Publications by authors named "Akın Aktas"

Introduction: Localized scleroderma is a rare inflammatory skin disease that causes sclerosis in the dermis and subcutaneous tissue. Oxidative stress may play a role in the etiology or be responsible for the chronicity or progression of the disease.

Objectives: We aimed to investigate the presence of oxidative stress in patients with localized scleroderma by examining thiol-disulfide balance, ischemia-modified albumin (IMA), and prolidase parameters.

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  • The study analyzed thiol/disulfide levels and clinical parameters in 90 rosacea patients with various skin subtypes and 30 healthy controls, finding significant differences in oxidative stress markers and eye-related metrics.
  • Key findings indicated that rosacea patients exhibited higher levels of disulfides and lower levels of native thiols, particularly in the erythematotelangiectatic subtype, which also showed worse tear breakup time and quality of life scores.
  • Overall, the results suggest a shift towards oxidative stress in rosacea, especially in patients with the erythematotelangiectatic subtype, correlating with greater ocular discomfort and lower quality of life.
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  • - The study aimed to compare choroidal thickness (CT) and choroidal vascularity index (CVI) in patients with ocular rosacea (OR) across different skin subtypes and with healthy controls.
  • - Results indicated no significant differences in CT between OR patients and healthy controls, but CVI was significantly lower in OR patients, particularly in phymatous and papulopustular subtypes compared to the erythematotelangiectatic subtype and controls.
  • - The conclusion suggests that while CT remains similar across subtypes, CVI indicates ongoing inflammation in phymatous and papulopustular types, highlighting a need for more research on inflammatory factors and CVI in OR.
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Introduction: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening acute mucocutaneous disorders usually triggered by drugs. In this study, we aimed to evaluate the factors affecting mortality in patients with SJS-TEN.

Methods: Our study is a retrospective cohort study, analyzing data collected from a total of 12 tertiary care centers between April 2012 and April 2022.

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Background: Pyoderma Gangrenosum (PG) is a chronic disease characterized by recalcitrant skin ulcers.

Objective: We aimed to evaluate the demographic, clinical characteristics, treatments and factors affecting the treatment responses of patients with PG.

Methods: We performed a multicenter study of 12 tertiary care centers.

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Purpose: To investigate oxidative stress markers in tears and serum of patients with ocular rosacea and to examine their association with both ocular surface parameters and cutaneous rosacea subtypes.

Methods: This prospective study includes rosacea patients with ocular involvement and healthy controls. We performed ophthalmological examination of all participants and collected tear breakup time (TBUT), Schirmer, Meibomian gland dysfunction (MGD) and Ocular Surface Disease Index (OSDI) scores.

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  • Psoriasis is a chronic inflammatory disease influenced by immune cell interactions, with PD-1 playing a critical role in regulating immune responses.
  • This study aimed to examine the expression of PD-1 and PD-L1 in the skin of psoriasis patients compared to healthy individuals, using biopsies from 30 patients and 15 controls.
  • Findings revealed significantly higher levels of PD-1 and PD-L1 in psoriasis patients' immune cells, along with a negative correlation between PD-L1 levels and disease severity, as measured by PASI scores.
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Objective: In the pathogenesis of acne vulgaris; androgen hormones are mentioned as an important factor for affecting sebaceous gland differentiation. Intrauterine exposure to androgen hormones is associated with autism and autistic features. An important indicator of androgen exposure is the 2D:4D ratio.

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Background: Androgenetic alopecia (AGA) is the most common cause of hair loss in men. In addition to genetic and hormonal factors, oxidative stress (OS) is suggested as a factor in the etiology.

Aim: In this study, we aimed to investigate the presence of OS due to thiol disulfide balance deterioration in male patients with AGA.

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  • Venous hypertension can cause various skin problems like bulging veins, itchy spots, swelling, and skin color changes.
  • The study looked at 150 patients to find out how these skin signs could help doctors diagnose chronic venous insufficiency (CVI) earlier.
  • Results showed that most patients had skin issues related to CVI, with many also experiencing itching and pain, highlighting the importance of recognizing these signs for early treatment.
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Background: Androgenetic alopecia (AGA) is the most common type of hair loss and affects approximately 50% of the male population.

Aims: In the present study, to investigate microinflammation, perifollicular fibrosis, and oxidative stress in AGA cases, some serum biomarker levels were measured and evaluated.

Patients/methods: Serum samples were drawn from patients (n = 58) and control (n = 30) groups referring to Atatürk Training and Investigation Hospital Dermatology Outpatient clinic.

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An 89-year-old woman presented with plaque-like lesions, accompanied with pustules and desquamation on the back and front of the trunk for approximately one year. Long term use of potent topical corticosteroids was ineffective. Because of the chronicity of her condition, the diagnoses of subcorneal dermatosis or subcorneal pustular dermatosis type of IgA pemphigus were considered.

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Background: Seborrheic dermatitis is a chronic, inflammatory skin disease, in which many endogenous and exogenous factors play a role. Recent studies have shown that oxidative stress increases in these patients. The role of the dynamic thiol/disulfide homeostasis, an important component of the oxidative stress, in the pathogenesis of seborrheic dermatitis has not yet been investigated.

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Backgrounds: Telogen effluvium (TE) is the most common reason for hair loss in humans. Although the exact etiopathogenesis of TE has not been revealed clearly and completely, multifactorial etiologies are to be blamed. In recent years, since oxidative stress (OS) has been shown to play an important role in the etiopathogenesis of so many diseases, the effects of OS on several skin diseases are researched and analyzed.

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Background: Rosacea is the chronic inflammatory disease of the facial skin. Although its aetiology is not clear yet, inflammatory processes triggered by oxidative stress and oxidation of lipids have been suggested to play a role. While studies on the relationship between inflammation and oxidative stress are ongoing, thiol metabolism and its role in oxidative stress have also begun to be investigated.

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Ingrown nail is a common problem seen in the dermatology clinics. The aim of this study is to compare the wedge resection method and chemical matricectomy with NaOH in terms of operation time, postoperative pain severity, postoperative drainage, recurrence rates, recovery time, and the effects of these two methods on Dermatology Quality of Life Index. This study included 60 patients.

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Background: Vitiligo is a depigmenting cutaneous disorder with complex pathogenesis. Thiol compounds are well-known organic structures that play a major role in melanogenesis.

Aim: The aim of this study was to determine the association between plasma thiol level and disease severity in patients with nonsegmental vitiligo.

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Objective: Lichen planus (LP) is an autoimmune inflammatory disease of the mucocutaneous tissue, whose exact pathological course remains unclear. Abnormal thiol/disulfide homeostasis has been postulated to be responsible for a number of diseases predominated by chronic inflammation. To be able to contribute complicated and unclear pathogenesis of LP, we aimed to investigate dynamic thiol/disulfide homeostasis in patients with LP, using an original automated method developed by Erel and Neselioglu in this study.

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  • The study explores the role of the receptor for advanced glycation end products (RAGE) in psoriasis by comparing its expression in affected and normal skin samples from patients.
  • Results show that RAGE expression is significantly higher in psoriatic plaques compared to normal skin, but this elevation does not correlate with the severity of the disease.
  • The main limitation is that the assessment was semi-quantitative and relied on immunohistochemical detection in skin biopsies.
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  • Acquired reactive perforating collagenosis (ARPC) is a rare skin condition where collagen is expelled through the skin, and its underlying causes are not well understood, though RAGE (a receptor involved in inflammation) may play a role.* -
  • The study analyzed skin biopsy samples from 41 ARPC patients and 11 healthy controls to assess RAGE expression using immunohistochemistry, finding that ARPC patients showed significantly higher RAGE levels in certain skin cells compared to healthy tissue.* -
  • The findings suggest that RAGE overexpression in ARPC lesions occurs regardless of diabetes status, but the study's semi-quantitative evaluation of RAGE expression presents a limitation.*
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