Browsing by Author "Unver, Hakan"

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The Effects of Helicobacter Pylori Eradication on the Number of Tender Points, Sleep Quality, Depression, and Anxiety in Patients With Fibromyalgia
(Turkish League Against Rheumatism, 2014) Gezici, Emrullah; Alpayci, Mahmut; Ozkan, Yasemin; Kucuk, Mehmet Emin; Unver, Hakan; Hiz, Ozcan
Objectives: This study aims to investigate the effects of Helicobacter pylori (H. pylori) eradication on the number of tender points, sleep quality, depression, and anxiety in patients with fibromyalgia syndrome. Patients and methods: The study was performed on 32 fibromyalgia syndrome patients (28 females, 4 males; mean age 38.5 +/- 8.6 years) suffering from dyspeptic complaints. All participants were evaluated by gastric endoscopy and bacterial culture for the presence of H. pylori. Patients included in the study were all H. pylon positive. The patients were assessed by the number of tender points, the Pittsburgh Sleep Quality Index, the Beck Depression Inventory, and the Beck Anxiety Inventory pre- and post-treatment for eradication of H. pylon. Amoxicillin 1 g, clarithromycin 500 mg, and lansoprazole 30 mg were given twice daily for three weeks to all patients. Results: The number of tender points was significantly reduced at the evaluation of post-treatment compared with baseline (p<0.001). However, there were no significant differences between pre- and post-treatment for the scores of the Pittsburgh Sleep Quality Index, the Beck Depression Inventory, and the Beck Anxiety Inventory (all p>0.05). Conclusion: Our study results show that H. pylon eradication has a positive impact on the number of tender points.
Multifocal Osteonecrosis in a Case With Systemic Lupus Erythematosus: Original Image
(Ortadogu Ad Pres & Publ Co, 2009) Hiz, Ozcan; Unver, Hakan; Ozkan, Yasemin; Yazmalar, Levent; Tekeoglu, Ibrahim
Although osteonecrosis (ON) is a well-known complication of systemic lupus erythematosus (SLE), the diagnosis is generally delayed. Steroid treatment is considered the major risk factor for the development of ON in SLE. ON involving at least tree anatomical localizations is called multifocal osteonecrosis (MFON). We presented a case with MFON diagnosed with SLE seven years ago. The patient has received corticosteroids at various doses and had obvious destruction in the shoulders and hips apparent in plain X-rays. Although the knees seemed normal in X-rays, scintigraphy and magnetic resonance imaging (MRI) revealed ON of the knees. SLE patients with ON in one joint should be screened with MRG and/or scintigraphy in the early stages of the disease even when the plain X-rays seem normaldue to the increased risk of multifocal ON involving other joints.