Acne prevalence is high among adolescents in Eskisehir but the rate of consulting doctor is low. Increasing public awareness is critical for convincing adolescents to seek medical help earlier. Acne was related with dietary habits. Fat, sugar and fast food consumption is found to be positively correlated with acne prevalence.

Our evaluation of the Skindex-29 indicates that the instrument is a comprehensible, useable, reliable and valid measure of quality-of-life for Turkish dermatologic patients.

A 17‐year‐old young man presented with a 2‐week history of an asymptomatic widespread eruption affecting the trunk and arms. On physical examination we observed multiple, oval purpuric macules and papules, 1–3 cm in diameter, distributed in a “christmas tree” pattern on the trunk and arms (Figs 1 and 2). There was no sign of a herald patch and mucosal examination was normal. 1 Lesions distributed in christmas tree pattern on the trunk 2 Purpuric macules and papules on the arm Laboratory tests including complete blood cell count, erythrocyte sedimentation rate, prothrombin time, partial thromboplastin time, biochemical and urinary analysis were all within normal limits. A biopsy specimen from a lesion of the left arm revealed superficial perivascular lymphohistiocytic infiltrate and erythrocyte extravasation, dermal edema, spongiosis and hypogranulosis (Fig. 3). 3 Histologic examination from the left arm. Superficial perivascular lymphohistiocytic infiltrate, erythrocyte extravasation and spongiosis. (hematoxylin and eosin, × 400) A diagnosis of purpuric pityriasis rosea was made based on clinical and histopathological findings. It was suggested the patient minimize sweating and bathing and follow‐up without treatment. One month later the eruption cleared spontaneously without recurrence.

Psoriasis is a common inflammatory disease that has a severe impact on quality of life. There is lack of data regarding epidemiological and clinical features of psoriasis patients in Turkey, a country with a population of 76 million. The aim of this study was to define the demographic and clinical characteristics, quality of life and treatment patterns of psoriasis patients in Turkey. A cross-sectional observational study was conducted at 40 centers, chosen from geographically diverse locations in Turkey. Patients diagnosed with psoriasis were assessed by investigators who were specialists of dermatology using standardized study questionnaire forms. Dermatology Life Quality Index (DLQI) and EuroQol-5 dimension (EQ-5D) forms were also filled out by each patient. 3971 psoriasis patients were included in this study. 24.2% of plaque psoriasis patients had moderate to severe psoriasis (Psoriasis Area and Severity Index, ≥10). Mean DLQI was 7.03 AE 6.02; quality of life was moderately, severely or very severely affected in 49.2% of patients. The most severely affected component of EQ-5D was anxiety/depression. Among all patients, 22.9% were not receiving any treatment, 39.8% were receiving only topical treatment, 11.5% were on phototherapy, 26.1%, were taking conventional systemic agents and 4.1% were on a biologic treatment. 31.3% of psoriasis patients with moderate to severe disease were treated with only topical agents and only 30.5% of moderate to severe psoriasis patients were receiving systemic therapy. Moderate to severe psoriasis has a considerable impact on quality of life. Treatment in Turkey of patients with moderate to severe psoriasis is insufficient.