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Öğe Acne in pregnancy: A prospective multicenter, cross-sectional study of 295 patients in Turkey(Wiley, 2020) Kutlu, Ömer; Karadağ, Ayşe Serap; Ünal, Emine; Kelekçi, Kıymet Handan; Yalçınkaya İyidal, Ayşegül; Topaloğlu Demir, Filiz; Aksoy, Berna; Çölgeçen, Emine; Tosun, Mustafa; Emre, Selma; Tatlıparmak, Aslı; Demirseren, Duriye Deniz; Kaya Özden, Hatice; Öztürk, Murat; Özlü, Emin; Chen, WenchiehBackground There are only a few studies on acne in pregnancy. This study was aimed to investigate the demographic, clinical, and familial characteristics of acne in pregnancy, triggering factors including endocrine diseases, and association of these findings with acne in different trimesters of pregnancy. Methods Pregnant women aged 18 years and older with acne at any stage of pregnancy were consecutively interviewed at the participating centers during the study period from 2016 to 2019. Acne severity was evaluated using the Comprehensive Acne Severity Scale. Results A total of 295 pregnant women with acne were included, with 167 (56.6%) patients showing mild, 87 (29.5%) moderate, six (12.2%) severe, and five (1.7%) very severe acne. Truncal acne was significantly higher in the third trimester than in the other stages (P < 0.001). Onset of acne before pregnancy, prepubertal, pubertal or adult onset, or acne history in previous pregnancies did not influence acne severity in pregnancy. Women with irregular menstruation before pregnancy, polycystic ovary syndrome, hirsutism, and higher body weight index tended to show severe acne in pregnancy. Conclusions Severe acne during pregnancy is generally uncommon, while severity of facial acne, truncal acne, and hirsutism is higher in the third trimester than in other trimesters. Acne in pregnancy shares many characteristics with female adult acne. Substantial changes in different kinds of hormones play a more complex role in acne during pregnancy, but the pathogenesis remains to be determined.Öğe Has the COVID-19 pandemic changed attitudes and behaviors concerning cosmetic care and procedures among patients presenting to the dermatology outpatient clinic? A multicenter study with 1437 participants(Wiley, 2021) Aslan Kayıran, Melek; Kara Polat, Asude; Alyamaç, Gökçen; Demirseren, Duriye Deniz; Taş, Betül; Kalkan, Göknur; Özkök Akbulut, Tuğba; Kaya Özden, Hatice; Koska, Mahmut Can; Emre, Selma; Kaya Erdoğan, Hilal; Tükenmez Demirci, Gülşen; Güngör, Şule; Özcan Arslan, Nimet; Ağaoğlu, Esra; Kurmuş, Gökçe Işıl; Aksoy, Hasan; Tatlıparmak, Aslı; Süslü, Hülya; Topal, İlteriş Oğuz; Topaloğlu Demir, Filiz; Acer, Ersoy; Duman, Hatice; Gürel, Mehmet Salih; Karadağ, Ayşe SerapBackground The rate of cosmetic procedures and use of skincare products is considered to be affected during the pandemic period; however, this has not been investigated yet. Objective To determine whether the ongoing pandemic has changed people's habits related to skincare products and cosmetic procedures. Methods We conducted a multicenter survey study covering both private and public hospitals. Sociodemographic characteristics and clinical diagnoses of the patients were noted by dermatologists. A survey was used to determine the type and application areas of skincare products and cosmetic procedures before and during the pandemic, whether the patients were concerned about being infected, and any change in the make-up habits of female patients. Results Of the 1437 patients, 86.7% presented to the hospital due to dermatological complaints and 13.3% for cosmetic procedures. The rate of those that did not use skincare products was 0.05% before and 0.06% during the pandemic. Of the participants, 43.2% had undergone cosmetic procedures before and 38.1% during the pandemic. For both periods, the most frequent cosmetic procedure applied was laser epilation, followed by skincare treatment and chemical peeling. While undergoing these procedures, 34.9% of the patients were concerned about contracting coronavirus. Conclusion There was no significant difference in the use of skincare products and cosmetic procedures before and during the pandemic. The majority of the patients continued to undergo these procedures despite their fear of being infected. This shows that during the pandemic period, patients are concerned with their appearance and continue to undergo cosmetic procedures and pay attention to their skincare.Öğe Patient use of complementary and alternative medicine for psoriasis vulgaris and factors believed to trigger the disease: A multicenter cross-sectional study with 1621 patients(Mattioli 1885, 2022) Aslan Kayıran, Melek; Karadağ, Ayşe Serap; Topal, İlteriş Oğuz; Emre, Selma; Adışen, Esra; Kılıç, Sevilay; Keskin, Nuray; Kara Polat, Asude; Çevirgen Cemil, Bengü; Polat, Mualla; Yılmaz, Oğuz; Ayvaz, Hilal; Topaloğlu Demir, Filiz; Sarıkaya Solak, Sezgi; Uçmak, Derya; Aytekin, Sema; Gürel, Mehmet Salih; Polat Ekinci, Algün; Bölük, Kübra Nursel; Şendur, Neslihan; Özkök Akbulut, Tuğba; Öztürk, Günseli; Erbaş, Ayda; Alpsoy, ErkanIntroduction: Due to the chronic recurrent nature of psoriasis vulgaris (PV) and lack of definitive treatment for the disease, patients often resort to alternative treatments. Physicians seem to have low awareness of this issue. Objectives: To elicit the perceptions of 1,621 PV patients on complementary and alternative medicine (CAM) and examine factors reported to worsen PV. Methods: The patients sociodemographic characteristics, Psoriasis Area Severity Index (PASI), Dermatology Life Quality Index (DLQI), disease duration, and severity were recorded, and the patients CAM use was questioned in detail. The patients were also asked about factors that worsened PV and their experiences with a gluten-free diet. Results: Of the patients, 56.51% had used CAM. The mean age, illness duration, PASI scores and DLQI of those using CAM were significantly higher. CAM use was significantly higher in those with facial, genital involvement, and arthralgia/arthritis. The patients mostly referred to CAM when PV became severe (46.4%). Of the CAM users, 45.52% used herbal topicals. The physicians of 67.03% did not inquire whether they used CAM. Of the participants, 37.73% considered that stress worsened their disease. Gluten-free diet did not affect PV symptoms in 52.22%. Conclusions: Patients CAM use is often overlooked by dermatologists. Our results showed that more than half the patients used CAM and did not share this information with their physicians. Therefore, the awareness of physicians should be increased and patients should be asked about the use of CAM and directed to the appropriate medical treatment options by physicians.Öğe Skin manifestations following anti-COVID-19 vaccination: A multicentricstudy from Turkey(Wiley, 2023) Topal, İlteriş Oğuz; Tokmak, Aslı; Kurmuş, Gökçe Işıl; Kalkan, Göknur; Demirseren, Düriye Deniz; Tosun, Mustafa; Emre, Selma; Özkök Akbulut, Tuğba; Kaya Özden, Hatice; Koska, Mahmut Can; Külcü Çakmak, Seray; Kutlu, Ömer; Mutlu, Emine; Gür Aksoy, Güneş; Topaloğlu Demir, Filiz; Karadağ, Ayşe SerapPurpose: After the emergence of the pandemic caused by the COVID-19 virus, vaccination with various vaccines has started to be implemented across the world. To identify dermatological reactions developing after the COVID-19 vaccines administered in Turkey and determine their clinical features and risk factors that may play a role in their development. Materials and Methods: The study included patients aged ?18 years, who presented to 13 different dermatology clinics in Turkey between July 2021 and September 2021 after developing dermatological reactions following the administration of the COVID-19 vaccine. After providing written consent, the patients were asked to complete a standard survey including questions related to age, gender, occupation, comorbidities, the regular medication used, the onset of cutaneous reactions after vaccination, and localization of reactions. Dermatological reactions were categorized according to whether they developed after the first or second dose of the vaccine or whether they occurred after the inactivated or messenger RNA (mRNA) vaccine. The relationship between dermatological reactions and some variables such as gender and comorbidities was also evaluated. Results: A total of 269 patients [116 women (43.1%), 153 men (56.9%)] were included in the study. It was observed that the dermatological diseases and reactions that most frequently developed after vaccination were urticaria (25.7%), herpes zoster (24.9%), maculopapular eruption (12.3%), and pityriasis rosea (4.5%). The rate of dermatological reactions was 60.6% after the administration of the mRNA vaccine and 39.4% after that of the inactivated vaccine. There was a statistically significantly higher number of reactions among the patients that received the mRNA vaccine (p = 0.001). Conclusion: The most common reactions in our sample were urticaria, herpes zoster, and maculopapular eruption. Physicians should know the dermatological side effects of COVID-19 vaccines and their clinical features.
