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Lobular capillary hemangioma, also known as pyogenic granuloma, is a common, solitary, benign neoplasm of the skin and mucous membranes. The etiology of this lesion remains unknown. Lobular capillary hemangioma can present rarely in a disseminated form, usually associated with other disorders. Two patients, aged 17 and 33, were admitted to the dermatology clinic with disseminated lobular capillary hemangiomas which appeared suddenly. There was no history of trauma in either case. The histopathology of the lesions was consistent with lobular capillary hemangioma. No associated disorders were found in physical and laboratory examinations other than mental retardation in one patient and a small hemangioma in the liver in the other. We report two cases of disseminated lobular capillary hemangioma without an associated disorder.

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BackgroundRheumatoid Arthritis (RA) one of the deformitive disease for feet. Patients generally need the special care, shoes and assistive devices because of their feet deformities.ObjectivesTo evaluate the static and dynamic balances of the RA patients and to assess its relationship with clinical, functional and radiological parameters.MethodsPatients diagnosed with RA according to ACR 2010 criteria were recruited into the study. Age and gender matched healthy subjects were into the control group. The demographic (age, sex) and clinical properties (BMI, DAS28 etc) of patients were recorded. The state of balance of the patients was evaluated by means of “Berg Balance Scale” (BBS) and also 3 static and 4 dynamic balance tests with 25 parameters were assessed via the “Neurocom Balance Master” device. Radiographic assessments of feet were done to consider the deformities. “Foot and Ankle Outcome Score” (FAOS) was applied for foot function assessment. The level of fatigue (MAF: Multidimensional Assessment of Fatigue), depression (Beck Depression Inventory) and sleep disorders (Pitsbourg Sleep Quality Index) of all patients were evaluated and corelated with balance parameters.ResultsThis study included 165 cases that consist of 81 RA group (66 female, 15 male) and 84 healthy control group (70 female, 14 male). The mean age of patients and controls were 48.90±10.36 and 45.89±12.07 years, respectively. Age, sex and BMI data of both groups were similar (p>0.05). There was a significant difference between the static and dynamic balance test results of the patient and the control groups (p<0.05). It was deduced that 66.7% of patients have depression, 64.2% sleep disorders and 93.8% fatigue according to surveys; however there was no correlation between these symptoms and presence of balance disorders. Although 92.4% of patients were established with foot deformities, these deformities were not correlated with FAOS and balance disorders. The presence of the swollen joint was determined as the most relevant factor about the balance disorders of RA patients.ConclusionsAlthough RA patients have balance disturbances when we compared them with healthy controls, this disturbances has not significant relation with clinical, functional and radiological parameters. Balance problems are an important finding independently from other parameters during the course of the diseaseDisclosure of InterestNone declared