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ONSUN, NAHIDE

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Now showing 1 - 3 of 3
  • PublicationOpen Access
    The allergens causing contact sensitization in textile industry workers
    (2014-09-01) Su, Ozlem; OZKAYA, Dilek Biyik; PIRMIT, Serpil; ULUSAL, Hande Arda; Onsun, NAHİDE; SU KÜÇÜK, ÖZLEM; ONSUN, NAHIDE
    Background and Design: Our aim was to determine the frequency of contact sensitization to textile materials and the most common textile allergens in patients who work in the textile industry and have been diagnosed with allergic contact dermatitis (ACD). Materials and Methods: Fifty textile industry workers, who attended our outpatient clinic with the diagnosis of ACD, between October 2005-December 2009, were enrolled in this study. While 50 patients were tested with the Thin layer-Rapid-Use-Epicutaneous (TRUE) test, 36 patients were tested with the TRUE test and textile series allergen. The results were analyzed as percentage and statistically. Results: Of the 50 patients, 34 (68%) were men, 16 (32%) were women. The mean of the subjects was 37.4 years. In 38.8 of the patients in whom TRUE test and textile series allergens applied together, at least one allergic reaction was seen. Of the 36 patients applied textile series in addition to the TRUE test, 33.3% of patients had positive reaction to only textile allergens, 2.7% to only standard series allergens, and 2.7% of subjects had positive reaction to both textile series and standard series allergens. 76.9% of these reactions were to dyes, 15.3% to resins and 7.6% of them were to both of them. Disperse blue 106(8.3%), acid red 359 (8.3%) and disperse red 17(5.5%) were the most positive reaction seen dyes. 18% of 50 patients tested with TRUE test alone showed at least one positive reaction. The most common standard series allergens were nickel sulphate (6%) and ethylenediamine dihydrocloride (6%). Both the relationship between atopy and contact sensitization and also the relationship with hand localization and contact sensitization to textile allergens were not statistically significant. Conclusion: In occupational textile dermatitis, contact sensitization is common and especially seen to disperse dyes. For the contact sensitization to textile materials, standard series allergens cannot be adequate in finding causative agent.
  • PublicationOpen Access
    Body mass index and psoriasis area and severity index relation in Turkish psoriasis population
    (2014-09-01) OZKAYA, Dilek Biyik; Onsun, NAHİDE; TOPUKCU, Bugce; Su, Ozlem; Dizman, DİDEM; Uysal, Omer; ONSUN, NAHIDE; SU KÜÇÜK, ÖZLEM; DİZMAN, DİDEM; UYSAL, ÖMER
    Background and Design: Psoriasis is a chronic immune-mediated inflammatory disease affecting 1-3% of the general population. Recently, it has been suggested that chronic inflammation in psoriasis may cause metabolic and vascular disorders. Most of recent studies focused on the comorbidities and the mechanisms of comorbidities associated with psoriasis. Obesity may lead to cardiovascular disorders, diyabetes mellitus, hypertension, malignancies, musculoskeleteal system diseases, impaired quality of life, and death. In this study, we aimed to investigate the prevalence of obesity in patients with psoriasis and the relationship between the disease severity and body mass index (BMI) in Turkish psoriasis population.
  • PublicationMetadata only
    Pitfalls of an Automated Dermoscopic Analysis System in the Differential Diagnosis of Melanocytic Lesions
    (2014-01-01) OZKAYA, Dilek Biyik; Onsun, NAHİDE; ULUSAL, Hande Arda; PIRMIT, Serpil; BIYIK ÖZKAYA, DİLEK; ONSUN, NAHIDE; SU KÜÇÜK, ÖZLEM
    Dermoscopy plays an important role in the diagnosis of pigmented lesions, particularly in the differential diagnosis of early-stage melanoma. Dermoscopy systems that aim to enable automatic -unmanned-without physician- diagnosis are becoming increasingly common. We aimed to investigate the reliability and weaknesses of diagnosis programs. Furthermore, we attempted to determine whether such programs are superior to diagnosis by a physician, compared to histopathological assessment. The images stored in the DermoGenius ultra-computerized dermoscopy system of the Dermoscopy Unit between January 2008 and December 2008 were surveyed retrospectively. Dermoscopic images made prior to excision of 77 lesions from 51 patients verified by histopathology were reviewed. Nineteen patients were men and 32 were women. Mean age was 35.5 years. Diagnosis by a clinician or automatic analysis revealed that 23 (30%) of the lesions were atypical (dysplastic) nevi, 22 (29%) were compound nevi, 10 (13%) were dermal nevi, 8 (10%) were malignant melanomas, 7 (9%) were common nevi, 6 (7%) were junctional nevi, and 1 (1%) was a blue nevus. Compared to histopathological diagnosis, considered the gold standard, the sensitivity of the automated analysis program was 96.6%, its specificity 14.9%, and its diagnostic accuracy 47%. For the clinician, the values were 100% for sensitivity, 66.7% for specificity, and 95% for diagnostic accuracy.