TY  - JOUR
T1  - Clinicoepidemiologic Characteristics and Prevalence of Venous Insufficiency in Patients with Pigmented Purpuric Dermatosis
TT  - Pigmente Purpurik Dermatoz Hastalarında Klinik-Epidemiyolojik Özellikler ve Venöz Yetmezlik Sıklığının İncelenmesi
AU  - Ertekin, Sümeyre Seda
AU  - Bal Avcı, Elif
AU  - Özcanlı, Adil
AU  - Göre Karaali, Müge
AU  - Turgut Erdemir, Vefa Aslı
AU  - Gürel, Mehmet Salih
AU  - Koku Aksu, Ayşe Esra
PY  - 2024
DA  - March
Y2  - 2023
DO  - 10.4274/atfm.galenos.2023.71463
JF  - Ankara Üniversitesi Tıp Fakültesi Mecmuası
PB  - Ankara University
WT  - DergiPark
SN  - 0365-8104
SP  - 61
EP  - 67
VL  - 77
IS  - 1
LA  - en
AB  - Objectives: To describe clinic-epidemiological characteristics of pigmented purpuric dermatosis (PPD) and to assess the potential relationship between venous insufficiency and PPD.Materials and Methods: We retrospectively reviewed the medical records of all patients diagnosed with PPD at University of Health Sciences Türkiye, İstanbul Training and Research Hospital dermatology clinics between January 2010 and September 2022. Clinical, demographic, and radiological characteristics were examined.Results: The study included a total of 195 PPD patients, of whom 111 were female (57%). The mean age of the patients was 44.25±19.99 years, and the average disease duration was 15.4±24.1 months. The most common subtype of the disease was Schamberg’s disease (66%), followed by Majocchi’s disease (16%), lichen aureus (8%), pigmented purpuric lichenoid dermatitis of Gougerot-Blum (7%), and eczematid-like purpura of Doucas and Kapetanakis (2%). Almost all patients (99%) had lesions on their lower extremities, while only 26 (13%) had lesions on the upper body. Lesion distribution was bilateral in 167 (87%) of the cases. Venous Doppler ultrasonography was performed in 101 patients, with venous insufficiency detected in 24 (23.8%) of them. There were no statistically significant differences in terms of age, gender, and disease duration between patients with and without venous insufficiency. There was no correlation between the laterality of venous insufficiency and the lateralityof lesion distribution.Conclusion: Considering venous insufficiency is reported to affect 7% to 30% of the general population, our study implies that its occurrence in PPD patients may not be higher than in the general population, contrary to prior research. Key Words: Venous insufficiency, pigmented purpuric eruption, doppler ultrasonography, pigmentation disorders
KW  - Venous insufficiency
KW  - pigmented purpuric eruption
KW  - doppler ultrasonography
KW  - pigmentation disorders
N2  - Amaç: Pigmente purpurik dermatozların (PPD) klinik ve epidemiyolojik özelliklerini tanımlamak ve hastalığın venöz yetmezlik ile olası ilişkisiniaraştırmaktır.Gereç ve Yöntem: Ocak 2010 ile Eylül 2022 tarihleri arasında Sağlık Bilimleri Üniversitesi, İstanbul Eğitim ve Araştırma Hastanesi dermatolojipolikliniklerine başvuran, histopatolojik olarak PPD tanısı konmuş tüm hastaların dosyaları retrospektif olarak taranarak; klinik, demografik veradyolojik özellikleri kaydedildi. Bulgular: Çalışmaya 111’i kadın (%57) toplam 195 PPD hastası dahil edilmiş olup, hastaların ortalama yaşı 44,25±19,99 idi. Ortalama hastalıksüresi 15,4±24,1 aydı. En sık tespit edilen hastalık subtipi Schamberg hastalığı (%66) iken bunu sırası ile Majocchi hastalığı (%16), liken aureus(%8), Gougerot-Blum’un likenoid pigmente purpurik dermatiti, (%7) ve Doucas ve Kapetanakis’in egzama benzeri purpurası (%2) izledi. Hastalarınneredeyse tamamında (%99) alt ekstremitede lezyon bulunurken, yalnızca 26 (%13) hastada bel üstü vücut bölgelerinde lezyon tespit edildi.Lezyonların dağılımı 167 (%87) hastada bilateraldi. Alt ekstremite venöz Doppler ultrasonografi incelemesi 101 hastada yapılmış olup, bunların24’ünde (%23,8) venöz yetmezlik tespit edildi. Venöz yetmezlik tespit edilen ve edilmeyen hastalar arasında yaş, cinsiyet, hastalık süresi açısındanistatistiksel olarak anlamlı fark bulunmadı. Venöz yetmezlik lateralitesi ile lezyon dağılımların lateralitesi arasında korelasyon bulunmadı.Sonuç: Genel popülasyonda venöz yetmezlik prevalansının %7-30 arasında değişen sıklıkla bildirildiği göz önüne alındığında, bizim çalışmamızdaönceki çalışmalardan farklı olarak PPD hastalarında venöz yetmezlik görülme sıklığının topluma göre artmış olmadığı düşünülmüştür.Anahtar Kelimeler: Venöz yetmezlik, pigmente purpurik dermatoz, doppler ultrasonografi, pigmentasyon bozuklukları
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UR  - https://doi.org/10.4274/atfm.galenos.2023.71463
L1  - https://dergipark.org.tr/en/download/article-file/4912679
ER  -