Showing 34 results for Keywords
Seyed Amin Ayetollahi Mosavi, Hossein Safizadeh, Sanaz Hadizadeh,
Volume 3, Issue 2 (6-2012)
Abstract
Background and Aim: Dermatophytes are keratinophilic fungi that cause infection in the skin, hair and nails. Dermatophytic infections are one of the important health problems in the world that related to social and economic life of communities.
Methods: This cross-sectional study was conducted on all suspected patients in the medical mycology laboratory of Afzalipoor Faculty in Kerman from March 2007 to March 2011. For each patient after obtaining the detailed history, direct smear, staining and culture on specific media were performed.
Results: Out of 1800 referred cases, 166 patients were positive for dermatophytosis. The highest prevalence of infection was in the under 10 years old (28.31%), men and women were also involved equally. The most common agents of the cutaneous infection were Trichophyton mentagrophytes (45.78%) and T. verrucosum (18.1%). The most common infections were tinea manuum (35.54%), tinea capitis (16.87), and the least common one was tinea faciei (4.82%).
Conclusion: It is necessary to increase the level of community health in order to prevent this dermatophytosis.
Hossein Kavoussi, Mansour Rezaei, Danyal Isapour, Seyyed Reza Seyyed Mohammad Doulabi,
Volume 3, Issue 2 (6-2012)
Abstract
Background and Aim: Basal cell carcinoma (BCC) is the most common type of malignancy that rarely causes death but results in cosmetic problems and is associated with high treatment cost. Clinical characteristics of this cancer are related to the host and environmental factors. Theses factors are specific for each area and may change over the time. The aim of this study was to find clinical characteristics of BCC in Kermanshah city.
Methods: This cross-sectional study was done on 119 histopathologically documented BCC cases in Haj Dayi skin clinic in Kermanshah in 2009. Demographic data of patients and characteristics of the lesions including their number, location, size and clinical type were recorded. Data were analyzed using ANOVA and chi squared tests.
Results: The patients had a total number of 171 BCC lesions. Nodular type encompassed 158 (92.4%) lesions and was the most common clinical form. Pigmented subtype included one third of lesions and was significantly more common in male patients with moderate brown skin and following radiotherapy (P<0.05). The nose was the most common area of involvement and actinic keratosis was the most common associated skin lesion.
Conclusion: In this study, the most common clinical and pathological type of BCC was nodular type. It was observed in old patients, those with outdoor jobs and was associated with actinic keratosis. Educational and screening programs for prevention, early detection and diagnosis, and appropriate treatment for high-risk individuals are suggested.
Azra Mohammadpanah, Hassan Yaghoobi, Rahim Yusefi,
Volume 3, Issue 2 (6-2012)
Abstract
Background and Aim: The cosmetic surgery is a method to create a feeling of ideal self through which one’s pain of being undesirable or lack of self-love is removed. This multidimensional concept depends on many factors such as personality traits and defensive styles of people. The purpose of this study was to investigate the relationship between personality traits and defensive styles in the candidates of the cosmetic surgery.
Methods: In this cross-sectional research, which was designed to assess correlations between personality traits and defensive stydles the questionnaires wwere implemented to each individual. With available sampling, 80 patients referred to the cosmetic and skin clinics of the city of Yazd for cosmetic surgery were asked to voluntarily participate in this research and complete questionairres. 80 patients, who were not seeking for cosmetic surgery, were chosen from the same clinics as the control group.
Results: Patients seeking for cosmetic surgery achieved lower scores in agreeableness trait and used more irrational and immature styles to overcome conflicts. There was a relationship between personality traits and defensive styles of volunteers of the cosmetic surgery, in the sense that the higher the scores in positive personality traits, the higher was the use of mature defensive styles and vice versa.
Conclusion: Motivation for the cosmetic surgery has its roots in a combination of psychological, emotional, and personal factors. Traits and characteristics of volunteers of cosmetic surgery had a direct relation to defensive styles of these people. Therefore, psychological counseling is advised before cosmetic surgery for adjustment of more effective mechanisms.
Mehraban Falahati, Zeinab Ghasemi, Shirin Farehyar, Ebrahim Eskandari, Mahtab Ashrafi, Farzaneh Ahmadi, Gholamhossein Ghaffarpour,
Volume 3, Issue 2 (6-2012)
Abstract
Background and Aim: Onychomycosis is the fungal infection of nails. Patient’s immune system has an important role in initiation of onychomycosis. One of the causes of the increased prevalence of onychomycosis is the increasing number of patients with local or general immune system disorders. In hormonal disorders such as diabetes mellitus, Cushing's syndrome and hypothyroidism superficial vascular disorders and individuals with immune deficiency, onychomycosis prevalent. The aim of this study was to investigate onychomycosis in individuals with underlying diseases who referred to Razi hospital in Tehran.
Methods: In this cross-sectional study, nail specimens of 250 patients who have nail dystrophy with an underlying disease whom were referred to mycological laboratory of Razi hospital in 2010-11 were evaluated with direct microscopy and culture on Sabouraud dextrose agar and Sabouraud dextrose agar containing chloramphenicol and cyclohexamide. For differential diagnosis of fungi, complementary tests were used.
Results: Eighty-nine (35.6%) of 250 individuals with underlying diseases and nail dystrophy, were affected with onychomycosis. Among these pateints, 52 (58.4%) cases had yeast infection, 19 (21.3%) had dermatophyte infection, and 18 (20.2%) had saprophyte infection. Diabetes mellitus (37.1%), cardiovascular diseases (14.7%), pemphigus (9%), psoriasis (7.9%), hypothyroidism (6.7%) and chronic eczema (5.6%) were the most common underlying diseases observed in patients with onychomycosis.
Conclusion: Onychomycosis is common in hormonal disorders like diabetes mellitus and hypo-thyroidism superficial vascular disorders and individual who suffer immunodeficiency.
Rezvan Talaee, Mohammadreza Moayeri, Tahereh Mazuchi, Seyed Alireza Moravveji, Mohaddese Ardestani,
Volume 3, Issue 3 (9-2012)
Abstract
Background and Aim: Quality of life is a broad concept that reflects an individual’s perspective on the level of life satisfaction experienced in a variety of situations including housing, recreation, environmental conditions, health and job. In this way it is a subjective measure that is affected by factors well beyond health status. To evaluate quality of life in patients with common pigmentation disorders such as vitiligo, melasma, and freckles refer to dermatologic clinics of Kashan University of medical sciences during 2010 and 2011.
Methods: In this cross sectional study, 142 patients with pigmentation disorders, older than 18 years old filled out Dermatology Life Quality Index (DLQI) questionnaire. DLQI questionnaire includes 10 questions regarding feelings, daily activities, leisure, job and education, personal relationship and treatment. Scoring was performed according to Finlay's guidelines. The data were analyzed with t, ANOVA and Pearson correlation tests. The higher the score, the greater the impairment of quality of life.
Results: The mean DLQI score was 5.64 (±5.03). The mean DLQI score in vitiligo was higher than other diseases. In this study score of quality of life in women, patients younger than 25 years old, patients with lesions on exposed areas, and single patients was higher than others, but there was not any significant relationship between quality of life and duration of disease, job, education level and place of residence.
Conclusion: This study showed that skin pigmentation disorders had a significant impact on all aspects of the quality of life, especially on socio-psychological aspect. Therefore, dermatologists should pay attention to the psychological effects of those diseases and try to decrease their extensions and disfigurating effects by various treatment modalities.
Amirhoushang Ehsan, Mahboobe Sadathosseini, Zahra Hallaji, Amirreza Hanifnia, Masoume Rohaneinasab,
Volume 3, Issue 3 (9-2012)
Abstract
Background and Aim: Palmoplantar pustulosis is a chronic dermatosis of palms and soles, which is associated with a high recurrence rate and resistance to treatment. Various treatments with different success rates have been used.The purpose of this study was to evaluate the efficacy of local bath PUVA in the treatment of palmoplantar pustulosis.
Methods: In this retrospective study, patients with palmoplantar pustulosis who were treated with local bath PUVA in Phototherapy clinic of Razi Hospital between 2005 and 2009 were evaluated for the therapeutic efficacy of local bath PUVA. Data were analyzed using t and chi-square tests.
Results: Ninety-five patients with a mean age of 44.17 years included in this study. 49.5% of patients were males and 50.5% were females. Mean treatment cessions of patients were 42.5 sessions and mean cumulative dose was 251.8 J/cm2. In 16.8% of cases have very good response was observed. Good, moderate and poor responses were observed in 35.8%, 29.5% and 9.5% of cases, respectively. Treatment failure was observed in 8.4% of patients. Mean cumulative dose in patients with very good response was significantly higher than other response groups, (P=0.016). Mean number of treatment sessions was also significantly higher in that group with comparison with other groups, (P<0.05). Twenty percent of patients withdrawed from the study because of complications. However all complications recovered completely and no long term complications was observed.
Conclusion: This study demonstrated that local bath PUVA is an effective safe treatment for the treatment of palmoplantar pustulosis.
Iman Ahrari, Ladan Dastgheyb, Zahra Ghazi, Maryam-Ol-Sadat Sadati,
Volume 3, Issue 3 (9-2012)
Abstract
Background and Aim: Tinea capitis is one of the most common fungal infections in dermatology. Although the new medications and development in social health have reduced its incidence, it is still common in Iran, especially in rural areas. The aim of this study was to describe the frequency of complications of kerion.
Methods: Eighteen affected patients, who were hospitalized in dermatology ward because of kerion, in a 10-year period, were revisited and according to their medical documents, data collection forms were filled.
Results: 61.1% of the patients were younger than 10 years of age and 77.7% were male. The mean disease duration from the onset of symptoms to the time of correct diagnosis and management was 16.9 days. The frequency of scar and alopecia was equal in all groups and occurred in 100% of patients. Two patients also suffered from isolation due to scarring alopecia. Various types of medications, made no difference in the prognosis and resultant scarring alopecia.
Conclusion: The frequency and types of sequela showed no relationship with age, type of medication and duration from the onset of disease and correct management. Scar and alopecia occurred in all patients. Further investigations on the new treatment modalities are required to reduce scar formation.
Narges Alizadeh, Rasool Hassanzadeh, Sina Khajeh Jahromi, Mohsen Taherkhani,
Volume 3, Issue 3 (9-2012)
Abstract
Hair loss can be viewed a problem from different perspectives: as a disease, a disorder which affects appearance of an individual, and its psychological effects. Therefore, it is crucial to determine the causes and types of hair loss. This review summarized hair loss evaluation methods with significant emphasis on their clinical aspects. According to relevant literature reviews, the major approaches to hair loss are taking medical history, primary investigations and detailed hair examination. Although several invasive and non-invasive, clinical and paraclinical examinations can be used for hair loss assessment, it is generally accepted that using clinical evaluation methods and physical examinations are more efficient. In conclusion, diagnosing hair loss is complex and sometimes time-consuming process. However, precise hair examination may lead to the suspicion of an endocrine disorder.
Rooh-O-Allah Fadaei, Alireza Firooz,
Volume 3, Issue 3 (9-2012)
Abstract
Clinical practice guidelines are the most important and valid guidelines for treatment of diseases, and are developed through experts consensus on a subject, considering the highest available evidence (systematic reviews, metaanalyses, and randomized controlled trials). We briefly review the latest evidence-based guideline for the treatment of vitiligo provided by European Dermatology Forum.
Hamideh Herizchi Qadim, Shahla Babaei Nejad, Badrolsadat Rahnama, Morteza Gojazadeh, Masood Sheykhnavasi,
Volume 3, Issue 4 (12-2012)
Abstract
Background and Aim: Acne vulgaris is a common disorder of adolescence which may lead to significant cosmetic and psychological problems. Different topical and systemic therapeutic modalities have been used to treat acne vulgaris. This study was designed to compare the efficacy of topical 0.05% isotretinoin gel with 1% clindamycin solution in the treatment of acne vulgaris.
Methods: In this randomized clinical trial, 60 patients with mild to moderate papulopustular acne vulgaris were randomly allocated into two groups of equal sizes. One group was treated with 0.05% isotretinoin gel every night. The other group was treated with 1% clindamycin solution twice daily. Both groups were followed every month for 3 months.
Results: The mean of total lesion count decreased significantly after treatment in comparison with its mean before the treatment in both groups (P<0.001). The mean of acne severity index significantly reduced after treatment in both groups (P<0.001). Satisfaction of patients in clindamycin group was higher (P<0.001).
Conclusion: Decrease in total lesion count and acne severity index in both treatment groups were statistically significant however, considering the minimal complications and satisfaction of patients in clindamycin group, 1% solution of clindamycin may be recommended in the treatment of papulopustular of acne vulgaris.
Pouran Layegh, Zari Javidi, Parvin Layegh, Bita Kiafar, Saber Shojaei Nouri, Akram Momenzadeh,
Volume 3, Issue 4 (12-2012)
Abstract
Background and Aim: Hirsutism is defined as male pattern hair growth in females which affects 10% of women. Our aim was to compare free salivary and free serum testosterone levels in women with hirsutism and healthy controls.
Methods: This study was a case-control study in which 30 hirsute women in child bearing age were recruited and compared with 10 healthy controls. For each patient, a questionnaire containing demographic, clinical and laboratory information was completed. The salivary and serum total and free testosterone plus free androgen index were measured by radioimmunoassay (RIA) method. The collected data were described and analyzed using SPSS software version 11.5. Significance level was determined at 0.05.
Results: No significant correlation was seen between salivary and serum free testosterone and in free androgen index with free testosteron in patients and control groups. Comparing the results between case and control groups, except for mean serum total testosterone level (P<0.05), the other results were not significantly different. No significant correlation was seen between hirsutism severity and free serum or salivary testosterone levels. Significant correlation was seen with total serum testosterone (P<0.001). Investigating correlations between these hormones with serum free androgen index, only salivary free testosterone was correlated with this index (r=0.01, P<0.05).
Conclusion: In our study, we find no correlation between free serum and salivary testosterone, so it seems that this evaluation method is not an appropriate alternative for serum evaluation of this hormone.
Hassan Baniasadi,
Volume 3, Issue 4 (12-2012)
Abstract
Background and Aim: The women’s main purpose of cosmetic rhinoplasty is to have a nose that they think has a better harmony with their face, so they could reach to a more desirable body image. This study investigated the effects of cosmetic nose surgery on women`s body image.
Methods: Thirty women referred to the private clinics of cosmetic surgeons for nose cosmetic surgery were selected. The multidimensional body-self relations questionnaire developed by Cash (1998) was employed to measure the women`s body image. This questionnaire was filled out before and five months after rhinoplasty.
Results: Using paired t test, the analyses of the data demostrated that nose cosmetic rhinoplasty increased the levels of women`s satisfaction of their subjective body and subjective nose images (P=0.0001 and , respectively).
Conclusion: The findings of the present study showed that cosmetic nose surgery increases the of levels of women’s satisfaction of their body image and it causes the person to have higher satisfaction of her nose and body image.
Akram Ansar, Maryam Tamimi, Leyla Mousavi, Sa'adat Torabiyan,
Volume 3, Issue 4 (12-2012)
Abstract
Background and Aim: Skin basal cell carcinoma (BCC) is the most common cancer in human beings. Prevalence of this tumor has increased over the past decades. The standard treatment is complete excision, however some risks for recurrence still exist. The aim of this study was to determine the frequency of margin involvement in skin BCC as well as to investigate the demographic characteristics of the patients.
Methods: This study was conducted from April 2011 to April 2012 on the patients who had skin lesions suspected for BCC. The patients were undergone elliptical excision surgeries for removing their suspected lesions with 5-millimeter margins of clinically normal skin in Farchian Hospital, Hamadan, Iran. Following data were collected and recorded: age, sex, anatomical location, duration of the disease, primary clinical diagnosis, histopathologic type, and margin involvement.
Results: In total, 125 lesions from 115 patients were investigated (70 males, 45 females). The range of the ages of the patients were from 32 to 93 years, with a mean of 64.6 years. The most common histopathological type was nodular type (61.0%). Twenty percent of the excised lesions showed margin involvement. Risk factors for incomplete excision were older age and anatomical locations (ears and peri-ocular lesions). There was no statistically significant differences between sex, histological type, primary clinical diagnosis, and duration of the disease. In almost all cases, the clinical and histopathological diagnoses were similar.
Conclusion: To avoid repeated surgeries and to reduce the risk of incomplete excision for lesions on high risk locations, particularly in elderly, it is recommended that BCCs be excised with wide margins or Mohs micrographic surgery.
Alireza Firooz, Ali Rajabi Estarabadi, Hamed Zartab, Pegah Khoshpouri, Parisa Khoshpouri, Kambiz Kamyab,
Volume 4, Issue 1 (3-2013)
Abstract
Great progress in optics, electronic engineering, and computer science provide an opportunity to diagnosis of skin diseases, estimating effectiveness of drugs and skin care products using non-invasive, non-destructive methods of analysis. Also many noninvasive methods using analytic devices are developed to assessment of the outcomes of dermatologic surgeries on malignant skin tumors. The aim of this article is to review advanced methods for skin analysis on human’s skin such as magnetic resonance imaging and time domain reflectometry. Many kind of interesting applications are defined for using these methods especially in cosmetic pressures.
Hamid Salehinia,
Volume 5, Issue 2 (7-2014)
Abstract
Skin cancer is the most common cancer in humans worldwide. It is also the most common cancer in Iran. To achieve primary prevention in skin cancers, avoidance of direct sun exposure is recommended. Sunscreen use is one of the methods to reduce sun exposure. However, while using sunscreens has increased recently, the incidence rate of skin cancers has also increased. One of the reasons for observing this paradox may be caused by counterfit sunscreen products, in particular in Iran. The author imagines that this letter may result in proper decision making among health policy makers to tackle this problem.
Alireza Firooz,
Volume 7, Issue 2 (7-2016)
Abstract
Alireza Firooz,
Volume 7, Issue 4 (1-2017)
Abstract
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Volume 8, Issue 1 (4-2017)
Abstract
Alireza Firooz,
Volume 8, Issue 2 (7-2017)
Abstract
Alireza Firooz,
Volume 8, Issue 3 (10-2017)
Abstract
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