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    Evaluation of cardiovascular risk in people with rosacea: A prospective study
    (2022) Dirim, Yusuf Cihan; Güner, Rukiye Yasak; Tosun, Mustafa; Akyol, Melih; Turgut, İsmail
    Systemic inflammation is accepted as a nontraditional cardiovascular risk factor and has been shown to play a role in all stages of atherosclerosis. Rosacea is a chronic inflammatory\rskin disease. In our study, we aimed to evaluate the cardiovascular risk in rosacea patients. 40 people with rosacea (30 women, 10 men) and a control group of\r40 age- and sex-matched individuals (28 women, 12 men) who had no chronic inflammatory skin disease were included in the study. Participants' body mass index (BMI)\rwas calculated and their blood pressure was measured. Fasting blood glucose, fasting blood insulin, lipid profile, hemogram, basic biochemical parameters, erythrocyte\rsedimentation rate, and C-reactive protein levels were analyzed after at least 8 hours of fasting. In all participants, carotid intima-media thickness (CIMT) was measured\rusing high-resolution B-mode ultrasonography (with a 4 MHz linear transducer. The mean CIMT values were 0.62 (0.18) mm in the rosacea group and 0.50 (0.14) mm in\rthe control group. Statistical comparison indicated that mean CIMT was significantly greater in the patients with rosacea compared to the control group (p=0.001). There\rwas no significant difference between the rosacea and control groups in terms of mean height, weight, BMI, or systolic and diastolic blood pressures (p>0.05). People with\rrosacea should be monitored periodically in terms of cardiovascular disease risk.
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    Psychiatric Comorbidity and Psychosocial Impairments in Children with Dermatologic Disorders
    (2020) Çiçek, Ayla Uzun; Sarı, Seda Aybüke; Güner, Rukiye Yasak; Akyol, Melih; Hayta, Berksoy Sibel; Çam, Selim
    Objective: Few studies have explored the psychiatric comorbidity, psychological and social factors in the field of pediatric psycho-dermatology, thus the literature about children and adolescents is limited. In this study, we aimed to find out the prevalence and pattern of psychiatric comorbidity and to investigate the impacts of dermatological problems on psychological well-being, school performance, self-esteem in children suffering from dermatologic disorders. Method:In total, 247 consecutive outpatients with different dermatologic disorders aged 4–17 years (143 (52.9%) females, mean age 11.81±3.40 years) were included in this study. A semi-constructed diagnosis interview and The Diagnostic and Statistical Manual of Mental Disorders (DMS-5) criteria were performed to establish a psychiatric diagnosis according to the age range of the child and adolescent. A specially prepared personal information sheet, Rosenberg Self-Esteem scale and Strengths and Difficulties Questionnaire were applied. Results:The prevalence of psychopathology was found to be 58.7% in our study population. The most common psychiatric comorbidities were anxiety disorders, mood disorders, attention deficit hyperactivitydisorder and disruptive behavior disorders. Dermatologic diagnoses were dividedinto 8 groups. The riskiest dermatologic diagnostic groups in terms of psychopathology, self-esteem, body appreciation anxiety, academic performance, social isolation, stigmatization, significant association with psychosocial stressors at onset and/or exacerbation were psoriasis, primary psychiatric disorders, pigmentation disorders and hair disorders. Conclusions:Psychiatric comorbidity is quite common (58.7%) in the pediatric population with dermatologic disorders. The impacts upon the psychosocial functioning of dermatologic conditions are also enormous. Both dermatologists and child and adolescent psychiatrists should be well aware of psychiatric disturbance or psychosocial impairment, and patients should be meticulously assessed for psychiatric support.