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Öğe Achondroplasia associated with metabolic syndrome: Patient report(BLACKWELL PUBLISHING, 2008) Pirgon, Ozgur; Atabek, Mehmet Emre; Sert, Ahmet[Abstract not Available]Öğe Acute Childhood Hemiplegia Associated With Chickenpox and Elevated Anticardiolipin Antibody(Sage Publications Inc, 2006) Aydın, Kürşad; Sert, Ahmet; Güzeş, Eylem Atılgan; Kıreşi, Demet A.Chickenpox is a common infection of childhood. Central nervous system complications, such as cerebellar ataxia and meningoencephalitis, are estimated to occur in less than 1% of cases of chickenpox. Although transverse myelitis and hemiplegia have also, although rarely, been reported, hemiplegia associated with chickenpox and elevated anticardiolipin antibody has not been reported in the literature. We report the case of a 2.5-year-old boy who developed a right hemiplegia 3 weeks after the onset of a primary varicella infection. The serum level of anticardiolipin antibody IgG was markedly elevated. Brain magnetic resonance imaging (MRI) revealed an infarction involving the left globus pallidus, caudate nucleus, and posterior leg of the internal capsule. Laboratory studies ruled out all known causes of stroke. Neurologic signs and symptoms slowly improved with supportive treatment. Varicella infection should be considered one of the possible causes of acute ischemic strokes in children. Usually, two or more risk factors are detected in children with ischemic strokes, and we suggest that all possible causes of strokes be investigated in children with ischemic strokes.Öğe The association of common atrium and smith-lemli-opitz syndrome in an infant(2008) Sert, Ahmet; Pirgon, Özgür; Atabek, Mehmet Emre; Doğan, MustafaSmith-Lemli-Opitz sendromu düşük plazma kolesterol düzeylerinin eşlik ettiği çoklu doğumsal anomali/mental gerilik ile kendini gösteren nadir bir sendromdur. Klinik spektrum holoprozonsefali ya da letal malformasyonlarla prenatal ölümden normal zeka ya da hafif zihinsel bozukluk ve hafif fiziksel anormalliği olan hastalara kadar değişmektedir. Doğumsal kalp hastalığı Smith-Lemli-Opitz sendromlu hastaların yarısında bulunmaktadır. Bilgilerimize göre, Smith-Lemli-Opitz sendromu ve ortak atrium birlikteliği tıp literatüründe daha önceden açıklanmamıştır. Böyle birlikteliğin olduğu 4 aylık infant olguyu sunuyoruz.Öğe A Case of Perlman Syndrome Presenting With Hemorrhagic Hemangioma(Lippincott Williams & Wilkins, 2006) Pirgon, Özgür; Atabek, Mehmet Emre; Akın, Fatih; Sert, AhmetThe presence of enlarged, echogenic kidneys in a newborn with generalized macrosomia points toward diagnosis of an overgrowth syndrome. These include Beckwith-Wiedemann, Perlman and Simpson-Golabi-Behmel syndromes. Perlman syndrome is an autosomal recessively inherited overgrowth syndrome characterized by fetal gigantism, visceromegaly, unusual face, bilateral renal hamartomas with nephroblastomatosis, and Wilms tumor. We report a male infant who exhibits typical features of Perlman syndrome with an unusual presentation. In this report, it is emphasized that hemangioma in neonatal period may be an unusual finding in Perlman syndrome.Öğe Clinical and laboratory characteristics of children with Kawasaki disease(2015) Akın, Fatih; Emiroğlu, Melike; Sert, Ahmet; Arslan, Şükrü; Solak, Ece SelmaAmaç: Bu çalışmada, kliniğimizde Kawasaki hastalığı (KH) tanısıyla takip ettiğimiz vakalarımızın klinik ve laboratuvar özelliklerini sunmayı amaçladık. Yöntemler: Konya Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniğine Mayıs 2010 ve Haziran 2012 tarihleri arasında KH tanısıyla yatırılarak takip edilen hastaların kayıtları retrospektif olarak incelendi. Bulgular: Yedi vakanın Kawasaki hastalığı tanısıyla izlendiği tespit edildi. Bu vakaların ikisi inkomplet Kawasaki hastalığı tanısı almıştı. Hastalarımızın tümünde (%100) orafarenks bulguları mevcuttu. Beş hastada (%71) bulbar konjonktivit vardı. Üç hastada (%43) BCG aşı yerinde eri tem gözlendi. Klasik Kawasaki hastalığı tanısı alanların tümünde servikal adenopati mevcuttu. Bir hastada ateşin yedinci gününde ortaya çıkan ve bir hafta içinde düzelen periungual deskuamasyon gözlendi. Tüm hastalarımızda yüksek eritrosit sedimentasyon hızı ve trombositoz mevcuttu. Takipleri süresince hastaların hiçbirinde kardiak komplikasyon gözlenmedi. Hastalarımızın tümü ateşin ilk 10 günü içinde IVIG tedavisi almıştı. Sonuç: Uzamış ateş şikayetiyle gelen her hastada ayırıcı tanıda KH düşünülmelidir. BCG aşısının rutin olarak uygulandığı ülkelerde BCG aşı yerinde gelişen eritem özellikle inkomplet KHnda tanı kriteri olarak kullanılabilir. Kardiyovaskuler komplikasyonların gelişmesini önlemek açısından hastalığın erken tanısı tedavisinin başlanması çok önemlidir.Öğe Cranial ultrasound as a non-invasive diagnostic technique in the diagnosis of subdural haemorrhage(B M J PUBLISHING GROUP, 2007) Sert, Ahmet[Abstract not Available]Öğe Diabetic Ketoacidosis, Thyroiditis and Alopecia Areata in a Child with Down Syndrome(SPRINGER INDIA, 2009) Pirgon, Ozgur; Atabek, Mehmet Emre; Sert, AhmetA 10-year-old girl with Down syndrome and alopecia areata was admitted with severe ketoacidosis. She had high blood glucose level: 615 mg/dL and her HbAlc level was 13.3 %. After the control of ketoacidosis and reduction of the plasma glucose level, we found low free T4 level and high TSH levels. Thyroid peroxidase antibodies titer was 1383 IU/mL and both gliadin and endomysial antibodies were negative. This was the first report of a child with Down syndrome showing type 1 diabetes combined with alopecia areata and autoimmune thyroid disease. [Indian J Pediatr 2009; 76 (12) : 1263-1264] E-mail: ozpirgon@hotmail.comÖğe Doble Outlet Right Ventricle with Discordant Atrioventricular Connections in a Newborn: Case Report and Brief Overview of the Literature(DERMAN MEDICAL PUBL, 2016) Sert, Ahmet; Aypar, Ebru; Gokmen, Zeynel; Oc, Mehmet; Odabas, DursunDouble outlet right ventricle is a rare cardiac malformation of all congenital cardiac defects. It is a heterogeneous group of abnormal ventriculoarterial connections. Both great arteries (pulmonary artery and aorta) arise primarily from the morphological right ventricle. Double outlet right ventricle with discordant atrioventricular connections have been reported rarely in the literature. We report a newborn with double outlet right ventricle with discordant atrioventricular connections arid hypoplastic pulmonary arteries. We reported a rare complex cardiac malformation diagnosed by echocardiography. Segmental approach and sequential analysis of cardiac segments by echocardiography are the clue for diagnosis of complex cardiac ma formationsÖğe Double Outlet Right Ventricle with Discordant Atrioventricular Connections in a Newborn:Case Report and Brief Overview of the Literature(2016) Sert, Ahmet; Aypar, Ebru; Gökmen, Zeynel; Öç, Mehmet; Odabaş, DursunÇift çıkışlı sağ ventrikül bütün doğumsal kalp defektlerinin nadir bir kardiyak malformasyondur. Anormal ventriküloarteryal bağlantıların heterojen bir grubudur. Her iki büyük arter (pulmoner arter ve aorta) esas olarak morfolojik sağ ventrikülden çıkmaktadır. Diskordan atriyoventriküler bağlantılı çift çıkışlı sağ ventrikül ve hipoplazik pulmoner arterleri olan bir yenidoğanı sunmaktayız. Ekokardiyografi ile tanı konulan nadir karmaşık bir kardiyak malformasyonu bildirdik. Ekokardiyografi ile segmental yaklaşım ve kardiyak segmentlerin ardışık analizi karmaşık kardiyak malformasyonların tanısında ipucudur.Öğe Evaluation of congenital anomalies accompanying gastrointestinal system malformation(Cukurova Medical Journal, 2019) Konak, Murat; Sert, Ahmet; Gunduz, Metin; Soylu, Hanifi; Uygun, Saime SundusPurpose: The aim of this study was to review accompanied congenital anomalies to gastrointestinal pathologies. Materials and Methods: The medical records of patients who were admitted to neonatal intensive care unit with gastrointestinal system surgical pathologies during 2015-2018 were retrospectively evaluated for associated congenital anomalies. Results: 67 patients were identified during the study period. The most common gastrointestinal system pathology was anal atresia in 15 cases (22.4%), followed by diaphragmatic hernia in 14 cases (20.9%), esophageal atresia (n: 10) and ileal atresia (n: 10) (14.9%). Thirty two patients (48.8%) have had accompanied congenital anomalies to gastrointestinal system pathologies. Congenital heart disease was the most common anomaly and the most frequent one was atrial septal defect in 18 cases (26.8%). In addition, there was complex congenital heart disease in (n: 13) 19.4%. In 12 patients (17.9%), accompanied extracardiac anomalies were detected. Hydronephrosis and sludge in gall bladder were detected in three patients (4.5%). Vesicoureteral reflux or ectopic kidney or polysplenia was detected as a separate anomaly in each case. In our cases, prematurity rate was found in 54%. Conclusion: Gastrointestinal system pathologies are frequently associated with multiple anomalies, especially with congenital heart diseases. In addition, these patients are likely to be preterm baby.Öğe Evaluation of the Results of Pulse Oximetry Screening for Detection Congenital Heart Disease in Konya Region Turkey(2019) Konak, Murat; Özcan, Beyza; Sert, Ahmet; Uygun, Saime Sündüs; Soylu, HanifiAim: Congenital heart disease (CHD) is one of the most common congenital anomalies. It is known that early detection of the criticallesions without symtomatic improves the prognosis of patients in the long term. In our study, we aimed to evaluate the efficacy andcost of pulse oximetry screening for detection of CHD in Konya region.Material and Methods: In our study, we analyzed the results of pulse oximetry screening of infants born between 2016 and 2018in Selcuk University and Saglik Bilimleri University Konya Training and Research Hospital. Positive screening test results and theircosts was evaluated.Results: Pulse oximetry was performed on a total of 3440 infants for screening congenital heart disease at two different centers. 2003(58.2%) of the cases were female and 1437 (41.8%) were male. The mean timing of screening was 24.713.1 (4-100) hours (mean SD (min-max). 292 (8.48%) infants were tested positive. Echocardiographic examination was performed in the positive cases. Theprevalence of CHD was found to be 27.6 ‰. The prevalence of critical CHD was 1.16 per 1000 live births. The false-positive screenrate was found to be 197 (5.7%). Among the cases who were screened, the most common CHD was the secundum ASD. The totalcost of probes was 2622 (497.91). The cost of echocardiography for 292 babies was approximately 13181 (2503).Conclusion: Screening for heart disease can be used effectively in the early diagnosis of serious and life-threatening diseasesin newborn and the cost is unneglectable in the early screening of patients. This study, the total cost of each infant screening isapproximately 4.5 (0.85) which appears to be a quite cheap and effective screening compared to the other countries.Öğe Extensive brown tumors caused by parathyroid adenoma in an adolescent patient(SPRINGER, 2008) Atabek, Mehmet Emre; Pirgon, Ozgur; Sert, Ahmet; Esen, H. HasanPrimary hyperparathyroidism is a rare endocrine disease in children and young adults. The early detection and treatment of primary hyperparathyroidism led to a marked decrease in classical bone and renal manifestations of the disease. Osteitis fibrosa cystica and brown tumors have become extremely rare clinical entities. Moreover, the skeletal involvement in primary hyperparathyroidism secondary to parathyroid adenoma is extremely rare. We report on an adolescent girl with multiple brown tumors and a history of recurrent fractures as the manifestation of primary hyperparathyroidism associated with a parathyroid adenoma. The patient's clinical presentation mimicked parathyroid carcinoma. She had a large tumor associated with marked elevation in the parathyroid hormone and serum calcium levels. Skeletal manifestations were also atypical for benign primary hyperparathyroidism, with widespread brown tumors in the patient.Öğe Familial Mediterranean fever associated with type 1 diabetes - Association or coincidence?(LIPPINCOTT WILLIAMS & WILKINS, 2006) Atabek, Mehmet Emre; Pirgon, Ozgur; Sert, Ahmet; Arslan, UgurFamilial Mediterranean fever, also known as a periodic disease or recurrent polyserositis, is an autosomal-recessive disorder characterized by recurrent attacks of fever, synovitis, peritonitis, or pleuritis. In patients presenting with typical clinical features and with an appropriate ethnic origin, the diagnosis can be made without genetic confirmation. The discovery of the MEFV gene has led to a molecular approach to diagnosis, aiming at improving the global diagnosis of the disease. Some diseases, mainly vasculitides, seem to be more common in familial Mediterranean fever. The "decreased antiinflammatory response" hypothesis and other putative mechanisms (cytokines) in familial Mediterranean fever can also take a predisposing and facilitating role in type I diabetes autoimmune pathogenicity. We describe a previously unreported association between familial Mediterranean fever and type I diabetes in a 9-year-old girl.Öğe A Girl With Metopic Synostosis and Trisomy 13 Mosaicism: Case Report and Review of the Literature(WILEY-BLACKWELL, 2011) Aypar, Ebru; Yildirim, M. Selman; Sert, Ahmet; Ciftci, Ilhan; Odabas, DursunTrisomy 13, or Patau syndrome is a rare chromosomal disorder characterized by a triad of cleft lip and palate, postaxial polydactyly and microcephaly. Complete, partial, or mosaic forms of the disorder can occur. Mosaic trisomy 13 is very rare, it occurs in only 5% of all patients with trisomy 13 phenotype. Metopic synostosis (MS) is premature fusion of the metopic suture, which is part of the frontal suture. It results in a V-shaped abnormality at the front of the skull. MS may occur in a syndromic or nonsyndromic form. We report on a 24-day-old girl with hypotonia, MS, trigonocephaly, capillary hemangioma, hypotelorism, upward slanting palpebral fissures, epicanthal folds, small nose with anteverted nares, high palate, ankyloglossia, long philtrum, low-set ears, short neck, postaxial polydactyly of both hands and feet and congenital heart defect. Cytogenetic analysis demonstrated trisomy 13 mosaicism; 46, XX[58]/47,XX,+13[42]. Although MS has been previously reported in complete and partial forms of trisomy 13, it has not been reported in mosaic form of trisomy 13. Our report supports the evidence that trisomy 13 causes MS. It also emphasizes the need for cytogenetic investigations in patients presenting with MS and multiple congenital anomalies for providing accurate diagnosis, genetic counseling, and prenatal diagnosis. (C) 2011 Wiley-Liss, Inc.Öğe Hematological Parameters and Inflammatory Markers in Children with Multisystem Inflammatory Syndrome(Selçuk Üniversitesi, 2022) Alkan, Gülsüm; Sert, Ahmet; Öz, Şadiye Kübra Tüter; Emiroğlu, MelikeObjective: Multisystem inflammatory syndrome in children (MIS-C), is a newly recognised lifethreatening complication of coronavirus disease 2019 (COVID-19). Early determination of clinical severity of the disease is important for early decision of treatment regimens. The aim of this study is to investigate the severity classification value of a number of hematological parameters, inflammatory markers and biochemical tests in patients with MIS-C during the acute stage and after anti-inflammatory treatment. Material and Methods: In this retrospective case-controlled study, 64 children with MIS-C and 95 healthy age and gender matched children were included. Patients were divided into three clinical severity groups; mild, moderate, and severe. Results: Mean platelet volume (MPV), MPV to lymphocyte ratio (MPVLR), d-dimer, ferritin, interleukin 6 (IL6) levels were significantly higher, while albumin levels were lower in the severe MIS-C group compared to all the other groups on admission. Neutrophil-to-lymphocyte ratio (NLR) and derived (d) NLR (d-NLR) levels were significantly higher in the moderate group compared to the mild group. In the pre-treatm ent period of MIS-C patients had higher MPV, platelet distribution width (PDW) values while they had lower white blood cell, lymphocyte, monocyte, haemoglobin, mean corpuscular volume (MCV), red cell distribution width (RDW), plateletcrit and platelet values compared to the posttreatment group. Lymphocyte, platelets, and haemoglobin levels were significantly higher in the control group compared to the pre-treatment group. Acute phase reactants, NLR, NMR, PLR, d-NLR, MPVLR and systemic inflammatory index were significantly higher in all MIS-C patients on admission compared to the control group. Conclusion: Specific routine laboratory test results may be useful in determining disease severity of MIS-C, possibly predicting the prognosis and early initiation of the appropriate treatment.Öğe Herediter multiple eksostoz(2005) Pirgon, Özgür; Atabek, M. Emre; Sert, AhmetHerediter multiple eksostoz, çok sayıda uzun kemiğin metafizinden dışarı büyüyen kıkırdakla kaplı benign kemik tümörü ile karakterize genetik bir hastalıktır. Prevalansının 1/50.000 olduğu tahmin edilmektedir. Eksostozlar iskelet büyümesinde duraklama, kemiklerde deformite, eklem hareketlerinde kısıtlanma, kısa boy, erken osteoartroz ve periferik sinir basısı gibi semptomlara neden olabilir. Malign dejenerasyon riski düşük (yaklaşık %1) olmasına rağmen kondrosarkoma dönüşüm riski yaşla artar. Herediter multiple eksostozun nadir görülen bir kemik displazisi olması nedeniyle üç vaka sunulmaktadır. Vakalarımızda olduğu gibi herediter multiple eksostozlu birey ve aileler için genetik konsültasyonun gerektiğini vurguladık.Öğe Hypokalemic rhabdomyolysis in a child with 11-hydroxylase deficiency(FREUND PUBLISHING HOUSE LTD, 2008) Atabek, Mehmet Emre; Pirgon, Ozgur; Sert, AhmetMyopathy is a well-recognized complication of persistent hypokalemia. Although hypokalemic myopathy may be due to divers diseases or to drug administration, hypokalemic rhabdomyolysis as a complication of under-treated 11-hydroxylase deficiency has not previously been described in the literature. We describe a 10 year-old boy with under-treated 11-hydroxylase deficiency who developed rhabdomyolysis following severe hypokalemia. Patients with under-treated 11-hydroxylase deficiency may present with hypokalemia in association with muscle weakness; if serum potassium is markedly low, rhabdomyolysis may occur. Hypokalemia-induced rhabdomyolysis should be carefully followed.Öğe Identical twins synchronously presented with diabetic ketoacidosis in infancy period(WILEY, 2006) Atabek, Mehmet Emre; Pirgon, Ozgur; Sert, Ahmet[Abstract not Available]Öğe Is Asymmetric Dimethylarginine a Useful Biomarker in Children With Carbon Monoxide Poisoning?(LIPPINCOTT WILLIAMS & WILKINS, 2019) Yazar, Abdullah; Akin, Fatih; Sert, Ahmet; Ture, Esra; Topcu, Cemile; Yorulmaz, Alaaddin; Ercan, FatihObjective Carbon monoxide poisoning (COP) is the leading cause of mortality and morbidity due to poisoning worldwide. Because children are affected more quick and severely from COP, they may require a longer treatment period, even if carboxyhemoglobin (CO-Hb) and/or lactate levels return to normal. Therefore, a new marker that predicts the duration of treatment and the final outcomes of COP is needed. Methods This case control study was conducted on 32 carbon monoxide-poisoned patients younger than 18 years who had been admitted to pediatric emergency department. The control group included age- and sex-matched 30 healthy children. Blood samples were obtained for analysis of arterial blood gases, CO-Hb percent, methemoglobine, lactate, and asymmetric dimethylarginine (ADMA). Results Asymmetric dimethylarginine levels were significantly increased (P < 0.05) in patients with COP on admission and after the treatment when compared with controls (1.36 [0.89-6.94], 1.69 [0.76-7.81], 1.21 [0.73-3.18] nmol/L, respectively). There was no positive correlation between CO-Hb and ADMA levels on admission and at 6 hours (P = 0.903, r = 0.218, P = 0.231, r = 0.022, respectively). Positive correlation was found between lactate and CO-Hb levels on admission (P = 0.018, r = 0.423). Conclusions This study showed that ADMA levels were still high after 6 hours of 100% oxygen therapy in children with COP, even CO-Hb and/or lactate levels return to normal range. On the basis of these results, we consider that ADMA may be a useful biomarker in patient with COP.Öğe Klediokranyal displazili olgularımızda endokrinolojik bulgular(2007) Sert, Ahmet; Pirgon, Özgür; Atabek, Mehmet EmreAmaç: Klediokranyal displazi iskelet ossifikasyonu ve diş gelişimini etkileyen, otozomal dominant kalıtılan bir hastalıktır. Klediokranyal displazinin başlıca semptomları açık fontanel, klavikulaların hipoplazisi veya yokluğu, dar pelvis, geniş simfizis ve kısa boydur. Olgu sunumu: Bu yazıda klediokranyal displazili olgularımızdaki endokrinolojik bulguları sunduk. Sonuç: Klediokranial displazili olgularda endokrinolojik bozukluklar diğer iskelet displazilerine göre muhtemelen daha sık görülmektedir.
