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    Generalized nonspecific Pustular Lesions in Tietze's syndrome
    (Wolters Kluwer, 2007) Karabudak, Özlem; Nalbant, Selim; Ulusoy, Rıfat Eralp; Doğan, Bilal; Harmanyeri, Yavuz
    Tietze's syndrome (TS) was defined as a nonsuppurative, benign, and self-limited arthropathy characterized by tenderness and painful swelling of one or more sternocostal, costochondral, or sternoclavicular joints in the absence of other possible causes.1 This clinical entity should not be confused with other chest wall pain in which there is no swelling.2,3 This disease can usually be seen in young people.1 Although the etiopathogenesis is not well known, symptoms generally follow microtraumas and/or respiratory tract infections.4 It is estimated that somewhere in the vicinity of 20%–25% of noncardiac chest pain has a musculoskeletal basis.5–8 Such a symptom generates anxiety in both patients and their medical attendants for fear that this symptom represents a life-threatening event, such as an acute coronary syndrome. Dermatologic comorbidities with TS have been reported previously, such as palmoplantar pustulosis (PPP) and psoriasis vulgaris.4,9 The majority of PPP associated with TS has skin eruptions not only confined to the palms and soles but also on the backs of hands and feet, the arms, the legs, and the trunk.9 Our patient with TS had pustular lesions that clinically resembled pustular psoriasis at a first glance. These should be recognized as a potential part of TS that as in our case may resolve with nonsteroidal anti-inflammatory drug therapy.
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    Investigation of the prevalence of hand eczema among healthcare professionals in Turkey: a cross-sectional study
    (J Cosmet Dermatol, 2021) Gür, Tuğba Falay; Erdoğan, Sevil Savaş; Doğan, Bilal
    Background: Hand eczema is one of the common occupational dermatoses, having high prevalence among healthcare professionals (HCP). We found no epidemiological data in the literature concerning the prevalence of hand eczema among HCP in Turkey. Aims: The aim of the present study was to investigate the prevalence of hand eczema among HCP in Turkey and to determine the demographic characteristics and risk factors that cause eczema. Methods: A clinical assessment- and questionnaire-based cross-sectional study was conducted with 734 HCP working in a tertiary hospital. Demographic characteristics and personal and occupational risk factors were evaluated in terms of the development of hand eczema. Results: The survey response rate was 81.8%. The point prevalence of eczema was 27.6%, and the 12-month prevalence was 45.9%. Age, occupation, duration of work, atopic diseases, handwashing frequency, dry skin, moisturizing frequency, and presence and duration of glove use were important factors in the development of hand eczema. Powdered glove reaction was significantly higher in those with hand eczema (p = 0.0001). Conclusions: The prevalence of hand eczema is high among HCP in Turkey. Combining self-reported questionnaires with clinical examination findings can provide a more accurate calculation of the prevalence of hand eczema. The availability of epidemiological data on hand eczema can provide guidelines for the prevention and treatment of this condition. Except for situations requiring absolute handwashing, disinfecting hands with alcohol-based lotions and applying a powder-free policy in all healthcare centers will reduce the prevalence of hand eczema among HCP.