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Article . 2018 . Peer-reviewed
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Ig-A vasküliti (Henoch-Schönlein purpurası) Tanısı Alan Çocuklarda Trombosit İndekslerinin Klinik Önemi

Authors: Esra Türe; Abdullah Yazar; Fatih Akın;

Ig-A vasküliti (Henoch-Schönlein purpurası) Tanısı Alan Çocuklarda Trombosit İndekslerinin Klinik Önemi

Abstract

Amac: Ig-A vaskuliti, cogunlukla kendi kendini sinirlayan, cilt, eklem, gastrointestinal sistem ve bobrek tutulumu ile karakterize, cocukluk cagi sistemik vaskulitinin en yaygin seklidir. Biz bu calismada, Ig-A vaskulit li hastalarin demografik ozelliklerini, klinik ve laboratuvar bulgularini ve bunlarin trombosit indeksleri ile iliskisini arastirmayi amacladik. Gerec ve Yontem: Cocuk Acil klinigine basvuran, Ig-A vaskuliti tanisi almis hastalarin kayitlari retrospektif olarak incelendi. Hastalarin yas, cinsiyet, basvuru sikayeti, klinik ve laboratuvar bulgulari kayit edildi. Saglam cocuk poliklinigine basvuran yas ve cinsiyet eslestirmesi yapilmis 48 saglikli cocuk kontrol grubu olarak kabul edildi. Bulgular: Ig-A vaskuliti tanisi alan 48 hastanin 33’u (%68,8) cilt dokuntusu, 11’i (%22,9) eklem agrisi ya da sisligi ve dordu (%8,3) karin agrisi sikayeti ile basvurdu. Takiplerinde hastalarin tamaminda klasik Ig-A vaskuliti dokuntusu ortaya cikti. 38’inde (%79,2) eklem, 16’sinda (%33,3) gastrointestinal sistem ve altisinda (%12,5) bobrek tutulumu vardi. Bobrek tutulumu olan alti hastanin tamaminin istatistiksel anlamli olarak (p: 0,024) erkek oldugu tespit edildi. Laboratuvar bulgulari karsilastirildiginda kontrol grubuna gore trombosit sayisinin hasta grubunda istatistiksel anlamli olarak (p: 0,001) yuksek oldugu, ortalama trombosit hacminin ise hasta grubunda istatistiksel anlamli olarak (p: 0,001) dusuk oldugu tespit edildi. Yine C-reaktif protein ve eritrosit sedimentasyon hizinin hasta grubunda kontrol grubuna oranla istatistiksel anlamli olarak (p: 0,001) yuksek oldugu tespit edildi. Sonuc: Calismazda ortalama trombosit hacmi Ig-A vaskulitli hastalarda saglam kontrollere oranla dusuk tespit edildi . Ig-A vaskuliti tanisi alan cocuklarda trombosit indekslerinin klinik oneminin anlasilmasi icin daha genis ve cok merkezli calismalara ihtiyac vardir.

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Keywords

Ig-A vasküliti;çocuk;trombosit indeksleri, Health Care Administration, Ig-A vasculitis;child;platelet indices, Sağlık Kurumları Yönetimi

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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