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    Cholecystitis related to Brucella melitensis: A rare presentation
    (2008) Gunal E.K.; Topkaya A.E.; Arisoy A.; Aydiner O.; Gökçen G.; Aksungar F.B.; Karabulut M.; Tulbek M.Y.; Aytug O.N.
    Although human brucellosis is a multisystemic disease, cholecystitis due to Brucella species is a rare manifestation. Here we present a 64-year-old woman with Brucella cholecystitis who was admitted to the hospital with fever and arthralgias for the last 10 days. Her complete blood count and blood chemistry were unremarkable other than C-reactive protein: 3.08 mg/dL (<0.5 mg/dL), aspartate transaminase: 70 U/L (<65 U/L), alanine transaminase: 71 U/L (<37 U/L), ?-glutamyl transferase: 748 U/L (<85 U/L), and alkaline phosphatase: 285 U/L (<136 U/L). On the second day of hospitalization, she complained of diffuse abdominal pain, and physical examination revealed Murphy sign. Abdominal ultrasonography was consistent with acute cholecystitis. She was given ciprofloxacin because she refused cholecystectomy. On the 10th day of admission, she still had fevers, and Brucella melitensis was recovered from blood culture specimens. Brucella agglutination tests were also found to be positive. She was symptom free after the fifth day of introduction of streptomycin, doxycycline, and rifampicin. © 2008 Lippincott Williams & Wilkins, Inc.
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    Clinical evaluation and comparison of different criteria for classification in Turkish patients with psoriatic arthritis
    (2009) Gunal E.K.; Kamali S.; Gul A.; Ocal L.; Konice M.; Aral O.; Inanc M.
    Several criteria are being used for the classification of psoriatic arthritis (PsA) and there is a lack of consensus about PsA as a separate entity. Our aim is to investigate the clinical features of our patients with a clinical diagnosis of PsA, compare the sensitivities of different classification criteria, agreement between the criteria. In this study 86 PsA patients were investigated (48 females, mean age 44). Moll and Wright criteria was fulfilled by 91%, Vasey and Espinoza criteria by 94% and modified European SpA study group criteria by 59%, classification of PsA study group criteria by 86%, modified McGonagle criteria by 96%, Fournie et al. criteria by 84% and Gladman criteria by 95%. Significant agreement was present between criteria but generally ?-values were less than 0.5. The pattern of PsA can differ with time and the implementation of the available classification criteria showed considerable differences. © 2008 Springer-Verlag.
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    Low frequency of HLA-B27 in ankylosing spondylitis patients from Turkey [Faible fréquence d'HLA-B27 chez des patients atteints de spondylarthrite ankylosante en Turquie]
    (2008) Gunal E.K.; Sarvan F.O.; Kamali S.; Gul A.; Inanc M.; Carin M.; Konice M.; Aral O.; Ocal L.
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