Person: YAĞIZ, BURCU
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YAĞIZ
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BURCU
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Publication Assessment of presence, severity and risk factors of post- thrombotic syndrome in vascular behcet disease: Muticentered retrospective study(Bmj Publishing Group, 2019-06-01) Aksoy, Aysun; Çolak, Seda; Omma, Ahmet; Yağız, Burcu; Seniz, Belkıs Nihan; Bolca, Naile; Ergelen, Rabia; Direskeneli, Haner; Alibaz-Öner, Fatma; YAĞIZ, BURCU; Seniz, Belkıs Nihan; BOLCA TOPAL, NAİLE; Tıp Fakültesi; İç Hastalıkları Ana Bilim Dalı; Romatoloji Bilim Dalı; JQW-5031-2023; DPZ-9938-2022; EKW-9201-2022Publication Are there any clues to predict bamboo spine in axial spondyloarthritis?(Wiley, 2020-10-01) Atagündüz, Pamir; Kiraz, Sedat; Akar, Servet; Küçükşahin, Orhan; Erden, Abdulsamet; Beş, Cemal; Kılıç, Levent; Karadağ, Ömer; Kaşifoğlu, Timuçin; Emmüngil, Hakan; Çınar, Muhammet; Kimyon, Gezmis; Yazısız, Veli; Ateş, Aşkın; Ersözlü, Emine Duygu; Gonullu, Emel; Mercan, Rıdvan; Ertenli, İhsan; Kalyoncu, Umut; Yağız, Burcu; YAĞIZ, BURCU; Coşkun, Nihan; COŞKUN, BELKIS NİHAN; Tıp Fakültesi; CLH-7318-2022Publication Predictors for the risk and severity of post-thrombotic syndrome in vascular Behcet's disease(Elsevier, 2021-02-04) Aksoy, Aysun; Çolak, Seda; Yağız, Burcu; Coşkun, Belkıs Nihan; Omma, Ahmet; Yıldız, Yasin; Sarı, Alper; Ataş, Nuh; Ilgın, Can; Karadağ, Ömer; Erden, Abdulsamet; Dalkılıç, Ediz; Bolca, Naile; Ergelen, Rabia; Onur, Mehmet Ruhi; Direskeneli, Haner; Alibaz-Öner, Fatma; YAĞIZ, BURCU; COŞKUN, BELKIS NİHAN; BOLCA TOPAL, NAİLE; DALKILIÇ, HÜSEYİN EDİZ; Tıp Fakültesi; İç Hastalıkları Ana Bilim Dalı; Romatoloji Bilim Dalı; 0000-0003-0298-4157; JQW-5031-2023; AAG-7155-2021; CMF-4757-2022 ; EKW-9201-2022Objective: Deep vein thrombosis (DVT) of the lower extremities is the most common form of vascular involvement in Behcet disease (BD), frequently leading to post-thrombotic syndrome (PTS) as a disabling complication. We have described the clinical characteristics and predictors of PTS presence among patients with BD and lower extremity DVT. We also used venous Doppler ultrasound (US) examinations in our assessment. Methods: Patients with BD (n = 205; 166 men, 39 women; age 39 6 9.5 years) and a history of DVT were investigated. The Villalta scale was used to assess the presence and severity of PTS. Doppler US examinations were performed within 1 week of the clinical evaluation. The total number of vessels with reflux, thrombi, recanalization, and collateral vessels were calculated. Results: Of the 205 patients with BD, 62% had had PTS and 18% had had severe PTS. Patients with PTS had had greater reflux (P = .054) and thrombosis (P = .02) scores compared with patients without PTS. Treatment with anticoagulation (AC), immunosuppressive (IS) therapy, or AC combined with IS drugs did not affect the occurrence of PTS. However, patients treated with IS therapy, with or without AC drugs, had a decreased incidence of severe PTS compared with the AC-only group (P = .017). Patients treated with AC plus IS agents also had increased collateral scores compared with patients treated with only IS drugs. Interferon-a use seemed to provide better recanalization scores compared with azathioprine only (1.0 [range, 0-14] vs 2.5 [range, 0-10]; P = .010). Conclusions: Patients with BD and DVT have a high risk of developing severe PTS. IS treatment decreases the development of severe PTS. AC therapy might influence the course of PTS by increasing the collateral scores, and the use of interferon-a also increased recanalization scores. Routine assessment with Doppler US examinations could be helpful in the prediction of severe PTS.Publication Physicians' Biological drug preference in patients with rheumatoid arthritis and spondyloarthritis with a history of malignancy perspectives from the treasure database(Lippincott Williams & Wilkins, 2022-03-01) Tekgöz, Emre; Çolak, Seda; Yardımcı, Kübra G.; Küçükşahin, Orhan; Çınar, Muhammet; Yılmaz, Sedat; Kaşifoğlu, Timuçin; Beş, Cemal; Yağız, Burcu; Erden, Abdulsamet; Kılıç, Levent; Kanitez, Nilüfer A.; Ertenli, Ali, I; Coşkun, Belkıs N.; Ediboğlu, Elif D.; Mercan, Ridvan; Kiraz, Sedat; Yazısız, Veli; Karadağ, Ömer; Atagündüz, Pamir; Kalyoncu, Umut; YAĞIZ, BURCU; Tıp Fakültesi; Dahiliye Bölümü; JQW-5031-2023Objective Because of concerns about malignancy risks, using biological disease-modifying antirheumatic drugs (bDMARDs) in patients with a history of malignancy remains a challenging issue in rheumatology practice. This study aimed to investigate bDMARD preferences of physicians when treating of rheumatoid arthritis (RA) and spondyloarthritis (SpA) patients with a history of malignancy. Methods The data for this cross-sectional study were gathered from the TReasure database using a date range of December 2017 and January 2020. Biological disease-modifying antirheumatic drug preferences were analyzed for 40 RA patients and 25 SpA patients with a history of malignancy. Results The most frequently prescribed bDMARD was rituximab, which was given to 28 RA patients (70%). For 25 patients (62.5%), the time between the diagnosis of malignancy and starting on a bDMARD regimen was less than 60 months, with a median interval of 43.5 months. Among SpA patients, the preferred bDMARDs were secukinumab and etanercept, which were each administered to 7 patients (28%). For 13 SpA patients (52%), the time between the diagnosis of malignancy and starting on bDMARDs was less than 60 months, with a median interval of 97 months. Conclusions The observed bDMARD preferences may be related to the therapeutic effects of rituximab on lymphoproliferative malignancies, the protective effects of secukinumab on tumor progression, and the short half-life of etanercept. Biological disease-modifying antirheumatic drugs should be used in RA and SpA patients with malignancy in case of high inflammatory activity.Publication Canakinumab treatment in adult-onset still's disease: Case series(Wiley, 2018-09-01) Uğurlu, Serdal; Güzelant, Gül; Yurttaş, Berna; Ergezen, Bilgesu; Dalkılıç, Ediz; Kaşifoğlu, Timuçin; Yağız, Burcu; Özdoğan, Huri; DALKILIÇ, HÜSEYİN EDİZ; YAĞIZ, BURCU; Tıp Fakültesi; Dahiliye Bölümü; CMF-4757-2022; JQW-5031-2023Publication Isotretinoin-induced sacroiliitis in patients with hidradenitis suppurativa: A case-based review(Springer Heidelberg, 2019-12-01) Coşkun, Belkıs Nihan; COŞKUN, BELKIS NİHAN; Yağız, Burcu; YAĞIZ, BURCU; Pehlivan, Yavuz; PEHLİVAN, YAVUZ; Dalkılıç, Ediz; DALKILIÇ, HÜSEYİN EDİZ; Tıp Fakültesi; AAG-7155-2021; AAG-8227-2021; JQW-5031-2023Hidradenitis suppurativa (HS) is a chronic, suppurative skin disease characterized by painful nodules, particularly in the axillae and groin. Isotretinoin can be used in the treatment of HS; however, it may paradoxically lead to skin lesions or worsen the existing lesions. Isotretinoin, which is commonly used in the treatment of severe acne, is associated with several side effects, including rheumatic side effects and rarely sacroiliitis. In this study, we discussed two cases who presented with low back pain after isotretinoin was used for the treatment of acne vulgaris. The patients did not have low back pain before isotretinoin use and did not have enthesitis, dactylitis, uveitis, psoriasis, recent infection, trauma, and family history spondylitis. HLA-B27 was negative. Bone-marrow edema was detected at the sacroiliac joint on magnetic resonance imaging. Because of these findings, sacroiliitis related to the drug was considered in our patients and isotretinoin treatments were discontinued. Because the patients' low back pain continued when they administered non-steroidal anti-inflammatory drugs, biological drug treatments were started. Both cases presented had a simultaneous HS lesion. After the treatment, both low back pain and HS lesions regressed. Patients with isotretinoin therapy should be alerted for inflammatory low back pain and HS lesions that may develop. We should note that biologic agents should be considered in the treatment of resistant cases.Publication Evaluation of rheumatoid arthritis and connective tissue disease-related interstitial lung disease with pulmonary physiologic test, HRCT, and patient-based measures of dyspnea and functional disability(Springer London, 2021-03-11) Topcu, Atakan; Mursaloğlu, H. Hakan; Yalcınkaya, Yasemin; Karakurt, Sait; Yağız, Burcu; Alaca, Zeynep; Demir, Meryem; Coşkun, Belkıs Nihan; Dalkılıç, Ediz; İnanç, Nevsun; YAĞIZ, BURCU; COŞKUN, BELKIS NİHAN; DALKILIÇ, HÜSEYİN EDİZ; Tıp Fakültesi; Romatoloji Ana Bilim Dalı; 0000-0003-0298-4157; 0000-0002-0624-1986; 0000-0001-8645-2670; JQW-5031-2023; AAG-7155-2021; CMF-4757-2022Objectives We aim to investigate the relationship between pulmonary function and imaging parameters with symptom-related patient-reported outcome measures (PROs). Method We included 65 patients of rheumatoid arthritis (RA) and connective tissue disease (CTD) with and without interstitial lung disease (ILD) into this cross-sectional study. We evaluated the relationship between FVC, DLco, and PROs and compared to HRCT findings. PROs included visual analogue scale for breathing, modified Borg scale, medical research council dyspnea scale, St. George's respiratory questionnaire (SGRQ), Leicester cough questionnaire, and Short Form 36 quality of life (SF-36 QoL). Results The mean age was 57.4 +/- 9.7 and 61.9% (39/65) of patients had an established ILD. In RA-ILD group, SGRQ score was higher (p < 0.001) and SF-36 physical functioning score was lower (p = 0.02) than CTD-ILD group. In RA group, there was a significant correlation between FVC and SF-36 role functioning/physical score (r = 0.724, p = 0.012). In CTD group, SF-36 general health score was correlated with both FVC (r = 0.441, p = 0.045) and DLco (r = 0.485, p = 0.035), and also SF-36 physical functioning score was correlated with FVC (r = 0.441, p = 0.040). PROs were found to be similar between ILD and non-ILD patients. SF-36 QoL total and SGRQ outcomes were worse in non-ILD group. Conclusions We concluded that PROs could be used to evaluate health-related quality of life (HRQoL) in RA- or CTD-related ILD. The physical health determinants of HRQoL are measurably worse in RA-ILD patients than in CTD patients. But, PROs may not be very helpful in differentiating patients with cough and/or shortness of breath due to ILD or non-ILD causes in RA/CTD.Publication Clinical and laboratory factors associated with bamboo spine in patients with axial spondyloarthritis: Are there clues for bamboo spine?(Clinical & Exper Rheumatology, 2023-03-01) Atagündüz, Mehmet Pamir; Kiraz, S.; Akar, S.; Küçükşahin, Ömer; Erden, Abdulsaniet; Aksoy, Aysun; Beş, Cemal; Kanıtez, Nilüfer Alpay; Kılıç, Levent; Karadağ, Ömer; Kaşifoğlu, Timuçin; Emmungil, H.; Çınar, M.; Kimyon, G.; Yazısız, V.; Ateş, Aşkın; Ersözlü, D.; Gönüllü, Emel; Mercan, R.; Ertenli, I.; Kalyoncu, Umu; Coskun, Belkıs Nihan; COŞKUN, BELKIS NİHAN; Yagiz, Burcu; YAĞIZ, BURCU; Tıp Fakültesi; İç Hastalıkları Ana Bilim Dalı; KIW-0794-2024; JSI-1958-2023Objective To analyse the clinical and laboratory factors associated with bamboo spine.Methods Data of patients fulfilling the 2009 ASAS classification criteria for axial spondyloarthritis, registered in the national, multicentre, longitudinal, and observational database of TReasure was analysed. Radiographs were assessed using the Bath Ankylosing Spondylitis Radiologic Index (BASRI). Data of patients with a bamboo spine (Group 1) was compared to data derived from patients with a longstanding disease of at least 15 years but no syndesmophytes (Group 2).Results Out of the 5060 patients, 1246 had eligible radiographs. There were 111 patients (8.9%) with a bamboo spine. Male sex was more common among patients with bamboo spine. The median BMI of 27.7 (25.8-31.1) in Group1 was higher than the BMI of 25.9 (22.9-29.2) in Group 2 (p<0.001). Hip arthritis, present or documented by a physician, was more common in Group 1 [(58/108 (53.7%) vs. 35/103 (34%), p=0.004]. There was a tendency towards a more prevalent enthesitis in these patients [29.1% (25/86) vs. 15.9%(11/69), p=0.054]. HLA-B27 status did not differ between groups. Smoking was more prevalent in Group 1. Multivariate logistic regression analysis revealed that male sex, body mass index, hip arthritis, and enthesitis are associated with bamboo spine in axSpA.Conclusion Bamboo spine was more common in the male sex and associated with a delay in diagnosis, high BMI, hip involvement, and enthesitis. The constellation of increased body weight, hip arthritis, and enthesitis may imply that mechanical stress contributes to radiographic damage in the presence of chronic inflammation.Publication Clinical features of behcet's disease and prediction of the use of biologics in 488 cases: A single tertiary center study(Springer Heidelberg, 2023-08-22) Çakan, Zeliha Kübra; Yağız, Burcu; YAĞIZ, BURCU; Pehlivan, Yavuz; PEHLİVAN, YAVUZ; Tıp Fakültesi; İç Hastalıkları Ana Bilim Dalı; 0000-0003-2271-0209; JQW-5031-2023The objectives are to describe the demographic and clinical properties of Behcet's disease (BD) and investigate their relationship with the use of biological agents. Four hundred-eighty-eight patients, (299 (61.3%) males, 189 (38.7%) females), who fulfilled the ISG classification criteria for BD were included, retrospectively. The patient's demographics, disease onset age (DOA), clinical findings of the disease, and the drugs were determined and analyzed statistically. The means of patient age and DOA were 40.7 & PLUSMN; 9.9 and 30.8 & PLUSMN; 8.8 years, respectively. The most common initial findings were oral ulcer (OU)s (30.1%), genital ulcer (GU) (27.5%), ocular involvement (OI) (12.5%), and papulopustular lesion (PPL)s (10.1%). The most common clinical manifestations were OUs (96.9%), PPLs (70.2%), HLA-B51 (64.4%), positive pathergy reaction (26.4%), GU (58.8%), OI (44.7%), erythema nodosum (29.8%), and vascular involvement (VSI) (27.3%). Although, the frequency of GU was higher in females (p = 0.01), PPLs (p = 0.001) and VSI (p = 0.001) were higher in males. Sixty-three (8.9%) patients used a biological agent. Its frequency was higher in younger patients (< 40 years) (p = 0.006), males (p = 0.012) and patients with OI (p = 0.001). Besides, the DOA (p = 0.012) and the current age (p = 0.001) were lower in biological agent users. The possibility of using biological agent was increased in males (OR = 2.2), patients with OI (OR = 2.7) and young patients (OR = 0.9). Mucocutaneous lesions are distinctive features of BD, especially OUs precede other findings. GU was more common in females and PPLs and VSI were in males. The probability of using biologics is higher in males, patients with OI, and young patients.Publication Methotrexate intoxication: Beyond the adverse events(Clinical & Exper Rheumatology, 2018-01-01) Dalkılıç, Ediz; Coşkun, Belkıs Nihan; Yağız, Burcu; Ermurat, Selime; Tufan, Ayşe Nur; Pehlivan, Yavuz; DALKILIÇ, HÜSEYİN EDİZ; COŞKUN, BELKIS NİHAN; YAĞIZ, BURCU; Ermurat, Selime; Tufan, Ayşe Nur; PEHLİVAN, YAVUZ; Tıp Fakültesi; Romatoloji Bölümü; 0000-0003-0298-4157; AAG-7155-2021; JQW-5031-2023; ABE-4424-2022; AAG-8227-2021; CMF-4757-2022; GHE-4236-2022