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    Adult T-cell acute lymphoblastic leukemia; skin involvement: Case report
    (Turkiye Klinikleri, 2015) Şen, Tu?ba; Şen, Bilge Bülbül; Yaldiz, Mehmet; Rifaio?lu, Emine Nur; Ekiz, Özlem; Taş, Zeynel Abidin; Kaya, Hasan
    T-cell acute lymphoblastic leukemia (T-ALL), derived from precursor T cell, is a hematologic malignancy which spreads over the extramedullary organs. Skin metastasis of leukemia; leukemia cutis, rarely seen in T-cell leukemia, is infiltration of skin by malign leukemic cells. A thirty-three years old woman who diagnosed as T-ALL one year ago was consulted to our department for skin lesions. In dermatological examination, erythematous brownish nodules and tumors were observed on her face, body and extremities. The lesions were evaluated as T-ALL skin involvement according to histopathological investigation. Chemotherapy was initiated to the patient. After treatment, noduler and tumoral lesions became smaller. However, the patient died because of sepsis. In conclusion, T-ALL which is a malignant hematological disease characterized by bone marrow and internal organ involvement rarely metastases to the skin. Skin involvement of T-ALL indicates poor prognosis. We present this case who has widespread skin lesions because it is rarely seen.
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    Öğe
    Frequency of Pediculus Capitis in pediatric neurology outpatients
    (Duzce University Medical School, 2014) Başarslan, Fatma; Kaya, Özlem Aycan; İnci, Melek; Motor, Vicdan Köksaldı; Kaya, Sadık; Şen, Bilge Bülbül; Yılmaz, Cahide
    Background: The aim of this study is to investigate the frequency of Pediculus capitis (P. capitis) in Pediatric Neurology outpatients. Materials and Metods: The study included total of 110 children between the ages 1-16, 39 male (35.5%) and 71 females (64.5%) who were referred to our hospital Pediatric Neurology outpatient clinic between March-May 2012. Children's hair, especially the back of the head and the neck were examined for adult lice, nymphs and eggs, and in order to determine the sociodemographic characteristics of families a questionaire was filled. Results: P. capitis infestation was detected in 3 male (2.7%), 34 female (30.9%) patients totally in 37 patients (33.6%) in our study. The incidence of parasites when the subjects were compared in terms of gender, significant differences were found in girls. When P. capitis infestation compared to the family's level of monthly income, the father's education level and occupation, was statistically significant but no significant correlation was found with the mother's education level occupation, the frequency of bathing. Conclusion: As a result, due to use of the common items for examinations and investigations in a hospital environment and with close contact P. capitis infection transmission should be considered. Therefore, we concluded that the health screenings must be done for head lice and when the subjects were treatment and education of the patients who are positive. © 2012 Düzce Medical Journal.