160 utaneous leishmaniasis (CL) is a skin disease which is caused by the protozoan parasites of the genus Leishmania. It causes lesions mostly in the skin and sometimes in the mucosa and heals leaving atrophic scars. 1 As it is known, a civil war started in Syria in 2011 which caused migration of a huge amount of people to neighboring countries. Approximately 3 million of these immigrants migrated to Turkey. 2 Cutaneous Leishmaniasis: Evaluation of 117 Syrian Immigrants A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Cutaneous leishmaniasis (CL), which presents with nodulo-ulcerative lesions in the skin, is an endemic disease in Syria and in some of the regions of Turkey. The aim of this study was to evaluate the demographic and clinical characteristics, type of treatment and treatment responses of 117 CL patients. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this study, 117 Syrian CL patients, who applied to the outpatient clinic were presented. R Re es su ul lt ts s: : Sixty two of the patients were female (53%) and 55 (% 47) were male. The mean age of the patients was 16±1,4. Fifty two point one percent of the patients had one, 38.5% had two or three and 9.4% had more than three lesions. The mean duration of the lesions was 7 months, while the average duration of residence time in Turkey was 6 months. Ninety six point six percent of the lesions had a diameter less than 5 cm and the rest had larger lesions. Most of the lesions were localized on the face (43.1%) and extremities (42.8%). The majority of the lesions on the face were at the cheeks (53.8%), one of them was on the eyelid, 2 on the lip, 4 on the ear and 9 on the nose. The patients were treated with intralesional antimony compounds or cryotherapy. Lesions of the patients, who were treated with the antimony compounds recovered faster and with superior cosmetic results. C Co on nc cl lu us si io on n: : Intralesional antimone therapy is an effective and cosmetically successful treatment option without any significant side effects for CL. K Ke ey yw wo or rd ds s: : Leishmaniasis, cutaneous; cryotherapy; injections, intralesional Ö ÖZ ZE ET T A Am ma aç ç: : Kutanöz layşmanyazis (KL), deride nodülo-ülseratif lezyonlarla seyreden bir hastalıktır. Hastalık, Türkiye'nin bazı bölgeleri ile Suriye'de endemiktir. Bu çalışmanın amacı; kliniğimize başvuran 117 kutanöz layşmanyazis tanılı hastanın demografik ve klinik özelliklerinin, bu hastalara uygulanan tedavi seçeneklerinin ve tedaviye olan yanıtlarının değerlendirilmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışmada, dermatoloji polikliniğine başvuran 117 Suriye'li kutanöz layşmanyazis tanılı hasta değerlendirilmiştir. B Bu ul lg gu ul la ar r: : Çalışmaya dahil edilen hastaların 62'si kadın (%53), 55'i (%47) erkekti. Hastaların yaş ortalaması 16±1,4 yıl idi. Yüzde 52,1 hastanın tek, %38,5'inin 2 veya 3, %9,4'ünün ise üçten fazla lezyonu vardı. Lezyonların klinik olarak var olma süresi ortalama 7 ay iken, hastaların Türkiye'de ikamet etme sürelerinin ortalama...

No abstract

A 2-day-old male newborn was consulted to our clinic for cutaneous vascular and pigmentary lesions. The pregnancy of his mother and family history were unremarkable. Physical examination showed bilateral nevus flammeus involving the scalp, face, neck, trunk, upper part of the back, scrotum and the flexor sides of arms and thighs. Large, bluish-grey pigmentation was observed on the abdominal area, back, buttocks, legs and the extensor sides of the arms (Figure 1a, b). Laboratory examination, abdominal ultrasound imaging and magnetic resonance imaging of the brain were normal. Systemic involvement was not detected. Phacomatosis pigmentovascularis (PPV) type IIa was diagnosed.Phacomatosis pigmentovascularis is a rare disorder characterized by the coexistence of vascular malformations and pigmentary lesions of skin. The first description of the disease was reported by Ota et al. (1), and Hasegawa et al. (2) classified the disease into four types. Nevus flammeus was the constant vascular malformation for all types. The associated pigmentary lesions were nevus pigmentosus et verrucosus in type I, Mongolian spots with or without nevus anemicus in

No abstract

A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : We aimed to compare applying caudal block and i.v. tramadol about their effects on bispectral index (BIS), emergence agitation (EA) and recovery in children under desflurane anesthesia. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : 60 children, aged between 2-10 years old, ASA I-II groups, undergoing elective lower abdominal surgery enrolled in the study and randomly divided into two groups. Anesthesia was induced with 6-8% sevoflurane in nitrous oxide/oxygen (50%, 50%) and desflurane was used in the maintenance. Group 1 patients had a caudal block by applying 0.25% bupivacaine in a dose of 0.5 mL kg -1 . Group 2 patients received i.v. tramadol 1 mg kg -1 . BIS monitoring was applied in each group. Haemodynamic parameters, the concentrations of sevoflurane, desflurane, end tidal sevoflurane, end tidal desflurane and BIS values were recorded. Cases were assessed about EA, recovery and pain. R Re es su ul lt ts s: : Systolic and diastolic blood pressures, heart rates were decreased in Group 1 after caudal block application. Desflurane and end tidal desflurane concentrations were lower in Group 1 than Group 2 at 15, 30, 45, 60 th min after incision and at the end of surgery (p<0.05). BIS values and EA scores were similar between groups (p>0.05). There was statistically no difference between groups about recovery and pain (p>0.05). C Co on nc cl lu us si io on n: : It was concluded that in children under desflurane anesthesia; similar anesthesia depth and well recovery could be achieved by applying both caudal block and i.v. tramadol and the level of EA were similar in both of these methods.K Ke ey y W Wo or rd ds s: : Desflurane; anesthesia, caudal; tramadol; anesthesia recovery period Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmamızda çocuklarda desfluran anestezisi altında kaudal blok ve i.v. tramadol uygulamasını; bispektral indeks (BİS), erken ajitasyon (EA) ve derlenme üzerine etkileri açısın-dan karşılaştırmayı amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Elektif alt batın cerrahisi operasyonu uygulanacak ASA I-II grubu, 2-10 yaşları arasında 60 hasta çalışma kapsamına alınarak rastgele 2 gruba ayrıldı. Anestezi indüksiyonu %6-8 konsantrasyonda sevofluran, %50 azot protoksit ve %50 oksijen karışımı ile sağlanırken idamede desfluran kullanıldı. Grup 1 hastalara %0,25 bupivakain 0,5 mL kg -1 dozda uygulanarak kaudal blok gerçekleştirildi. Grup 2 hastalara i.v. 1 mg kg -1 tramadol uygulandı. Her 2 grupta da BİS monitörizasyonu yapıldı. Olguların hemodinamik parametreleri, sevofluran, desfluran, end tidal sevofluran ve end tidal desfluran konsantrasyonları, BİS değerleri kaydedildi. Olgular EA, derlenme ve ağrı açısından değerlendirildi. B Bu ul lg gu ul la ar r: : Yapılan ölçümlerde sistolik kan basıncı, diyastolik kan basıncı, kalp atım hızı değer-lerinin Grup 1'de kaudal blok uygulaması sonrası düştüğü gözlendi. Cilt insizyonu sonrası 15. dk, 30. dk, 45. dk, 60. dakikalardaki ve cerrahi bitimindeki desfluran ve end tidal desflur...