Publications by authors named "Ceylan Avcı"

Bullous pemphigoid (BP) is the most common autoimmune blistering disease, predominantly affecting the elderly. Current treatments rely mainly on corticosteroids and immunosuppressive agents but are often limited by significant side effects. Omalizumab, an anti-IgE monoclonal antibody, has emerged as a promising off-label therapy for BP, but predictive markers for treatment response remain poorly understood.

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Although intravenous immunoglobulin (IVIG) treatment is generally well tolerated, some adverse effects, ranging from mild to severe, can occur. Nephrotoxicity and thromboembolism are the significant adverse effects of IVIG. However, data on the frequency of thromboembolism and the impact of continuous treatment on renal functions in dermatology patients is limited.

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Background: Early melanomas, dysplastic melanocytic nevi, and melanocytic tumours of uncertain malignant potential (MELTUMPs) reveal similar clinic and dermoscopic findings leading to underdiagnosis of malign lesions or unnecessary excision of benign ones. High-grade dysplastic nevi and MELTUMPs in the intermediate category should be recognized and completely excised.

Objectives: We evaluated the diagnostic performance of pattern analysis, ABCD rule, colour, architecture, symmetry, and homogeneity algorithm, melanoma-specific structures and asymmetry of dermoscopic features in distinguishing early melanomas, high-grade dysplastic nevi, and MELTUMPs from low-grade dysplastic nevi.

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Background: Previous studies have noted the link between rosacea severity and quality of life, but there is limited understanding of how disease perception impacts these aspects. Additionally, sun exposure is identified as a common trigger for rosacea flare-ups, emphasizing the importance of sun protection practices in managing the condition. This cross-sectional study aims to fill the gap in the literature by investigating the relationship between clinical severity, disease perception, quality of life, and sun protection behaviors in rosacea patients.

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Article Synopsis
  • The study aims to enhance the management of melanocytic nevi with peripheral globules by analyzing dysplasia grades based on World Health Organization (WHO) criteria.
  • Researchers classified 66 lesions from 56 patients, finding that 9.1% were melanomas, 39.4% high-grade dysplastic nevi, and 50% low-grade dysplastic nevi, with age and specific lesion characteristics linked to higher risks of severe dysplasia.
  • The findings suggest that factors like age, irregular globule shape, and color diversity can help determine excision decisions, particularly advocating for excision of lesions in patients aged 60 and above due to increased melanoma risk.
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Omalizumab, a monoclonal anti-IgE antibody, has been used off-label in a few case series of bullous pemphigoids (BPs) with rapid efficacy and high safety profile. However, there is a lack of data to select patients who would get the most therapeutic benefit from omalizumab therapy. To assess if eosinophil-to-lymphocyte ratio (ELR), total serum IgE level, and serum eosinophil percentage would be useful in predicting response to omalizumab therapy in patients with BP.

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  • Febrile ulceronecrotic Mucha-Habermann disease (FUMHD) is a rare and serious skin condition that can be fatal and has no documented cases during pregnancy before.
  • Managing FUMHD in pregnant women is difficult because the disease is life-threatening, and effective treatments often aren't safe for pregnancy.
  • This report discusses a 27-year-old woman who was diagnosed with FUMHD at 19 weeks into her pregnancy and was treated with the antibiotics ceftriaxone and erythromycin.
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Background/aim: Melasma, a significant cosmetic problem, has been accepted by some authors as a photoaging illness in recent times. There is no published study evaluating the effects of the clinical and sociodemographic findings on illness perception and sun protection behaviors (SPBs) in patients with melasma.

Patients/methods: Sociodemographic data, personal characteristics, and clinical features of 150 patients with melasma were recorded in this cross-sectional study.

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We present 9-year-old fraternal twins from a family with piebaldism, having congenital depigmented macules and meeting the diagnostic criteria for neurofibromatosis type 1 () due to the multiple café-au-lait macules (CALMs) and intertriginous freckling at the same time. It's still a debatable issue that CALMs and intertriginous freckling may be seen in the clinical spectrum of piebaldism or these patients should be regarded as coexistence of piebaldism and . However, based on recent literature and our patients' findings, we suggest that this rare phenotypic variant of piebaldism may not need the careful clinical follow-up and molecular testing for .

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Even though infections are the most common cause of erythema nodosum (EN), only certain microorganisms take the great interest such as streptococci in knowledge. Our aim was to examine the frequency and type of infections in EN, to determine the characteristics of patients with an infectious etiology, and to discuss the role of these microbes in EN pathology in the context of their interactions with humans. Charts of 81 patients with EN who were seen between 2003 and 2017 were retrospectively reviewed.

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