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Öğe Extralobar Pulmonary Sequestration in a Neonate(Aves, 2014) Ozturk, Hulya; Goksugur, Sevil Bilir; Dagistan, Emine; Yilmaz, Fahri; Ozturk, HayrettinCongenital pulmonary sequestration (CPS) is a type of thoracic malformation that may be represented as a solid or cystic mass composed of nonfunctioning primitive tissue. It does not interact with the tracheobronchial tree and has unusual systemic blood supply. Various congenital malformations may be presented with CPS. More than one-half of CPS cases are diagnosed in later childhood or even in adulthood. Neonates and infants are usually asymptomatic, and they are usually diagnosed due to the presence of other congenital anomalies. Here, we report a 5-day-old neonate who was admitted to our clinic with respiratory distress. CPS was diagnosed without any other malformation.Öğe Halo Phenomenon With an Unusual Involvement: Bilateral Halo Nipple(Amer Medical Assoc, 2010) Goksugur, Nadir; Sereflican, Betul; Goksugur, Sevil BilirÖğe Is there a nephropathy risk for children with asthma who use inhaled steroids?(Acta Medica Mediterranea, 2013) Bekdas, Mervan; Tosun, Mehmet; Demircioglu, Fatih; Goksugur, Sevil Bilir; Kismet, ErolBackground and aim: Asthma is one of the most common chronic inflammatory diseases in children, but whether these patients, who require long-term follow-up and medication, carry a risk for nephropathy is still unknown. The purpose of this study was to investigate whether the urinary microalbumin level and urinary microalbumin/creatinine ratio, early indicators of nephropathy, increase in children with asthma. Material and methods: Asthmatic children aged 10 years or older who had been on medication for at least 4.2 ± 2.7 years were selected for this study. All patient medical histories, physical examination results, and serum amyloid A (SAA), urinary microalbumin, and urinary creatinine measurements were evaluated. Results: Twenty-one children with asthma (13 boys, eight girls) were evaluated, including 12 medication-controlled cases (57.1%) and nine cases admitted during an acute attack (42.8%). SAA levels in the acute attack cases (0.16 ± 0.06 vs. 3.5 ± 7.8 mg/dl, p < 0.001) were significantly higher than those in medically controlled cases. Urinary microalbumin was not significantly different between groups, although it was higher during acute attacks (15 ± 19 vs. 22.6 ± 35.2 mg/l). Ten of the patients with asthma (47.6%) had been on medication for <5 years, and 11 (52.3%) for ?5 years. The urinary microalbumin levels (8.2 ± 4.8 vs. 27.5 ± 34.6 mg/l, p = 0.02) and urinary microalbumin/creatinine ratios (0.06 ± 0.02 vs. 0.14 ± 0.11, p = 0.016) were significantly higher in those receiving medication for ?5 years compared with those receiving medication for <5 years. Conclusions: SAA levels increased in patients suffering from acute asthma attack. The urinary microalbumin levels and urinary microalbumin/creatinine ratios of children with asthma who had received a long-term inhaled steroid were significantly higher than those of children who had not.Öğe Mosaic ring chromosome 6 and clinical significance in resistant epilepsy(Turkish Pediatrics Assoc, 2012) Ocak, Zeynep; Goksugur, Sevil Bilir; Kocaman, Ertugrul Mevlut
