Browsing by Author "Mansur, A. Tulin"

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    A case of elephantiasis nostras verrucosa treated successfully by a new type of compressive garment
    (2020) Mansur, A. Tulin; Ozker, Emre; Demirci, Gulsen Tukenmez; 32981199
    Elephantiasis nostras verrucosa (ENV) is a clinical manifestation composed of hyperkeratotic, verrucous, and papillomatous lesions and dermal fibrosis, which complicate chronic lymphedema. There is currently no cure for ENV, however, several measures have been used to reduce lymphedema and the resultant pseudoepidermal hyperplasia. Supportive dressings and compression therapy still constitute an important part of the treatment. In this report, we present a 69-year-old male patient with ENV developed due to chronic lymphedema caused by venous insufficiency. After failure of healing with conventional two- and three-layered bandages, and elastic stockings, he was successfully treated by a new type of compression garment. We recommend this user friendly garment for prevention of frictional trauma, contact dermatitis, and secondary infection, which all may complicate compression treatments.
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    An Extraordinary Manifestation of Nodular Cystic Fat Necrosis
    (2016) Demirci, Gulsen Tukenmez; Mansur, A. Tulin; Ozker, Emre; Demiralay, Ebru; https://orcid.org/0000-0002-9646-0719; 26894780; D-6031-2017
    Nodular cystic fat necrosis (NCFN) is characterized by mobile subcutaneous nodules composed of necrotic adipocytes encapsulated by fibrous tissue. The classical presentation of NCFN is solitary or multiple, up to 40, discrete nodules scattered usually on the extremities or trunk. Here, the authors present an elderly woman who developed an unusual and striking clinical picture of NCFN, two months after a fall. The patient had a large indurated plaque and subcutaneous nodule with superposing necrotic ulcers. During debridement of the ulcers, nearly 100 small nodules popped up freely along with a brownish discharge. Deep in the ulcer, the authors discovered a dislocated nail that belongs to an old hip prosthesis. Histopathological findings of the nodules were compatible with NCFN.
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    Is It A Sarcoidal Foreign-Body Granuloma or A Cutaneous Sarcoidosis on A Permanent Eyebrow Make-Up?
    (2016) Demirci, Gulsen Tukenmez; Mansur, A. Tulin; Yildiz, Semsi; Guelec, A. Tulin; https://orcid.org/0000-0002-9646-0719; 26073118; D-6031-2017
    Permanent make-up is a kind of cosmetic tattoo in which the colorants (pigments) are deposited in dermis after piercing the skin by tiny solid needles. It may cause some adverse effects such as local inflammation, infection, and allergic reactions on the skin and even systemic adverse effects such as sarcoidal reactions. Here the case of a 34-year-old woman who has some yellowish hard shiny papules on her eyebrows after having a permanent make-up is described. The histopathological examinations of the papules are diagnosed as sarcoidal foreign-body reactions. All the laboratory investigations were in normal limits except a mild elevation in angiotensin converting enzyme or ACE level. The lesions mostly improved after topical corticosteroid treatment. Sarcoidal foreign-body reaction due to permanent make-up is discussed with this presentation.
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    Pseudoverrucous papules and nodules in an elderly woman with encopresis: effects of cryotherapy
    (2020) Mansur, A. Tulin; Ramadan, S.; Oguz, N.
    Pseudoverrucous papules and nodules (PPN) is a type of irritant dermatitis, usually secondary to urinary incontinence or encopresis and may mimic several infectious, inflammatory, and neoplastic disorders. Although topical barrier agents have been used, the lesions regress only after the irritating factors are removed. Herein we report a 79-year-old woman with onset of PPN due to faecal incontinence after a cerebrovascular accident. Histopathological examination of the perianal and gluteal papulonodules confirmed the diagnosis of PPN. We treated the lesions with cryotherapy together with barrier creams, topical antibiotics and antiseptics. After five sessions of cryotherapy performed 3 weeks apart, a partial response was achieved. However, due to an episode of pneumonia, treatment was interrupted for three months during which the lesions relapsed. In conclusion, treatment of PPN should involve elimination of the precipitating factors, while destructive or surgical methods may only provide temporary relief.