No abstract

Amaç: Ağız içi ağrılı ve kronik bir durum olan Rekurren aftöz stomatit (RAS) hastalığında hastalar yemek yemede ve ağız açıp kapamada zaman zaman güçlük yaşayabilmektedir. Ağrılı olan RAS temporomandibular eklem (TME) çevresindeki kaslarda spazma neden olabilmektedir. Bu sebepten RAS hastalığı olan kişilerde TME’inin etkilenip etkilenmediğini belirlemek için Temporomandibular Eklem Disfonksiyonu (TMED) araştırmasını planladık.. Gereç ve Yöntemler: Çalışmaya Deri ve Zührevi Hastalıklar uzmanı tarafından RAS tanısı almış, çalışma kriterlerine uyan 50 hasta grubu ve 50 sağlıklı gönüllüden oluşan kontrol grubu dahil edildi. Hastaların ve sağlıklı gönüllülerin hepsine FonsecaAnamnestik Anketi uygulandı (FAA). FAA’nde TME’de bozukluk çıkan hastalara Helkimo Klinik Disfonksiyon İndeksi (HKDİ) uygulanarak TMED’nun şiddeti belirlendi. Çıkan sonuçların hasta grubu ve kontrol grubu olarak karşılaştırmaları yapıldı. RAS ile TMED arasındaki ilişki olup olmadığı incelendi. Bruksizmin TMED ve RAS ile ilişkisi incelendi. Bulgular: Hasta grubunda bulunanların %52’si erkek ve %48’i kadın olup, kontrol grubunda bulunanların %56’sı erkek ve %44’ü kadındı. Cinsiyet açısından gruplar arasında anlamlı fark görülmemiştir. Hasta grubunda TMED ve Bruksizm görülme oranı kontrol grubuna göre anlamlı şekilde yüksek bulunmuştur (p<0.001). Kontrol grubunda HKDİ’ne göre şiddetli TMED saptanmazken, hasta grubunda 18 hastada HKDİ ciddi olarak bulunmuştur. Oral aft sayısı ile TMED ve Bruksizm arasında anlamlı ilişki bulunamamıştır. Sonuç: RAS hastalarında Bruksizm ve TMED kontrol grubuna göre anlamlı yüksek bulunmuştur. Bruksizm, TMED olan hastalarda , TMED olmayan hastalara göre daha yüksek oranda bulunmuş olup, çalışmamız literatürü desteklenmektedir. Anahtar kelimeler: Rekurren Aftöz Stomatit, Temporomandibular Eklem, Bruksizm

Objective: Chronic low back pain in children is a condition that should be investigated. In this study, we examined the effects of agricultural work on imaging results, risk factors, night pain, and vitamin D levels in children and adolescents with chronic low back pain. Material and methods: The study included 133 patients who presented to the Physical Medicine and Rehabilitation and Neurosurgery outpatient clinics with low back pain that had lasted more than three months. The patients were evaluated based on the duration of their low back pain, the presence of night pain, a family history of low back pain, their employment status, local or radicular pain, and their body mass index (BMI). A physical examination was carried out to look into the etiologies of low back pain. Appropriate imaging, such as x-ray radiography, magnetic resonance imaging (MRI), and computed tomography (CT), was performed for the patients. Blood samples were collected from patients to assess inflammatory pathologies and vitamin D levels. Results: The 133 patients in the study ranged in age from seven to 16 years, with a mean age of 14.3 + 1.9 years. Further, 60.2% (n = 80) of the cases were male, while 39.8% (n = 53) were female. Imaging revealed findings in 59.4% of the patients. In 97.7% of the participants, D hypovitaminosis was detected. There was no significant relationship between the patients’ imaging findings and vitamin D deficiency, family history, BMI, and employment status (p = 0.441, 0.147, 0.082, 0.605). The relationship between family history, employment status, and night pain was statistically significant (p < 0.001). There was no statistically significant relationship between night pain and vitamin D deficiency (p = 0.667). Conclusion: Mechanical strain due to agricultural work and family history was found to be associated with night pain in patients with chronic low back pain in our study. The most important finding of this study is that night pain, which is considered a red flag, can occur in both inflammatory pathologies and situations causing mechanical low back pain, and risk factors should be thoroughly investigated. Studies with patients who have sufficient vitamin D will help to clarify the relationship between chronic low back pain and vitamin D.

Objective: Low back pain in pediatric patients can be severe in terms of its consequences and should be investigated. In this study, the etiology of pediatric low back pain was examined, and it was evaluated whether there was a relationship between age and gender. Material and Methods: In this study, 228 patients under 18 who applied to Şanlıurfa Training and Research Hospital Physical Medicine and Rehabilitation and Brain and Nerve Surgery polyclinics complained of low back pain and underwent spinal Magnetic Resonance Imaging (MRI) in 2021 were analyzed retrospectively. Results: The ages of 228 patients included in our study ranged from 4 to 18 years, with a mean age of 12.8±2.5. 54.8% of the cases were male (n=125), 45.2% (n=103) were female. While MRI findings were not observed in 92 cases, MRI findings were found in 136 cases. Disc pathology was detected in 44.7% (n=102) of the cases, and structural pathology was found in 14.9% (n=36). The most common disc pathology was bulging, constituting 32.9% (n=75) of the cases. There was no significant difference between the genders of the cases according to the incidence of disc pathology (p=0.434). When age and incidence of disc pathology were evaluated, the age of the group with disc pathology was significantly higher than the group without disc pathology (p