Alopesi areatanın tanı ve takibinde dermoskopinin yeri
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Dosyalar
Tarih
2011
Yazarlar
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Yayıncı
Trakya Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Son dönemlerde saçlı deri hastalıklarının incelenmesinde dermoskopi giderek önem kazanmaya başlamıştır. Dermoskopi kullanımı tanının doğruluğunu artırır ve saç hastalıklarının patogenezini anlamaya katkıda bulunur.Bu çalışmada dermoskopinin, alopesi areatalı hastaların tanı ve takibindeki yeri belirlenmeye çalışıldı. Çalışmaya klinik olarak alopesi areata tanısı konulan 92 hasta dâhil edildi. Alopesi areatalı hastaların ilk gelişte ve tedavi sırasında, aylık takiplerinde dermatolojik muayeneleri ve dermoskopik incelemeleri yapılarak bulguları kaydedildi. Hastaların ilk gelişteki dermoskopik incelemelerinde, alopesi areatanın karakteristik dermoskopik bulguları olan sarı nokta, siyah nokta, kırılmış saç, sivrilen saç ve kısa vellüs kıllarından en az birinin görülme olasılığı %94.6 olarak bulundu. Alopesi areatanın sensitif tanı kriteri olan sarı nokta ise %71.7 oranında görüldü. Çalışmamızda alopesi areatalı hastaların, tedavi sırasında aylık takiplerinde, hastalığın aktivite göstergeleri olan, siyah nokta, kırılmış saç ve sivrilen saç sayısının aylara göre bakıldığında görülme yüzdelerinin azaldığını saptadık. Buna karşın hastalığın aktivitesiyle negatif ilişkili olan kısa vellüs kıl sayısının giderek artış gösterdiğini bulduk. Kısa vellüs kıllarındaki bu artışın, klinik iyileşmeyle korelasyon göstermiş olsa da istatistiksel olarak anlamlı olmadığını gördük. Sonuç olarak çalışmamızla, dermoskopik incelemenin alopesi areata tanısının doğrulanmasında noninvaziv olması ile tercih edilebilecek bir yöntem olduğunu destekledik.52 Ancak hastalığın takibinde dermoskopik incelemenin yararlılığı konusunda net bir görüş eldeedemedik. Anahtar kelimeler: Alopesi areata, dermoskopi, tanı, takip.
Abstract
Dermoscopy is becoming increasingly important in recent years in the investigation of scalp diseases. It improves diagnostic capability and helps to understand the pathogenesis ofhair disorders.Herein we investigated the role of dermoscopy in diagnosis and follow up of patients with alopecia areata.Ninety two patients clinically diagnosed as alopecia areata were included. Their findings in dermatological and dermoscopical examinations were recorded on first visits and during monthly controls. In dermoscopical examinations of their first visits, the rate of existance of at least one of the charecteristic dermoscopic findings of alopecia areata which are yellow dot, black dot, tapering hair, broken hair and short vellus hair, was %94.6. Yellow dot, sensitive diagnostic criteria of alopecia areata, was seen in %71.7 of patients. We found that the percentages of black dots, broken hairs and tapering hair which indicate disease activity, were decreasing during monthly follow up of treatment. On the other hand, the number of short vellus hair, which has a negative relationship with disease activity, was increasing. Although the increase in short vellus hair was correlated with clinical recovery, it was not statistically significant. 54 Our study supported the hypothesis that dermoscopy can be a preferred noninvasive method in the diagnosis of alopecia areata but we could not get an exact opinion that it can be useful in follow up. Key words: Alopecia areata, dermoscopy, diagnosis, follow-up.
Abstract
Dermoscopy is becoming increasingly important in recent years in the investigation of scalp diseases. It improves diagnostic capability and helps to understand the pathogenesis ofhair disorders.Herein we investigated the role of dermoscopy in diagnosis and follow up of patients with alopecia areata.Ninety two patients clinically diagnosed as alopecia areata were included. Their findings in dermatological and dermoscopical examinations were recorded on first visits and during monthly controls. In dermoscopical examinations of their first visits, the rate of existance of at least one of the charecteristic dermoscopic findings of alopecia areata which are yellow dot, black dot, tapering hair, broken hair and short vellus hair, was %94.6. Yellow dot, sensitive diagnostic criteria of alopecia areata, was seen in %71.7 of patients. We found that the percentages of black dots, broken hairs and tapering hair which indicate disease activity, were decreasing during monthly follow up of treatment. On the other hand, the number of short vellus hair, which has a negative relationship with disease activity, was increasing. Although the increase in short vellus hair was correlated with clinical recovery, it was not statistically significant. 54 Our study supported the hypothesis that dermoscopy can be a preferred noninvasive method in the diagnosis of alopecia areata but we could not get an exact opinion that it can be useful in follow up. Key words: Alopecia areata, dermoscopy, diagnosis, follow-up.
Açıklama
Tıpta Uzmanlık Tezi
Anahtar Kelimeler
Alopesi Areata, Dermoskop, Tanı, Takip, Alopecia Areata, Dermoscopy, Diagnosis, Follow-up
