Bolu Yöresindeki Multipl Skleroz Hastalarında Görülen Dermatolojik Bulgular

Abstract

Amaç: Multipl skleroz (MS) inflamasyon, demiyelinizasyon ve akson hasarı ile karakterize otoimmün bir santral sinir sistemi hastalığıdır. Bu rahatsızlığa psikiyatrik bozukluklar, hipertansiyon, hiperlipidemi, uyku bozuklukları gibi başka hastalıklar da eşlik edebilmektedir. Çalışmamızda, MS tanısı almış bireylerin dermatolojik hastalıklar açısından incelenmesi amaçlandı.

Gereç ve Yöntemler: Çalışmamıza, Mc Donald kriterlerine göre relapsing remitting ya da progresif relapsing MS tanısı alan 45 hasta dahil edildi. Hastalara, ayrıntılı dermatolojik muayene yapıldı.

Bulgular: MS hastalarına tanı konulan dermatolojik hastalıklar, 18 ana grupta incelendi. Bu hastalıklardan en sık görülen altı hastalık sırasıyla; nevüsler (%62.22), saç hastalıkları (%60), benign neoplazmlar (%57.77), oral mukoza hastalıkları (%55.55), infeksiyöz dermatozlar (%48.88), kserozis kutis (%48.88) idi.

Sonuç: MS hastalarında eşlik eden dermatolojik hastalıklar konusunda elimizde yeterli veri yoktur. MS etyopatogenezindeki inflamatuar yolaklar, vitamin eksiklikleri ve tedavi için kullanılan ilaçlar dermatolojik bulguların görülmesine yol açabilir. MS hastalarının kapsamlı dermatolojik muayenesi erken tanı ve tedavi imkanı nedeniyle önemlidir. 

Keywords

• Multipl skleroz,cilt

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