and CACS were evaluated by multidetector computed tomography. Mean EFA in patients with psoriasis was significantly higher than in controls (13.8 ± 8.4 vs. 9.7 ± 6.4 cm(2) , respectively, P = 0.02), but mean CACS did not differ significantly between the two groups (55.2 ± 65.4 vs. 27.8 ± 29.3; P &amp;amp;amp;amp;gt; 0.05). Multiple linear regression analyses indicated that EFA was significantly associated with waist circumference and presence of coronary artery calcification in both patients and controls, whereas EFA was significantly associated waist circumference and age in patients only (P &amp;amp;amp;amp;lt; 0.05). Patients with psoriasis had a higher level of EFA compared with controls, and EFA was independently associated with the presence of CAC in all study subjects.

Research paper thumbnail of Quantitative Brain Diffusion-Tensor MRI Findings in Patients With Sickle Cell Disease

American Journal of Roentgenology, 2012

N e u r o r a d io l og y / H e a d a n d N e c k I m ag i ng • O r ig i n a l R e s e a rc h

Research paper thumbnail of Prevalence of abdominal ultrasonographic abnormalities in patients with sickle cell disease

Diagnostic and interventional radiology (Ankara, Turkey), 2008

The aim of this study was to evaluate the type and prevalence of abdominal ultrasonographic abnor... more The aim of this study was to evaluate the type and prevalence of abdominal ultrasonographic abnormalities in patients with sickle cell disease. A total of 102 patients with sickle cell disease at the Center of Hemoglobinopathy of the Antakya State Hospital were screened for intra-abdominal abnormalities by abdominal ultrasonography (US). Eightyfour patients were homozygous for sickle-cell disease (S/S), and 18 patients were compound heterozygotes for sickle cell-Beta thalassemia (S/Beta(thal)). At the time of examination, 15.7% (16/102) of patients had undergone splenectomy, and 18.6% (19/102) of patients had undergone cholecystectomy. The most frequent US findings (expressed as percentages of all patients) were hepatomegaly (71.6%), renal enlargement (30.4%), autosplenectomy (33.3%), cholelithiasis (30.4%) and splenomegaly (17.4%). A bright liver was identified in 6 patients (5.9%), an echogenic pancreas in 4 patients (3.9%), and pancreatic punctate echogenic foci were identified i...

Research paper thumbnail of Broken stent in oesophageal malignancy: a rare complication

Acta gastro-enterologica Belgica

Metallic expandable stents are used increasingly for palliative treatment of inoperable malignant... more Metallic expandable stents are used increasingly for palliative treatment of inoperable malignant tumours of oesophagus to improve dysphagia. We report a rare case of oesophageal stent fracture that was broken and left in situ within the stomach uneventfully until the end of the patient's life after the application of another stent.

Research paper thumbnail of The Relationship Between Concha Bullosa and Septal Deviation

kbb-forum.net

ÖZET Amaç: Konka bullosa (KB) ve septal deviasyon (SD) arasındaki ilişki araştırılmıştır. Yöntem ... more ÖZET Amaç: Konka bullosa (KB) ve septal deviasyon (SD) arasındaki ilişki araştırılmıştır. Yöntem ve Gereçler: Paranasal sinüs bilgisayarlı tomografi (BT) çekilmiş olan 200 septal deviasyon hastasının deviasyon açıları ve KB alanlarının orbital alana oranı üzerinden konka bullosa pnömatizasyon indeksi (KBPİ) hesaplanmıştır. Bulgular: Doksan sekiz kadın, 102 erkek hastanın SD açısı ortalama 10.39±4.19'dur. Toplam 143 (71.5%) hastada KB saptandı. KBPİ ipsilateral için 4.2±2.8 iken kontralateral için 6.0±3.7 dereceydi. KBPİ kontralateralde ipsilaterale göre anlamlı derecede yüksekti (p<0.05). Sonuç: KB varlığı ile SD açısı arasında anlamlı bir ilişki yoktur. Bilateral KB olgularında septal deviasyonun karşı tarafındaki konka aynı taraftakine göre anlamlı derecede daha büyüktür. BT üzerinde hesaplanan KBPİ standardizasyon için uygun ve kullanışlı bir yöntemdir.

Research paper thumbnail of Twin pregnancy with a complete hydatidiform mole and co-existing fetus

Acta Obstetricia et Gynecologica Scandinavica, 2004

Research paper thumbnail of Increased carotid artery intima-media thickness may be associated with stroke in primary antiphospholipid syndrome

Annals of the Rheumatic Diseases, 2003

Objective: To investigate the prevalence and clinical significance of carotid artery intima-media... more Objective: To investigate the prevalence and clinical significance of carotid artery intima-media thickness (IMT) in patients with primary antiphospholipid syndrome (APS). Methods: 28 patients with primary APS with at least a five year follow up, and 28 healthy subjects, matched by age and sex, were included in the study. Colour Doppler with high resolution B mode carotid ultrasonography and spectral analysis were performed in patients and controls. Information on cardiovascular risk factors and the clinical course were collected. Results: The mean (SD) age of patients and controls (12 male, 16 female in each group) was 40 (8.5) years; the mean (SD) disease duration 7.7 (3) years. Carotid artery IMT was found in 23/28 patients (2.6 (1.14) mm) and 7/28 controls (1.2 (0.44)) (p=0.0001). A decrease in the lumen diameter was also found in 11/28 patients with primary APS without carotid atherosclerotic plaque, and 2/28 controls (p=0.004). Hyperlipidaemia, diabetes, smoking, obesity, and hypertension were not associated with carotid artery IMT. Patients with carotid artery IMT had arterial vascular disease more often than patients without: 9/23 v 0/5 (p<0.009). These patients had stroke (seven patients), myocardial infarction (one), and mesenteric thrombosis (one). Subjects with IMT had a threefold higher risk for stroke than those without IMT (95% CI 0.78 to 14.3). Conclusions: Patients with primary APS have a high prevalence of carotid artery IMT and a decreased lumen diameter. IMT in primary APS may be associated with stroke. Patients with primary APS with IMT must be considered as carriers of atherosclerosis.

Research paper thumbnail of CT assessment of main pulmonary artery diameter

Diagnostic and interventional radiology (Ankara, Turkey), 2008

The purpose of this study was to determine the normal range of the main pulmonary artery diameter... more The purpose of this study was to determine the normal range of the main pulmonary artery diameter (MPAD) by computed tomography (CT) in persons with normal pulmonary artery pressure, and then to evaluate the relationship of the diameter with age, gender, and body surface area (BSA). Between October 2005 and June 2007, among patients who had previously undergone a contrast-enhanced thorax CT scan, 112 persons (47 females, 65 males) without pulmonary pathology were selected for the study. All patients had normal mean pulmonary artery pressure. The widest diameter perpendicular to the long axis of the main pulmonary artery was measured at the pulmonary artery bifurcation level. The outer limits of the contrast were used to determine vessel diameter. Pulmonary artery diameters showed a homogeneous distribution; the CT-determined mean pulmonary artery diameter was 26.6 +/- 2.9 mm. The mean MPAD in males was 27 +/- 2.8 mm, and 25.9 +/- 3.0 mm in females. This difference was considered to ...

Research paper thumbnail of Knee arthroplasty for ochronotic arthropathy

The journal of knee surgery, 2002

1. J Knee Surg. 2002 Fall;15(4):231-3. Knee arthroplasty for ochronotic arthropathy. Yilmaz A, Eg... more 1. J Knee Surg. 2002 Fall;15(4):231-3. Knee arthroplasty for ochronotic arthropathy. Yilmaz A, Egilmez E. Numune State Hospital, Adana, Turkey. PMID: 12416905 [PubMed - indexed for MEDLINE]. Publication Types: Case Reports. MeSH Terms. ...

Research paper thumbnail of The prevalence and significance of incidental middle ear and mastoid cavity abnormalities on MRI in a pediatric population

International Journal of Pediatric Otorhinolaryngology, 2008

Research paper thumbnail of Long-term effect of varicocele repair on intratesticular arterial resistance index

Journal of Clinical Ultrasound, 2008

To investigate the long-term effect of varicocele repair on ipsilateral intratesticular arterial ... more To investigate the long-term effect of varicocele repair on ipsilateral intratesticular arterial resistance index (RI) using color Doppler sonography (CDS). A total of 26 infertile patients with left varicocele who underwent a testicular artery and lymphatic-sparing subinguinal varicocelectomy were examined with CDS for intratesticular flow parameters before and at least 6 months after surgery. We also evaluated preoperative and postoperative semen parameters. The mean values of RI, end-diastolic velocity and pulsatility index decreased significantly after surgery, whereas no significant change was observed in peak systolic velocity. Repair of the varicocele resulted in a statistically significant increase in the total sperm count, motility, morphology, and total motile sperm count. However, no significant correlation was found between sperm parameters and RI values (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 0.05). Our data show that a significant improvement occurs in testicular blood supply and sperm parameters after surgical varicocele repair, without significant correlation between these 2 changes.

Research paper thumbnail of Effects of diffuse fatty infiltration of the liver on portal vein flow hemodynamics

Journal of Clinical Ultrasound, 2008

To investigate the effects of various degrees of diffuse fatty infiltration of the liver on porta... more To investigate the effects of various degrees of diffuse fatty infiltration of the liver on portal vein blood flow with Doppler sonography. One hundred forty subjects were examined with color and spectral Doppler sonography. The subjects were divided into 4 groups of 35 subjects each according to the degree (normal, grade 1, grade 2 and grade 3) of hepatic fatty infiltration assessed on gray-scale images. The portal vein pulsatility index (VPI) and time-averaged mean flow velocity (MFV) were calculated for each subject. VPI was calculated as (peak maximum velocity - peak minimum velocity) / peak maximum velocity. VPI and MFV values were, respectively, 0.32 +/- 0.06 and 16.8 +/- 2.6 cm/second in the normal group, 0.27 +/- 0.07 and 14.2 +/- 2.2 cm/second in the group with grade 1 fatty infiltration, 0.22 +/- 0.06 and 12.2 +/- 1.8 cm/second in the group with grade 2 fatty infiltration, and 0.18 +/- 0.04 and 10.8 +/- 1.5 cm/second in the group with grade 3 fatty infiltration. There was a negative inverse correlation between the grade of fatty infiltration and both VPI (f = 55.3, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001) and MFV (f = 43.9, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The pulsatility index and mean velocity of the portal vein blood flow decrease as the severity of fatty infiltration increases.

Research paper thumbnail of Dermatofibrosarcoma protuberans: A case report of a rare, bulky tumor that was managed with surgical therapy

International Journal of Shoulder Surgery, 2009

We report a case of this rare tumor and describe the surgical approach that we adopted and the cl... more We report a case of this rare tumor and describe the surgical approach that we adopted and the clinical outcome; we also report his condition at 24 months' follow-up. Although treatment was with radical surgery, sufficient shoulder function could be obtained in our patient. We also describe the interesting MR findings of this tumor which correlated well with the histopathologic findings.

Research paper thumbnail of Increased Amount of Visceral Fat in Patients with Psoriasis Contributes to Metabolic Syndrome

Dermatology, 2010

Background: Psoriasis is associated with obesity and metabolic syndrome. Metabolic syndrome is as... more Background: Psoriasis is associated with obesity and metabolic syndrome. Metabolic syndrome is associated with visceral fat accumulation. There is no study on the accumulation of visceral fat in patients with psoriasis. Objective: The aim of this study was to compare the visceral fat accumulation in patients with psoriasis and controls. Subjects and Methods: 46 patients with psoriasis and 46 sex- and age-matched control patients were included in this study. The abdominal fat area [visceral fat area (VFA), subcutaneous fat area (SFA) and total fat area (TFA)] at the level of the umbilicus was evaluated by computed tomography. Results: The mean VFA value and VFA/SFA ratio of the psoriasis patients were significantly higher compared with the control patients (123.4 ± 80.3 vs. 81.2 ± 59.8 cm2 and 0.734 ± 0.593 vs. 0.491 ± 0.336; p = 0.005 and p = 0.017, respectively). Fasting blood sugar levels were also found to be significantly higher in psoriasis patients, compared with the control p...

Research paper thumbnail of Newsletter No. 10/2010

Research paper thumbnail of Thyroid Doppler indices in patients with sickle cell disease

Clinical Imaging, 2013

To evaluate the intrathyroidal hemodynamic changes and thyroidal volume in sickle cell disease (S... more To evaluate the intrathyroidal hemodynamic changes and thyroidal volume in sickle cell disease (SCD) patients. Methods: Thirty-two patients with homozygous SCD and 32 control subjects were examined with color Doppler ultrasonography. None of the patients and control subjects had clinical or laboratory evidence of thyroid disease. Results: SCD patients had significantly higher resistance index (RI) and pulsatility index (PI) values and lower thyroid volume compared with control group. Conclusion: Increased intrathyroidal RI and PI and decreased thyroid volume may be due to impaired thyroidal microcirculation. Further and follow-up studies are needed to explain the relationship between Doppler parameters and thyroid functions.

Research paper thumbnail of Patients with psoriasis have an increased amount of epicardial fat tissue

Clinical and Experimental Dermatology, 2013

Psoriasis is associated with coronary artery disease, and ischemic heart disease is associated wi... more Psoriasis is associated with coronary artery disease, and ischemic heart disease is associated with increased amounts of epicardial fat tissue (EFT). There has as yet been no study published on the accumulation of EFT in patients with psoriasis. To compare epicardial fat accumulation and coronary artery calcium score (CACS) in patients with psoriasis and controls. We enrolled 38 patients with psoriasis and 38 controls matched for age and gender. Epicardial fat area (EFA) and CACS were evaluated by multidetector computed tomography. Mean EFA in patients with psoriasis was significantly higher than in controls (13.8 ± 8.4 vs. 9.7 ± 6.4 cm(2) , respectively, P = 0.02), but mean CACS did not differ significantly between the two groups (55.2 ± 65.4 vs. 27.8 ± 29.3; P &amp;amp;amp;amp;gt; 0.05). Multiple linear regression analyses indicated that EFA was significantly associated with waist circumference and presence of coronary artery calcification in both patients and controls, whereas EFA was significantly associated waist circumference and age in patients only (P &amp;amp;amp;amp;lt; 0.05). Patients with psoriasis had a higher level of EFA compared with controls, and EFA was independently associated with the presence of CAC in all study subjects.

Research paper thumbnail of Quantitative Brain Diffusion-Tensor MRI Findings in Patients With Sickle Cell Disease

American Journal of Roentgenology, 2012

N e u r o r a d io l og y / H e a d a n d N e c k I m ag i ng • O r ig i n a l R e s e a rc h

Research paper thumbnail of Prevalence of abdominal ultrasonographic abnormalities in patients with sickle cell disease

Diagnostic and interventional radiology (Ankara, Turkey), 2008

The aim of this study was to evaluate the type and prevalence of abdominal ultrasonographic abnor... more The aim of this study was to evaluate the type and prevalence of abdominal ultrasonographic abnormalities in patients with sickle cell disease. A total of 102 patients with sickle cell disease at the Center of Hemoglobinopathy of the Antakya State Hospital were screened for intra-abdominal abnormalities by abdominal ultrasonography (US). Eightyfour patients were homozygous for sickle-cell disease (S/S), and 18 patients were compound heterozygotes for sickle cell-Beta thalassemia (S/Beta(thal)). At the time of examination, 15.7% (16/102) of patients had undergone splenectomy, and 18.6% (19/102) of patients had undergone cholecystectomy. The most frequent US findings (expressed as percentages of all patients) were hepatomegaly (71.6%), renal enlargement (30.4%), autosplenectomy (33.3%), cholelithiasis (30.4%) and splenomegaly (17.4%). A bright liver was identified in 6 patients (5.9%), an echogenic pancreas in 4 patients (3.9%), and pancreatic punctate echogenic foci were identified i...