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Showing 6 results for Pathology

Hamidreza Ghasemi Basir, Mahmood Farshchian, Pedram Alirezaei, Mahdis Jahani,
Volume 5, Issue 4 (1-2015)
Abstract

Background and Aim: Cicatricial alopecia is the result of irreversible substitution of hair follicles with fibrotic tissue and presents as permanent loss of hair. Only a few studies have investigated the clinical and histopathological characteristics of cicatricial alopecia in Iran. The aim of this study was to determine the demographic, clinical and histopathological characteristics of patients with cicatricial alopecia who referred to our dermatology outpatient clinic in Farshchian hospital in a two year period, and to evaluate the diagnostic value of histopathologic criteria in diagnosing different kinds of cicatricial alopecias.

Methods: This was a cross-sectional study. Eighty nine patients who underwent skin biopsy due to clinical diagnosis of cicatricial alopecia were included. Demographic and clinical characteristics of patients as well as clinical diagnosis were recorded and the biopsy samples were evaluated by two different pathologists who were unaware of each other's diagnosis. Histopathological diagnosis of patients according to each pathologist's opinion was recorded separately and statistical analysis was performed to obtain the coincidence coefficient between two pathological diagnosis.

Results: The most common forms of cicatricial alopecias due to clinical and histopathological diagnosis were: lichen planopilaris, disciod lupus erythematosus, alopecia areata, pseudopelade of Brocq, folliculitis decalvans and central centrifugal cicatricial alopecia. Moreover, our findings showed a powerful coincidence coefficient between clinical diagnosis and the first pathologist diagnosis (kappa=0.836), an average to powerful coincidence coefficient between the second pathologist diagnosis and clinical diagnosis
(kappa=0.703) and finally an average to powerful coincidence coefficient between the two pathologists diagnosis
(kappa=0.663).

Conclusion: Diagnosis of cicatricial alopecia depends upon clinical and also histopathological examination. Diagnostic value of histopathological criteria even at the end of scarring process when there is considerable overlap between microscopic findings of different etiologies of cicatricial alopecias is still acceptable and there is no need to re-evaluate the biopsy specimen by a second pathologist in order to confirm the diagnosis.


Ameneh Yazdanfar, Leila Khezrian, Leila Mousavi, Mahtab Feiziyan,
Volume 6, Issue 3 (10-2015)
Abstract

Background and Aim: Cicatricial alopecia refers to lesions that result in permanent and irreversible hair loss and are associated with destruction of hair follicles. In this alopecias the hair follicle is replaced with connective tissue. After remission of initial infection or inflammation, hair regrowth is unlikely.

Methods: In this retrospective cross-sectional study, 222 patients with cicatricial alopecia, admitted to Farshchian Hospital, Hamadan, Iran were investigated. Hospital records of patients with cicatricial alopecia were reviewed, and their demographic as well as clinical data were extracted and entered into prepared data gathering forms.

Results: One-hundred and ten patients (49.5%) had discoid lupus erythematosus, 71 patients (31.9%) had lichen planopilaris, 23 patients (10.4%) had pseudopelade of Brocq, 11 patients (4.9%) had keratosis pilaris spinulosa decalvans and 3 patients (1.3%) had central centrifugal cicatricial alopecia. Each of alopecia mucinosa and dissecting cellulitis/folliculitis were observed in 2 patients (0.9%). The correlation between of illness, extent of disease, gender, location, occupation, and clinical features of the disease were studied.

Conclusion: Cicatricial alopecia usually results in irreversible hair loss, but early diagnosis and treatment can prevent the progression of the lesions and its complications. The diagnosis of this disease is possible with a clinicopathologic study.


Samira Shirmohammadi, Saeedehsadat Hosseini, Hassan Amiri,
Volume 10, Issue 2 (8-2019)
Abstract

Background and Aim: Cosmetic surgery is one of the most common phenomena in recent decades. Due to high prevalence of psychiatric disorders among the cosmetic surgery applicants, it is important to explore the pathways and variables which affect mental health of these people. The aim of the present study was to investigate the mediating role of difficulties in excitement adjustment in the relationship between attachment styles and psychopathology in women undergoing cosmetic surgery.

Methods: The present study was descriptive and based on correlation models. The sample included all women who applied for cosmetic surgery who referred to the specialized surgical centers of Kermanshah, 300 of whom were selected by available sampling method. Data were collected by attachment styles. Excitement adjustment difficulty and psychopathology questionnaire and were analyzed by SPSS 22 and LISREL 8/8.

Results: The hypothesized model of research is fitted with the experimental data. There was a significant relationship between attachment styles and psychopathology directly and indirectly. The results of path analysis indicated mediating role of the difficulties of excitement adjustment in the relationship between attachment styles and psychopathology.

Conclusion: Attachment styles and difficulties in excitement adjustment can be effective in preventing, diagnosing and treating of mental disorders, and promoting mental health of cosmetic surgery applicants.
Samira Shirmohammadi, Saeedehsadat Hosseini, Hassan Amiri,
Volume 11, Issue 2 (7-2020)
Abstract

Background and Aim: Cosmetic surgery is one of the most common phenomena in recent decades. Due to high prevalence of psychiatric disorders among cosmetic surgery applicants, it is important to explore the pathways and variables affecting their mental health. The aim of this study was to investigate the mediating role of basic psychological needs in the relationship between attachment styles and psychopathology in women undergoing cosmetic surgery.

Methods: The research was descriptive and based on correlation models. Available sampling method was employed in order to gather data from 300 women referring to Kermanshah specialized surgical centres, for doing cosmetic surgeries. Collected data were analyzed employing attachment styles questionnaire, basic psychological needs and psychopathology, and by SPSS 22 and LISREL 8/8.

Results: The hypothetical model of the research fitted the experimental data. There was a significant relationship between attachment styles and psychopathology directly and indirectly. The results of path analysis indicated a mediating role for the difficulties of psychological needs in the relationship between attachment styles and psychopathology.

Conclusion: Attachment styles and basic psychological needs can be effective in preventing, diagnosing and treating of mental disorders, and promoting mental health of cosmetic surgery applicants.
Taravat Bahrami, Soroush Mohitmafi, Fariborz Moayer,
Volume 13, Issue 4 (2-2023)
Abstract

Background and Aim: The purpose of this study is to investigate the histopathology and immunohistochemistry of the effect of 5% Plantago labceolata. extract on open wound healing in rat skin.
 

Methods: After extracting the plant extract using the mixed method, 40 healthy male rats with an average weight of 200-250 grams were selected and randomly divided into two main groups of 20. Group 1 is the treatment group and group 2 the control group each of the main groups being divided into 4 subgroups (days 3, 7, 14,21) were divided. For the histopathological and immunohistochemical investigation of the healing process, the wounds of the mice of the subgroups in both the main groups were removed in full thickness and with a diameter of 15 mm and examined for histological studies. After sectioning, with the qualitative staining method of hematoxylin eosin and Masson's trichrome,using antibodies against transforming growth factor beta and vascular endothelial growth factor of the study groups, and the obtained information was converted into quantitative information. and was subjected to statistical analysis.
 

Results: Finding this study has shown that about 95% of women had felt at least one problem in their hands. During COVID-19 pandemic, hand washing with disinfectants were repeated more and more, furthers skin of the hands will be two times more damaged as compared to normal conditions, so the need to increase hand health training as part of general health, especially in older adults' women in advance.
 

Conclusion: The results show that it is possible to use the polar extract of Plantago Lanceolata L. plant 5% for wound healing.


Maryam Mirahmad, Nasim Tootoonchi, Pooria Asili, Hamidreza Mahmoudi, Kambiz Kamyab, Mohammad Mahdavi, Faezeh Khorasanizadeh, Maryam Daneshpajooh,
Volume 15, Issue 2 (8-2024)
Abstract

Background and Aim: The most prevalent form of leishmaniasis is cutaneous leishmaniasis (CL), which manifests as a single ulcerative or nodular lesion that usually heals on its own. The aims of this study were to investigate the histopathologic and clinical features of CL patients.
 

Methods: This cross-sectional study was accomplished on 70 CL patients that referred to Razi dermatology hospital in Iran, over a five-year period from 2016 to 2020. Included patients were those who were diagnosed clinically suspected patients whom their disease was confirmed through histopathology examination.
 

Results: The age of patients ranged from 2 to 76 years with a mean of 42.26 ± 20.86 years. The majority of patients were men (54.3%). The plaque form lesions were the most frequent type (64.3%). Respecting lesion site, face, and upper limbs were more frequent with the abundances of 47.1% and 34.3%, respectively. All of the patients had evidence of cellulitis on ultrasound. The most prevalent change of epidermis was hyperkeratosis (42.8%). Regarding dermal histopathologic changes, infiltration of lymphocytes (61.4%), plasma cells (58.6%), and histiocytes (48.6%), as well as granuloma formation (54.3%) and leishman body presence (54.3%) were the dominant changes. Some patients had atypical forms of CL as six of them had lupoid cutaneous leishmaniasis (LCL) and five had sporotrichoid cutaneous leishmaniasis (SCL).
 

Conclusion: In this study, men and those who were in middle age were more susceptible to be infected, so it suggests considering them particularly in the preventive programs. Moreover, histopathological findings of CL, including LCL and SCL, are presented. These findings may be beneficial for dermatologists and dermatopathologists to differentiate them from other cutaneous diseases.



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