Yeşim Akpınar Kara

By Yesim Akpinar Kara

As a trauma type, “Burn” is one of the high-frequency accidents in the world. It is mostly caused by electricity, hot water, and chemical agents. A trauma can have acute effects on burns, skin, and other organ systems. These complications might be seen as myocardial infarction, thromboemboli, respiratory, and renal failure. In case of acute burns, the skin surface is severely destroyed. During this period, infection may develop on damaged skin. Therefore, in the treatment of burn wounds, protecting the damaged skin and multidisciplinary approaches are needed for preventing scar formation while healing process.

Part of the book: Hot Topics in Burn Injuries

By Yesim Akpinar Kara

Psoriasis is an inflammatory and erythematous scaly disease that involves the skin, joints, and nails. Its prevalence is 1–3%. The incidence of nail involvement in psoriasis patient ranged between 15 and 69%. Nail psoriasis is an important problem affecting patients both functionally and psychologically. Patients with nail psoriasis can develop a wide variety of nail changes, such as pitting, onycholysis, subungual hyperkeratosis, nail discoloration, crumbling and leukonychia, oil spots, and splinter hemorrhages. Nail psoriasis is also strongly associated with psoriatic arthritis. It has been estimated that 80–90% of patients with psoriatic arthritis develop nail involvement. Dermoscopy can be useful in the evaluation of psoriatic nail when there are no typical clinical features. Dermoscopic findings vary depending on the affected area of the nail. Capillaroscopy and confocal microscopy help in the diagnosis. Treatment of the disease includes avoidance of trauma to the nails and different therapeutic approaches with topical, intralesional injections and systemic agents.

Part of the book: Tailored Treatments in Psoriatic Patients