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        The Relation of Androgenetic Alopecia Severity with Epicardial Fat Thickness

        ( Emine Colgecen ),( Huseyin Ede ),( Mustafa Fatih Erkoc ),( Yurdanur Akyuz ),( Ali Riza Erbay ) 대한피부과학회 2016 Annals of Dermatology Vol.28 No.2

        Background: Androgenetic alopecia (AGA) is the most commonly encountered baldness pattern in men. Epicardial fat tissue is found on the cardiac surface between the myocardium and visceral pericardium. Both AGA and epicardial fat thickness (EFT) are related to coronary artery disease, which is also reflected by an increase in carotid intima media thickness (CIMT). Objective: The purpose of this study was to investigate the relation of AGA severity with EFT. Methods: One hundred twenty-six male patients with AGA aged 18 to 55 years without histories of chronic disease were enrolled. Subjects were divided into three groups (mild, moderate, and severe) on the basis of the Hamilton baldness scale as modified by Norwood. Maximum EFT was measured at end-systole on the midventricular free wall of the right ventricle. CIMT was also recorded for all patients. Results: The groups did not have statistically significant differences with respect to age, height, weight, body mass index, left ventricular ejection fraction, or left atrial diameter (p>0.05 for all comparisons), but the severe group had a higher EFT compared with the moderate (p<0.001; z score, .7.040) and mild groups (p<0.001; z score, .6.667). The moderate group also had higher EFT than the mild group (p<0.001; z score, .5.931). Mean CIMT value in the severe group was significantly higher compared with the value in the other groups. Conclusion: The study showed that subjects in advanced stages of AGA had increased EFT, which was measured via echocardiography.(Ann Dermatol 28(2) 205∼209, 2016)

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        Personality Traits and Common Psychiatric Conditions in Adult Patients with Acne Vulgaris

        ( Ali Irfan Gul ),( Emine Colgecen ) 대한피부과학회 2015 Annals of Dermatology Vol.27 No.1

        Background: We believe that instances of neuroticism andcommon psychiatric disorders are higher in adults with acnevulgaris than the normal population. Objective: Instances ofacne in adults have been increasing in frequency in recentyears. The aim of this study was to investigate personalitytraits and common psychiatric conditions in patients withadult acne vulgaris. Methods: Patients who visited thedermatology outpatient clinic at Bozok University MedicalSchool with a complaint of acne and who volunteered for thisstudy were included. The Symptom Checklist 90-Revised(SCL 90-R) Global Symptom Index (GSI), somatization,depression, and anxiety subscales and the Eysenck PersonalityQuestionnaire-Revised Short Form (EPQ-RSF) were administeredto 40 patients who fulfilled the inclusion criteriabefore treatment. The results were compared with those of acontrol group. Results: Of the 40 patients included in thisstudy, 34 were female and 6 were male. The GSI and thesomatization, depression, and anxiety subscales of the SCL90-R were evaluated. Patients with adult acne had statisticallysignificant higher scores than the control group on allof these subscales. In addition, patients with adult acne hadstatistically significantly higher scores on the neuroticismsubscale of the EPQ-RSF. Conclusion: Our results show thatcommon psychiatric conditions are frequent in adult patientswith acne. More importantly, neurotic personality characteristicsare observed more frequently in these patients. These findings suggest that acne in adults is a disorder thathas both medical and psychosomatic characteristics andrequires a multi-disciplinary approach. (Ann Dermatol 27(1) 48∼52, 2015)

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