Vitiligo Hastalarında Sigara Kullanımının Hastalık Semptom ve Bulguları Üzerinde Etkisi Var Mıdır?

Year 2019, Volume: 5 Issue: 4, 373 - 379, 30.12.2019

Nur Cihan Coşansu

Abstract

Amaç:
Kliniğimizde vitiligo nedeniyle takip edilen hastalarda sigara kullanımının
hastalık semptom ve bulguları üzerine etkisi olup olmadığını araştırmayı amaçladık.

Materyal
ve Metod: Çalışmamızda Sakarya Üniversitesi Tıp Fakültesi
Eğitim ve Araştırma Hastanesi (SÜEAH) Dermatoloji Kliniğinde poliklinik takibi
olan hastaların retrospektif olarak dosyaları taranarak klinik ve laboratuvar
verileri kayıt altına alındı. Hastaların demografik verileri, komorbid
hastalıkları ve hastalıkları ile ilişkili bulguları retrospektif dosya
verilerinden kaydedildi.

Bulgular:
Çalışmaya 217 hasta alındı.  52 hasta sigara
kullanan (grup I) ve 165 hasta sigara kullanmayan grupta (Grup II) idi. Grup I
ile Grup II karşılaştırıldığında sigara kullananların yaş olarak daha büyük ve
erkek baskınlığında olduğu görüldü. Sigara içmeyen grupta Keobner fenomeni,
halo nevüs ve lökotrişi anlamlı derecede fazla saptandı. Repigmentasyon sigara
içenlerde daha az izlendi. HDL düzeyi sigara içen grupta daha düşük bulundu.

Tartışma:
Vitiligo hastalarında sigaranın bırakılması repigmentasyonun sağlanması
açısından önemlidir.

Keywords

vitiligo, repigmentasyon, sigara

Does Smoking Have Impact on Symptoms and Signs of Disease in Vitiligo Patients?

Abstract

Aim:
We
aimed to investigate whether smoking affects the symptoms and signs of vitiligo
in patients followed up for vitiligo in our clinic.

Materials
and Methods: In our study, the files of patients who
were followed up in outpatient clinic in Dermatology Clinic of Sakarya
University Medical Faculty Training and Research Hospital (SÜEAH) were
retrospectively scanned and clinical and laboratory data were recorded.
Patients' demographic data, comorbid diseases and their findings related to
their diseases were recorded from retrospective file data.

Results:
Two
hundred and seventeen patients were included in the study. Fifty-two patients
were in smokers group (group I) and 165 patients were in non-smokers group
(Group II). When Group I and Group II were compared, it was seen that smokers
were older and male dominated. Keobner phenomena, halo nevus and leukotrichia
were significantly higher in nonsmoker group. Repigmentation was less frequent
in smokers. HDL levels were lower in the smoker group.

Conclusion:
Smoking
cessation in vitiligo patients is important in terms of repigmentation.

Keywords

vitiligo, repigmentation, smoking

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