Anthracosis is a type of mild pneumoconiosis secondary to harmless carbon dust deposits. Although... more Anthracosis is a type of mild pneumoconiosis secondary to harmless carbon dust deposits. Although anthracosis was previously associated with inhaled coal particles, such as coal workers' pneumoconiosis, this hypothesis was later abandoned; pathology has been associated with inhaled dust particles. Our paper is the first case report of ANCA-associated vasculitis and anthracosis coexistence. In addition, it aims to highlight that histopathologically proven anthracotic granulomatous nodules can show high FDG uptake in PET/CT contrary to expectation. We present a case of a 73-year-old male with p-ANCA-associated vasculitis and anthracotic lung nodules accompanied by radiological and clinical findings. The patient got diagnosis with p-ANCA-associated vasculitis with serological and rheumatological tests. Atypically, the clinical findings of the patient were weak (No dyspnoea, cough or additional pulmonary complaints). Nodules were present on X-ray graphics and nodules’ contours were...
Bronchiectasis is a common disease with exacerbations which increases the economic burden over th... more Bronchiectasis is a common disease with exacerbations which increases the economic burden over the years as in other chronic airway diseases. It can occur due to a lot of causes, disease is characterized by permanent abnormal expansion of the bronchi. Pulmonary rehabilitation (PR) is an important treatment option for breaking the vicious cycle of chronic inflammation and infection. Airway cleaning techniques, exercise training and education are specially planned and implemented for the individual. There is a need for studies on the implementation of PR at exacerbation of bronchiectasis and its long-term effects.
Tuberculosis is an important health issue with a rising incidance all around the world. Nearly 1%... more Tuberculosis is an important health issue with a rising incidance all around the world. Nearly 1% of the tuberculosis patients are intestinal tuberculosis (IT). It is predicted that IT prevalance will increase along with the rise of tuberculosis prevalence. The diagnosis of IT is difficult ...
Pleomorphic carcinoma of the lung is a rare malignant tumour and is type of lung cancer with a po... more Pleomorphic carcinoma of the lung is a rare malignant tumour and is type of lung cancer with a poor prognosis when the tumor is not resected in early stages. A 68 years old man applied with complaints of cough, hemoptysis and breathlessness. There was irregular ...
ÖZET Amaç: Pozitif hava yolu basıncı (PAP) tedavisi, düzenli kullanılma koşuluyla uyku ile ilişki... more ÖZET Amaç: Pozitif hava yolu basıncı (PAP) tedavisi, düzenli kullanılma koşuluyla uyku ile ilişkili solunum bozukluğunun (USB) en etki-li tedavi yöntemidir. PAP tedavisine uyum, USB bulunan hastala-rın etkin tedavisi ve tedavi izlemi için önemlidir. Bu çalışmada PAP tedavisine uyumu iyi olmayan USB olan hastalarda uyumu bozan etkenleri araştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya, uyku bozuklukları merkezinde 2006-2007 yılları arasında yapılan polisomnografi (PSG) ile USB tanısı konan ve PAP tedavisi önerilen 125 hasta dahil edildi. Hastalara ortalama 12 ay sonra telefonla uyku özelliklerine ait anket uygulandı. Bulgular: Yüz yirmi beş hastanın 24'ü kadındı (%17,5) ve yaş orta-laması 52,3 (SS: 10) idi. Obstrüktif Uyku Apne Sendromu 108 (%86,4), Santral Uyku Apne Sendromu 6 (%4,8), Uyku ile İlişkili Hipoventilasyon-Hipoksemi Sendromu 11 (%8,8) hastada bulun-du. O sırada PAP tedavisi kullanımı ortalama 10,2 ay takip son-rası; 85 (%67,4) hastada ortalama haftada 6,8 gün ve gec...
BACKGROUND: Bronchiectasis is common in patients with advanced chronic obstructive pulmonary dise... more BACKGROUND: Bronchiectasis is common in patients with advanced chronic obstructive pulmonary disease (COPD) and adversely affects the patients' clinical condition. This study aimed to investigate the effects of bronchiectasis on exercise capacity, dyspnea perception, disease-specific quality of life, and psychological status in patients with COPD and determine the extent of these adverse effects by the severity of bronchiectasis. METHODS: A total of 387 COPD patients (245 patients with only COPD [Group 1] and 142 COPD patients with accompanying bronchiectasis [Group 2]) were included in the study. The patients in Group 2 were divided into three subgroups as mild, moderate, and severe using the Bronchiectasis Severity Index. Six-minute walk distance, dyspnea perception, St. George's Respiratory Questionnaire (SGRQ), and hospital anxiety and depression scores were compared between the groups. RESULTS: In Group 2, dyspnea perception, SGRQ total scores, depression score were higher, and walking distance was lower (P = 0.001, P = 0.007, P = 0.001, and P = 0.011, respectively). Group 2 had significantly worse arterial blood gas values. Dyspnea perception increased with the increasing severity in Group 2 (P < 0.001). Walking distance was lower in patients with severe bronchiectasis (P < 0.001). SGRQ total score, anxiety, and depression scores were significantly higher in the severe subgroup (P < 0.001, P = 0.003, and P = 0.002, respectively). CONCLUSIONS: In patients with Stage 3 and 4 COPD, the presence of bronchiectasis adversely affects the clinical status of the patients, decreases their exercise capacity, deteriorates their quality of life, and disrupts their psychological status. Investigating the presence of bronchiectasis in COPD patients is crucial for early diagnosis and proper treatment.
Increased occurrence of sleep related breathing disorder has been reported in patients with head ... more Increased occurrence of sleep related breathing disorder has been reported in patients with head trauma, but the association has not been elucidated. This study was aimed to investigate the association between sleep apnea syndrome and head trauma. Of the 564 patients, who had polysomnography with a preliminary diagnosis of sleep apnea, 334 (participation rate: 59%) gave consent and had telephone administered survey, which included information on history of head trauma and traffic accident. Obstructive sleep apnea syndrome (OSAS) and central sleep apnea syndrome (CSAS) were present in 263 (78.7%) and 12 (3.6%) patients, respectively. Head trauma, head and neck injury, neck hernia and traffic accident were reported in 93 (27.8%), 40 (12.0%), 35 (10.5%), 82 (24.6%) patients, respectively. Linear regression analysis adjusting for age, gender and BMI found association of cervical hernia with obstructive AHI (beta-12.8, 95% CI: -22.5, -3.2); and traffic accident as a driver w ith central ...
Background/Aim. Previous population-based studies found association between duration of sleep and... more Background/Aim. Previous population-based studies found association between duration of sleep and cardiovascular and metabolic comorbidities. Our aim was to investigate the association between the duration of sleep and cardiovascular and metabolic comorbidities in OSAS.Patients and Methods. The study enrolled 312 patients, who had polysomnography (PSG) during 2006-2007 and responded to a telephone-administered questionnaire providing information on characteristics of sleep on average 12 months after PSG.Results. Of the patients, 90 were female (28.8%), 173 (58.5) received the diagnosis of OSAS, 150 (45%) had no comorbidities, 122 had hypertension (HT), 44 had diabetes mellitus (DM), and 38 had coronary heart disease (CHD). Mean ± SD of age in years was47.2±10.6,56.5±9.3,53.2±8.9, and59.9±9.0for the no comorbidity, HT, DM, and CHD groups, respectively. Reported duration of sleep was not associated with any of the comorbidities in the overall group. In the analysis restricted to OSAS ...
Tüberküloz; tüm dünyada insidansı halen artmakta olan önemli bir sağlık sorunudur. Tüberkülozlu h... more Tüberküloz; tüm dünyada insidansı halen artmakta olan önemli bir sağlık sorunudur. Tüberkülozlu hastaların yaklaşık %1'i intestinal tüberkülozdur. Ancak tüberküloz insidansının artışı ile birlikte intestinal tüberkülozun da daha sık görüleceği belirtilmektedir. İntestinal tüberkülozun, ...
Aim. Our paper aims to discuss the radiological and clinical findings of chronic pulmonary emboli... more Aim. Our paper aims to discuss the radiological and clinical findings of chronic pulmonary embolism (CPTE) and chronic thromboembolic pulmonary hypertension (CTEPH) over the patient's findings. Material and Methods. We present the case of a 49-year-old female patient with CPTE and CTEPH. Results and Discussion. CPTE is a long-term consequence of unresolved pulmonary embolism. Since pulmonary embolism's frequency dramatically increased during the COVID-19 pandemic, CPTE once again has become one of the current topics of scientific conversations. Radiology is a gold standard for diagnosis. CPTE is a complex pathology and multisystemic evaluation is essential. Conclusions. Computed tomography (CT) findings can be classified into four groups: vascular, parenchymal, and systemic findings due to pulmonary hypertension and collateral formations. Changes in the ratio of right and left ventricle, size of the pulmonary artery, bowing sign and presence of mosaic attenuation should be d...
The most common thoracic manifestation form of ankylosing spondylitis is apical fibrocystic chang... more The most common thoracic manifestation form of ankylosing spondylitis is apical fibrocystic changes. It is also known as apical fibrobullous disease (AFBD). The patient was diagnosed with ankylosing spondylitis before 9 years. He suffered COVID-19 infection and passed an intensive care period. However, post-covid fibrosis (PCF) atypically affected dominantly apical zones. If we had no sequential CT evaluations, our case could be easily confused with AFBD. On CT taken before COVID-19, the lung apex was normal. Thus, it was confirmed that there was no rheumatologic thoracic manifestation in the patient before suffering from COVID-19 pneumonia. PCF created similar changes as AFBD. Our case is the first reported paper on this topic.
The new UK strain was first described in December 2020. It was seen for the first time in Turkey ... more The new UK strain was first described in December 2020. It was seen for the first time in Turkey in February 2021. It is not yet known whether the new strain has different CT patterns compared to the classical type. We present a 68-years-old male patient with an atypical CT presentation in which GGOs are gathered around the areas of paraseptal emphysema accompanied by CT and clinical findings. This involvement is an unexpected pattern because of the atypical distribution of the GGO.
INTRODUCTION: Particulate matter, sulfur dioxide, ozone, and nitrogen oxide compounds are the mai... more INTRODUCTION: Particulate matter, sulfur dioxide, ozone, and nitrogen oxide compounds are the main air pollutants. The purpose of this research is to analyze the five-year air quality of Istanbul and examine the effect of movement restrictions due to the COVID-19 pandemic on pollutants. METHODS: The public data of the National Air Quality Observation Network has been utilized. The research has been conducted based on the five-year daily averages of PM10, NO2, and NOx pollutants for Istanbul between 2016 - 2020. The data of stations which measured for 75% and more throughout the year has been used. The effect of lockdowns enforced due to COVID-19 was revealed by comparing data of pollutants from April and May of 2020 to the same period in 2019. RESULTS: There were 12 stations between 2016 – 2018, and 39 stations in 2019 and 2020 which measured particulate matter and nitrogen oxide compounds. Only 9 stations reached the standard of measuring pollution for 75% and more throughout the y...
Anthracosis is a type of mild pneumoconiosis secondary to harmless carbon dust deposits. Although... more Anthracosis is a type of mild pneumoconiosis secondary to harmless carbon dust deposits. Although anthracosis was previously associated with inhaled coal particles, such as coal workers' pneumoconiosis, this hypothesis was later abandoned; pathology has been associated with inhaled dust particles. Our paper is the first case report of ANCA-associated vasculitis and anthracosis coexistence. In addition, it aims to highlight that histopathologically proven anthracotic granulomatous nodules can show high FDG uptake in PET/CT contrary to expectation. We present a case of a 73-year-old male with p-ANCA-associated vasculitis and anthracotic lung nodules accompanied by radiological and clinical findings. The patient got diagnosis with p-ANCA-associated vasculitis with serological and rheumatological tests. Atypically, the clinical findings of the patient were weak (No dyspnoea, cough or additional pulmonary complaints). Nodules were present on X-ray graphics and nodules’ contours were...
Bronchiectasis is a common disease with exacerbations which increases the economic burden over th... more Bronchiectasis is a common disease with exacerbations which increases the economic burden over the years as in other chronic airway diseases. It can occur due to a lot of causes, disease is characterized by permanent abnormal expansion of the bronchi. Pulmonary rehabilitation (PR) is an important treatment option for breaking the vicious cycle of chronic inflammation and infection. Airway cleaning techniques, exercise training and education are specially planned and implemented for the individual. There is a need for studies on the implementation of PR at exacerbation of bronchiectasis and its long-term effects.
Tuberculosis is an important health issue with a rising incidance all around the world. Nearly 1%... more Tuberculosis is an important health issue with a rising incidance all around the world. Nearly 1% of the tuberculosis patients are intestinal tuberculosis (IT). It is predicted that IT prevalance will increase along with the rise of tuberculosis prevalence. The diagnosis of IT is difficult ...
Pleomorphic carcinoma of the lung is a rare malignant tumour and is type of lung cancer with a po... more Pleomorphic carcinoma of the lung is a rare malignant tumour and is type of lung cancer with a poor prognosis when the tumor is not resected in early stages. A 68 years old man applied with complaints of cough, hemoptysis and breathlessness. There was irregular ...
ÖZET Amaç: Pozitif hava yolu basıncı (PAP) tedavisi, düzenli kullanılma koşuluyla uyku ile ilişki... more ÖZET Amaç: Pozitif hava yolu basıncı (PAP) tedavisi, düzenli kullanılma koşuluyla uyku ile ilişkili solunum bozukluğunun (USB) en etki-li tedavi yöntemidir. PAP tedavisine uyum, USB bulunan hastala-rın etkin tedavisi ve tedavi izlemi için önemlidir. Bu çalışmada PAP tedavisine uyumu iyi olmayan USB olan hastalarda uyumu bozan etkenleri araştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya, uyku bozuklukları merkezinde 2006-2007 yılları arasında yapılan polisomnografi (PSG) ile USB tanısı konan ve PAP tedavisi önerilen 125 hasta dahil edildi. Hastalara ortalama 12 ay sonra telefonla uyku özelliklerine ait anket uygulandı. Bulgular: Yüz yirmi beş hastanın 24'ü kadındı (%17,5) ve yaş orta-laması 52,3 (SS: 10) idi. Obstrüktif Uyku Apne Sendromu 108 (%86,4), Santral Uyku Apne Sendromu 6 (%4,8), Uyku ile İlişkili Hipoventilasyon-Hipoksemi Sendromu 11 (%8,8) hastada bulun-du. O sırada PAP tedavisi kullanımı ortalama 10,2 ay takip son-rası; 85 (%67,4) hastada ortalama haftada 6,8 gün ve gec...
BACKGROUND: Bronchiectasis is common in patients with advanced chronic obstructive pulmonary dise... more BACKGROUND: Bronchiectasis is common in patients with advanced chronic obstructive pulmonary disease (COPD) and adversely affects the patients' clinical condition. This study aimed to investigate the effects of bronchiectasis on exercise capacity, dyspnea perception, disease-specific quality of life, and psychological status in patients with COPD and determine the extent of these adverse effects by the severity of bronchiectasis. METHODS: A total of 387 COPD patients (245 patients with only COPD [Group 1] and 142 COPD patients with accompanying bronchiectasis [Group 2]) were included in the study. The patients in Group 2 were divided into three subgroups as mild, moderate, and severe using the Bronchiectasis Severity Index. Six-minute walk distance, dyspnea perception, St. George's Respiratory Questionnaire (SGRQ), and hospital anxiety and depression scores were compared between the groups. RESULTS: In Group 2, dyspnea perception, SGRQ total scores, depression score were higher, and walking distance was lower (P = 0.001, P = 0.007, P = 0.001, and P = 0.011, respectively). Group 2 had significantly worse arterial blood gas values. Dyspnea perception increased with the increasing severity in Group 2 (P < 0.001). Walking distance was lower in patients with severe bronchiectasis (P < 0.001). SGRQ total score, anxiety, and depression scores were significantly higher in the severe subgroup (P < 0.001, P = 0.003, and P = 0.002, respectively). CONCLUSIONS: In patients with Stage 3 and 4 COPD, the presence of bronchiectasis adversely affects the clinical status of the patients, decreases their exercise capacity, deteriorates their quality of life, and disrupts their psychological status. Investigating the presence of bronchiectasis in COPD patients is crucial for early diagnosis and proper treatment.
Increased occurrence of sleep related breathing disorder has been reported in patients with head ... more Increased occurrence of sleep related breathing disorder has been reported in patients with head trauma, but the association has not been elucidated. This study was aimed to investigate the association between sleep apnea syndrome and head trauma. Of the 564 patients, who had polysomnography with a preliminary diagnosis of sleep apnea, 334 (participation rate: 59%) gave consent and had telephone administered survey, which included information on history of head trauma and traffic accident. Obstructive sleep apnea syndrome (OSAS) and central sleep apnea syndrome (CSAS) were present in 263 (78.7%) and 12 (3.6%) patients, respectively. Head trauma, head and neck injury, neck hernia and traffic accident were reported in 93 (27.8%), 40 (12.0%), 35 (10.5%), 82 (24.6%) patients, respectively. Linear regression analysis adjusting for age, gender and BMI found association of cervical hernia with obstructive AHI (beta-12.8, 95% CI: -22.5, -3.2); and traffic accident as a driver w ith central ...
Background/Aim. Previous population-based studies found association between duration of sleep and... more Background/Aim. Previous population-based studies found association between duration of sleep and cardiovascular and metabolic comorbidities. Our aim was to investigate the association between the duration of sleep and cardiovascular and metabolic comorbidities in OSAS.Patients and Methods. The study enrolled 312 patients, who had polysomnography (PSG) during 2006-2007 and responded to a telephone-administered questionnaire providing information on characteristics of sleep on average 12 months after PSG.Results. Of the patients, 90 were female (28.8%), 173 (58.5) received the diagnosis of OSAS, 150 (45%) had no comorbidities, 122 had hypertension (HT), 44 had diabetes mellitus (DM), and 38 had coronary heart disease (CHD). Mean ± SD of age in years was47.2±10.6,56.5±9.3,53.2±8.9, and59.9±9.0for the no comorbidity, HT, DM, and CHD groups, respectively. Reported duration of sleep was not associated with any of the comorbidities in the overall group. In the analysis restricted to OSAS ...
Tüberküloz; tüm dünyada insidansı halen artmakta olan önemli bir sağlık sorunudur. Tüberkülozlu h... more Tüberküloz; tüm dünyada insidansı halen artmakta olan önemli bir sağlık sorunudur. Tüberkülozlu hastaların yaklaşık %1'i intestinal tüberkülozdur. Ancak tüberküloz insidansının artışı ile birlikte intestinal tüberkülozun da daha sık görüleceği belirtilmektedir. İntestinal tüberkülozun, ...
Aim. Our paper aims to discuss the radiological and clinical findings of chronic pulmonary emboli... more Aim. Our paper aims to discuss the radiological and clinical findings of chronic pulmonary embolism (CPTE) and chronic thromboembolic pulmonary hypertension (CTEPH) over the patient's findings. Material and Methods. We present the case of a 49-year-old female patient with CPTE and CTEPH. Results and Discussion. CPTE is a long-term consequence of unresolved pulmonary embolism. Since pulmonary embolism's frequency dramatically increased during the COVID-19 pandemic, CPTE once again has become one of the current topics of scientific conversations. Radiology is a gold standard for diagnosis. CPTE is a complex pathology and multisystemic evaluation is essential. Conclusions. Computed tomography (CT) findings can be classified into four groups: vascular, parenchymal, and systemic findings due to pulmonary hypertension and collateral formations. Changes in the ratio of right and left ventricle, size of the pulmonary artery, bowing sign and presence of mosaic attenuation should be d...
The most common thoracic manifestation form of ankylosing spondylitis is apical fibrocystic chang... more The most common thoracic manifestation form of ankylosing spondylitis is apical fibrocystic changes. It is also known as apical fibrobullous disease (AFBD). The patient was diagnosed with ankylosing spondylitis before 9 years. He suffered COVID-19 infection and passed an intensive care period. However, post-covid fibrosis (PCF) atypically affected dominantly apical zones. If we had no sequential CT evaluations, our case could be easily confused with AFBD. On CT taken before COVID-19, the lung apex was normal. Thus, it was confirmed that there was no rheumatologic thoracic manifestation in the patient before suffering from COVID-19 pneumonia. PCF created similar changes as AFBD. Our case is the first reported paper on this topic.
The new UK strain was first described in December 2020. It was seen for the first time in Turkey ... more The new UK strain was first described in December 2020. It was seen for the first time in Turkey in February 2021. It is not yet known whether the new strain has different CT patterns compared to the classical type. We present a 68-years-old male patient with an atypical CT presentation in which GGOs are gathered around the areas of paraseptal emphysema accompanied by CT and clinical findings. This involvement is an unexpected pattern because of the atypical distribution of the GGO.
INTRODUCTION: Particulate matter, sulfur dioxide, ozone, and nitrogen oxide compounds are the mai... more INTRODUCTION: Particulate matter, sulfur dioxide, ozone, and nitrogen oxide compounds are the main air pollutants. The purpose of this research is to analyze the five-year air quality of Istanbul and examine the effect of movement restrictions due to the COVID-19 pandemic on pollutants. METHODS: The public data of the National Air Quality Observation Network has been utilized. The research has been conducted based on the five-year daily averages of PM10, NO2, and NOx pollutants for Istanbul between 2016 - 2020. The data of stations which measured for 75% and more throughout the year has been used. The effect of lockdowns enforced due to COVID-19 was revealed by comparing data of pollutants from April and May of 2020 to the same period in 2019. RESULTS: There were 12 stations between 2016 – 2018, and 39 stations in 2019 and 2020 which measured particulate matter and nitrogen oxide compounds. Only 9 stations reached the standard of measuring pollution for 75% and more throughout the y...
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