Browsing by Author "Yuca, Sevil Ari"

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Assessment of Nutritional Status: Triceps and Subscapular Skin-Fold Thickness in Turkish Children and Adolescent
(Professional Medical Publications, 2011) Yuca, Sevil Ari; Cesur, Yasar; Yilmaz, Cahide; Mazicioglu, Mumtaz; Kurtoglu, Selim
Objectives: To determine the mean and percentile values and constitute the percentile curves of the triceps and subscapular skin-fold thickness (SFT) for obtaining a measure to be used in evaluating nutritional status of children and adolescents for age and gender to determine the threat of adiposity in Turkish children. Methodology: This cross-sectional study was carried out between October 2006 and May 2007 with 6917 students selected among those with pre-defined socio-economic criteria and attending primary schools in Van city center. Based on these data, the subjects were distributed to age groups in 6-month intervals, beginning from the age of 7 up to the age of 17. Results: Analysis of mean values of the thickness of triceps and subscapular SFT according to age in boy subjects demonstrated that these values generally increased with age up to thirteen years of age where peak values were observed, and the thickness decreased between 14 and 15 years of age, increasing again thereafter. A comparison of our data with the data reported from other countries revealed lower than median values of triceps and subscapular SFT in our study for both girls and boys regardless of the age group. Conclusions: Subcutaneous fat accumulation is lower in Turkish children compared to those in other countries and no risk of obesity is imminent, at least in the region where this study was carried out.
Congenital Primary Hypothyroidism Diagnosed at Advanced Ages
(Nobel Ilac, 2010) Yuca, Sevil Ari; Cesur, Yasar; Yilmaz, Cahide
Objective: Aim of this study was to investigate that clinical and laboratory findings of sixteen cases who were referred to our endocrinology outpatient clinic due to a complaint of growth and developmental delay and who were diagnosed with primary congenital hypothyroidism at advanced ages. Material and Method: Sixteen cases of which the youngest was minimum six and the oldest was 23 years old were enrolled into the study. Anthropometrical measures, chrono-logical, height and bone ages of the patients were recorded. Hypothyroidism was diagnosed by the decrease in free thyroxin (sT4) levels and the elevated in serum thyroid stimulating hormone (TSH) levels. To clarify the etiology, thyroglobulin (TG) level and thyroid ultrasonography were studied from the patient. Also thyroid scintigraphy was performed to the patients without a thyroid tissue at a normal anatomical localization. Results: The mean diagnostic age in our cases was 12.6 +/- 4.3 years and female were predominant was present (female/male: 4/14). Height, weights and bone ages of patients were severely retarded. Ectopia was determined in two patients while in twelve patients the thyroid gland was hypoplastic. The thyroid gland was within normal borders in one patient for age and gender and hyperplasic in another case. Conclusion: We wanted to emphasize that congenital hypothyroidism should be kept in mind in cases with developmental delay and mental retardation as these may be non-diagnosed congenital hypothyroidism also infant or early childhood outside. It must be remember, diagnose of these patients may delay until the pre-adolescence and even prior the adulthood. We wish attract attention to the national screening program for congenital hypothyroidism by this study.
Frequency of Gluten Sensitive Enteropathy in Children With Short Stature, and the Values of Markers Used in Diagnosis
(Karger, 2008) Nalbantoglu, Ozlem; Cesur, Yasar; Yuca, Sevil Ari
Hypernatremia in Hospitalized Children: a Clinical Study in Turkiye
(Karger, 2008) Yuca, Sevil Ari; Cesur, Yasar; Caksen, Huseyin; Arslan, Derya
Hyponatremia in Hospitalized Children: Review of 400 Cases
(Karger, 2009) Cesur, Yasar; Yuca, Sevil Ari; Dogan, Murat; Yilmaz, Cahide; Kaya, Avni; Akgun, Cihangir
Iatrogenic Cushing's Syndrome Due To Topical Steroid
(Nobel Ilac, 2009) Kaya, Avni; Yuca, Sevil Ari; Dogan, Murat; Sal, Ertan; Temel, Hayrettin; Cesur, Yasar
Diaper dermatitis (napkin rash) is a skin disease which can be seen in diaper areas of babies as rubor and in more serious cases as bulla and open wounds For treatment in necessary conditions, it is suggested to use antifungals and/or 0.5% hydrocortisone pomads in addition to symptomatic therapy such as moistening of the skin and removal of irritant agents from area Seven-month-girl and six-month-boy case was brought with excess weight intake complaints They were excessively obese and had an increase adipose tissue under their skins Both cases had used pomads involving clobetasol 17-propionate for the last 3 months Their family history was normal. Serum ACTH levels was <5 00 pg/mL (25-100 pg/mL) and plasma cortisol levels was <1 00 mu g/dL (5-23 mu g/dL) in both cases Cushing's syndrome associated with pomade with topical steroid was diagnosed in the cases and pomades that they used were abandoned. The cushinglike appearance has declined over time and disappeared after some time Cases are being followed as asymptomatically. It would not be surprising to sec more new cases of iatrogenic Cushing's syndrome, until usage of topical pomades, which has high steroid effect, without indication and especially without prescription is stopped.
Late Onset Arginine Succinate Lyase Deficiency With Normal Plasma Ammonia Level
(Nobel Ilac, 2011) Yilmaz, Cahide; Dogan, Murat; Cesur, Yasar; Caksen, Huseyin; Yuca, Sevil Ari; Atas, Bulent; Tuncer, Oguz
Arginine succinate lyase (ASL) deficiency is one of the most common cause of urea cycle defect and shows all characteristics of this disorders. This disease is presented with hyperammonemia, abnormally kinky hair and mental retardation. 6-years-old-girl was brought to our hospital because of skin eruption, weight loses, abdominal pain, having no appetite, polydipsia and pollakiuria. In physical examination, especially occipital balding, mental retardation, hepatomegaly, ataxia and articulation defect were found. She, who was diagnosed as ASL deficiency after the laboratory examinations, had normal blood ammonia levels. Finally in this study, we emphasize; ASL deficiency must be thought when a child has mental retardation and cerebellar ataxia, even if normal ammonia levels.
Pseudo-bartter's Syndrome Associated With Cystic Fibrosis
(Nobel Ilac, 2009) Akgun, Cihangir; Basaranoglu, Murat; Yuca, Sevil Ari; Akbayram, Sinan; Arslan, Suekrue; Kirimi, Ercan
Cystic fibrosis is an autosomal recessive inherited generalized disorder of exocrine gland function that results in abnormal mucus production. There is a tendency in infants with cystic fibrosis to develop episodes of hyponatremic, hypochloremic dehydration with metabolic alkalosis and elevated plasma renin and aldosterone levels which are the biochemical picture of the pseudo-Bartter's syndrome, Here in, we report a 48 day old boy with Pseudo-Bartter's syndrome associated with cystic fibrosis and we emphasized the importance of the salt supplementation in these patients.
Rapidly Progressive Renal Disease as Part of Wolfram Syndrome in a Large Inbred Turkish Family Due To a Novel Wfs1 Mutation (P.leu511pro)
(Elsevier, 2012) Yuca, Sevil Ari; Rendtorff, Nanna Dahl; Boulahbel, Houda; Lodahl, Marianne; Tranebjaerg, Lisbeth; Cesur, Yasar; Acikgoz, Mehmet
Wolfram syndrome, also named "DIDMOAD" (diabetes insipidus, diabetes mellitus, optic atrophy, and deafness), is an inherited association of juvenile-onset diabetes mellitus and optic atrophy as key diagnostic criteria. Renal tract abnormalities and neurodegenerative disorder may occur in the third and fourth decade. The wolframin gene, WFS1, associated with this syndrome, is located on chromosome 4p16.1. Many mutations have been described since the identification of WFS1 as the cause of Wolfram syndrome. We identified a new homozygous WFS1 mutation (c. 1532T>C; p.Leu511Pro) causing Wolfram syndrome in a large inbred Turkish family. The patients showed early onset of IDDM, diabetes insipidus, optic atrophy, sensorineural hearing impairment and very rapid progression to renal failure before age 12 in three females. Ectopic expression of the wolframin mutant in HEK cells results in greatly reduced levels of protein expression compared to wild-type wolframin, strongly supporting that this mutation is disease-causing. The mutation showed perfect segregation with disease in the family, characterized by early and severe clinical manifestations. (C) 2011 Elsevier Masson SAS. All rights reserved.
Report of a Girl With Infantile Hemangioendothelioma
(Modestum Ltd, 2005) Yuca, Koksal; Kosem, Mustafa; Yuca, Sevil Ari; Oral, Hayal; Bay, Ali
Infantile Hemangioendothelioma (IHE) is a rare vascular tumor with predominant involvement of soft tissues of extremities. The occurrence in the head and neck region is extremly rare. We report a four-month-old female with IHE in her lower lip. The clinical and histologic photographs depict the findings. The diagnosis and treatment of IHE are discussed.
Surgical Treatment Outcome of Subdural Empyema: a Clinical Study
(Karger, 2006) Yilmaz, Nebi; Kiymaz, Nejmi; Yilmaz, Cahide; Bay, Ali; Yuca, Sevil Ari; Mumcu, Cigdem; Caksen, Huseyin
A retrospective study of 28 patients identified with subdural empyema ( SE) at the Department of Neurosurgery between the years 1995 and 2005 was carried out. SE occurred in all patients following bacterial meningitis. The six most frequently encountered clinical features included: ( 1) fever in 22 (79%) patients; ( 2) disturbed consciousness in 16 (57%) patients; ( 3) papilledema in 11 (39%) patients; ( 4) hemiparesis in 4 (14%) patients; ( 5) meningismus or meningeal signs in 4 ( 14%) patients, and ( 6) seizures in 3 (11%) patients. In the majority of cases, the most frequent causative pathogen of SE was Staphylococcus aureus. Surgery was performed on all patients, which included craniotomy in a group of 20 patients and burr hole drainage in a group of 8 patients. In conclusion, we believe that infants and young children should be carefully monitored following meningitis, in case of SE development, and that surgical intervention in patients presenting with meningitis may facilitate the development of SE. Furthermore, from a surgical point of view, our experience has led us to believe that craniotomy in comparison with burr hole surgery is the best surgical modality for management of SE as the recurrence rate of SE associated with burr hole surgery is high. Copyright (c) 2006 S. Karger AG, Basel.
Vitamin D-Dependent Rickets: Eight Cases
(Modestum Ltd, 2016) Cesur, Yasar; Yuca, Sevil Ari; Bektas, Selcuk; Yilmaz, Cahide; Dulger, Haluk; Temel, Hayrettin
Objective: Vitamin D is essential for bone development and health, and deficiency resulting in rickets and skeletal deformities is seen mainly during rapid growth. Hereditary vitamin D dependent rickets type I and type II rickets is a very rare form of rickets, characterized by 1-alpha-hydroxylase deficiency or end-organ resistance to vitamin D. We aimed to investigate, clinical and laboratory characteristics of eight cases with Vitamin D-dependent rickets (VDRR). Method: The mean age of patients during diagnosis was 2.6 years. Excluding one patient, others were males (87.5%). Results: Mean laboratory values during referral was calcium 7.5 +/- 1,5 mg/dl, phosphorus 4 +/- 1.2 mg/dl, alkaline phosphatase (ALP) 1679 +/- 641 U/L and parathyroid hormone (PTH) 524 +/- 498 pg/ml. Patients received 1.2 mu g/kg/day calcitriol. During follow-ups serum ALP and PTH values of patients turned to normal levels. Conclusion: In rickets, cases with persistent increased serum ALP and PTH levels it will be appropriate to investigate serum 25 (OH) D levels in cases diagnosed with vitamin D-dependent rickets even though hypocalcaemia is absent. Administration of adequate doses of calcitriol in some cases is able to clinical and laboratory values return to normal.