Browsing by Author "Hiz, O."

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Complex Regional Pain Syndrome Type I (shoulder-Hand Syndrome) in an Elderly Patient After Open Cardiac Surgical Intervention; a Case Report
(2011) Ediz, L.; Ceylan, M.F.; Hiz, O.; Tekeoǧlu, I.
We described the first case report in the literature who developed Complex Regional Pain Syndrome (CRPS type I) symptoms in his right shoulder and right hand within 15 days after open cardiac surgery and discussed shoulder-hand syndrome (CRPS type I) and frozen shoulder diagnosis along with the reasons of no report of CRPS type I in these patients. We also speculated whether frozen shoulder seen in postthoracotomy and postcardiac surgery patients might be CRPS type I in fact.
Effect of Number of Pregnancies on Bone Mineral Density
(Sage Publications Ltd, 2010) Hiz, O.; Ediz, L.; Tekeoglu, I.
This study investigated the effect of the number of pregnancies on bone mineral density (BMD) in 320 post-menopausal women aged between 49 and 64 years. Cases were selected from people with similar lifestyles and stratified into five groups according to the number of pregnancies. Each group was divided into two subgroups according to the duration of the menopause (3 - 5 years versus 6 - 10 years). Lumbar (L2 - L4) and femoral neck BMD were measured by dual-energy X-ray absorptiometry and T-score values were used in the statistical evaluation. No significant difference was found between the number of pregnancies and BMD within each group based on the same menopause duration, but a significant correlation was found in most groups based on menopause duration: T-scores decreased as menopause duration increased. Changes in BMD are likely to be related to menopause duration, rather than the number of pregnancies.
Evaluation of Fatigue in Behçet's Syndrome; Relationship With Disease Activity, Clinical Manifestations, Anxiety, Depression, and Daily Living Activities
(2010) Karaaslan, G.; Hiz, O.; Ediz, L.; Tekeoǧlu, I.; Keskin, S.
Objective: The aim of this study was to assess fatigue in patients with Behcet's Syndrome and to identify the relationship between fatigue and clinical signs, psychological status and activities of daily living in these patients. Material and Methods: Seventy-six Behcet's Syndrome (BS) patients who were diagnosed with at least one year and the same number of healthy control subjects with similar demographic features were included in the study. Multidimension Assessment of Fatigue (MAF) used for evaluation of fatigue in both groups. In addition, hospital depression and anxiety scale and short form 36 were filled by the patients. Results: A negative correlation between level of education and the degree and severity of fatigue was found, while there was a positive correlation between disease duration and degree and severity of fatigue, and the global score. Threre was correlation between clinical signs of Behcet's disease and some sub-groups of the MAF, however the global score was not significantly correlated. Statistically significant high scores of MAF values were found in patients with BS in comparison with the control group. There was a positive correlation between anxiety, depression and fatigue values in patients with BS. Negative correlation determined between all parameters of daily living quality (SF-36) and fatigue values of the patients. Conclusion: Fatigue is common in BS and closely associated with psychological status and affects negatively activities of daily living. Therefore, it should be taken into account in the evaluation of BS patients. Copyright © 2010 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.
Juvenile Scleroderma and Calcinosis Cutis: Case Report
(2009) Tekeoǧlu, I.; Hiz, O.; Özkan, Y.; Söker, D.; Özçelik, R.
Calcinosis cutis is a tissue calcification of cutaneous tissues. It is divided into four categories: dystrophic, metastatic, idiopathic and iatrogenic. The dystrophic type, which develops secondary to non-metabolic diseases, is the most common type. It may be observed in collagen tissue diseases including scleroderma, CREST syndrome, dermatomyositis and systemic lupus erythematosus. In this report, we present a 9-year-old patient with swelling and roughness on both hands and arms, solid nodules on the anterior aspect of both arms next to the elbows- more prominent on the left side- who was under follow-up for juvenile rheumatoid arthritis (JRA) for the last 3 years. Histopathological examination of the cutaneous biopsy material obtained from a nodular lesion and magnetic resonance images revealed the diagnosis of scleroderma and calcinosis cutis. In accordance to the result of the assessment of the patient, we suggest that scleroderma should always be kept in mind in the differential diagnosis of calcinosis cutis in patients with JRA. Copyright © 2009 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.
The Relationship Between Shoulder Impingement Syndrome and Sleep Quality
(verduci Publisher, 2013) Tekeoglu, I.; Ediz, L.; Hiz, O.; Toprak, M.; Yazmalar, L.; Karaaslan, G.
BACKGROUND AND OBJECTIVES: The aim of this study was to examine potential relationship between subjective sleep quality and degree of pain in patients with shoulder impingement syndrome (SIS). MATERIALS AND METHODS: Fourty patients with shoulder impingement syndrome were evaluated using the Pittsburgh Sleep Quality Index (PSQI) and the Shoulder Disability Questionnaire (SDQ). Forty three of age and sex matched healthy subjects were included in the control group. RESULTS: There was a significant difference between the patient and control groups in terms of all PSQI global scores and subdivisions (p < 0.01). The pain scores assessed by SDQ were positively correlated with the scores for subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, and sleep disturbance (r = 0.49/p < 0.01, r = 0.44/p < 0.01, r = 0.36/p < 0.05, r = 0.40/p < 0.05, and r = 0.37/p < 0.05 respectively). The comparison of total SDQ pain and global PSQI scores also revealed a significant correlation (r = 0.54/p < 0.01). CONCLUSIONS: Subjective sleep disturbance connected to shoulder pain was found obviously in patients with SIS. For this reason, patients with shoulder pain due to SIS may benefit from the pain killers and cognitive-behavioral interventions that specifically target sleep disturbances. Further studies which contain polysomnographic assessments, as well as determine psychologic status are still needed to put forth sleep quality in patients with SIS.
Restless Legs Syndrome in Behcet's Disease
(Field House Publishing Llp, 2011) Ediz, L.; Hiz, O.; Toprak, M.; Ceylan, M. F.; Yazmalar, L.; Gulcu, E.
The prevalence of restless legs syndrome (RLS) and its association with the clinical features of Behcet's disease (BD) has not previously been elucidated. The inflammatory character, central nervous system involvement and neuropathies of BD led to this investigation of RLS risk in BD patients. A total of 116 BD patients and 104 healthy control subjects were included; seven BD patients were excluded because of concurrent diseases, pregnancy or alcohol misuse that might cause RLS symptoms, and the remaining 109 BD patients were included in the analysis. The prevalence of RLS was significantly higher in patients with BD (32/109; 29.4%) than in controls (5/104; 4.8%). No significant differences were found between BD patients with and without RLS with regard to the clinical features of BD. RLS severity positively correlated with age in BD patients. In conclusion, BD-related RLS should be considered in symptomatic RLS secondary to rheumatological disorders and BD patients should be examined for RLS. Further studies are needed to clarify the pathogenetic mechanisms underlying BD-related RLS.
Seasonal Disease Activity and Serum Vitamin D Levels in Rheumatoid Arthritis, Ankylosing Spondylitis and Osteoarthritis
(Makerere Univ, Fac Med, 2013) Yazmalar, L.; Ediz, L.; Alpayci, M.; Hiz, O.; Toprak, M.; Tekeoglu, I
Background: Vitamin D is a steroid hormone that plays essential roles in calcium and phosphorus metabolism, bone formation and mineralization homeostasis, also has a role in the maintenance of immune-homeostasis. Objective: We aimed to investigate seasonal serum vitamin D levels and seasonal disease activity in patients with Rheumatoid Arthritis, Ankylosing Spondylitis, and Osteoarthritis. Methods: Seventy-one Rheumatoid Arthritis patients, 72 Ankylosing Spondylitis patients, 74 knee Osteoarthritis patients and 70 healthy controls were recruited for the study. Bi-seasonal measurements of serum 25(OH)D vitamin were checked in either in July or August or September for summertime and either in December or January or February for wintertime. Disease activity were evaluated by Disease Activity Score-28, Bath Ankylosing Spondylitis Disease Activity Index, and Western Ontario and McMaster Universities Osteoarthritis Index in groups of Rheumatoid Arthritis, Ankylosing Spondylitis, and Osteoarthritis respectively. Results: We did not find any correlation between serum 25(OH)D levels and Disease Activity Score-28, Bath Ankylosing Spondylitis Disease Activity Index, and Western Ontario and McMaster Universities Osteoarthritis Index scores in winter and summer. The difference of Disease Activity Score-28 and Western Ontario and McMaster Universities Osteoarthritis Index scores between winter and summer seasons were not significant in Rheumatoid Arthritis and Osteoarthritis patients (p>0.05). The mean Bath Ankylosing Spondylitis Disease Activity Index score was significantly higher in winter than in summer (p<0.05). Consequently we did not find any correlation between variations of seasonal serum 25(OH)D and the disease activity in the patients with Rheumatoid Arthritis, Ankylosing Spondylitis, and Osteoarthritis. Conclusion: These results suggest that vitamin D does not have an important role in the seasonal disease activity of these diseases and that seasonal changes in disease activity may play an important role in evaluating Ankylosing Spondylitis patients rather than Rheumatoid Arthritis and Osteoarthritis patients and should be taken into account when examining these patients. These conclusions need to be validated in multicenter studies with high number of patients.