Dermatology and Venerology
Kocaeli University Medical School department of Dermatology and Venerology was established in 1995 and 5 professors, 1 Assistant professor and 10 assistant doctors work in our department. The inpatient service has 10 beds. Outpatient clinics provide service in 3 general clinics and 7 special clinics ( urticaria-hives, Dermatitis, Behçet disease, Psoriasis, Skin lymphoma, Dermatologic surgery and Skin tumors-nevus follow up). Dermatologic procedures that we offer in our department are photo(chemo)therapy, electrocautery, cryosurgery, iontophoresis, dermoscopic ve videodermoscopic examination, incisional and excisional skin biopsy, minor surgical procedures(including nail surgery), patch test, Alexandrite laser hair removal, proyellow 577 nm yellow light laser for superficial vasodilation and redness, and Botulinium toxin A for excessive sweating.
Procedures Performed in the Department of Dermatology and Venereal Diseases;
BIOPSY:
It is a procedure that removes a small sample of skin from a piece or all of the lesion and examines it under a microscope to confirm the diagnosis or in cases where a definitive diagnosis cannot be made. Before the procedure, the biopsy area is cleaned with an antiseptic solution and a local anesthetic is injected. Then, they removed a small piece of skin with a sterile, pen-like tool. After the bleeding has stopped, the area is closed. Sometimes this procedure is done with surgical instruments and then sewn with suitable suture material.
DERMOSCOPY:
It is a procedure that can be defined as a microscopic examination of the skin that is used to diagnose and distinguish pigmented skin lesions. It has been used routinely in dermatology outpatient clinics. Particularly,it is a helpful method in the follow-up of congenital or acquired nevi and in the early diagnosis of pigmented (coloured) skin tumors, especially melanom. An examination is performed with a dermoscope by contacting the lesioned skin. It is a simple, fast, practical, and inexpensive method that can be applied to everyone with no side effects.
VIDEODERMOSCOPY:
This method, which includes examining and recording nevi and skin tumors in a computerized environment, enables the images of individuals with multiple and risky nevi to be recorded and examined. Thanks to the recording feature, it is possible to follow whether suspicious lesions have changed or not; thus, unnecessary surgical excisions can be avoided.
PATCH TESTING:
It is a diagnostic approach to detect substances that may cause disease in patients diagnosed with allergic contact dermatitis. The method is based on sticking chemical products prepared in vaseline or impregnated with special tape, attaching them directly to the back area. Test sites are evaluated after 48, 72, and 96 hours, and, if necessary, 1 week later. After the test, no bathing and excessive physical activity should be avoided for 48 hours. There may be itching, slight discoloration, and acne development at the application site. Also, rarely, an exacerbation of existing eczema, excessive irritation, and burning may occur.
PHOTOTHERAPY:
It is a method used for the treatment of some skin diseases with ultraviolet lights, which are a part of sunlight, artifically produced. If artificial ultraviolet lights are used alone in the treatment, this method is called phototherapy. If it is used after some drugs that will increase the person's sensitivity to the sun, it is called photochemotherapy (PUVA). Photo(chemo)therapy is a frequently used method in the treatment of many skin diseases, such as psoriasis, atopic dermatitis, alopesi areata, and cutaneous T-cell lymphoma (Mycosis Fungoides). The system consists of a cabinet that emits ultraviolet rays into which patients can enter. If small areas are to be treated, a local PUVA device can be used. The treatment usually consists of 2-3 sessions per week. During treatment, patients are always put in special glasses to protect their eyes.
CRYOTHERAPY:
It is a frequently used form of treatment in dermatology, where the diseased area is destroyed by freezing. In our department, an open spray device and liquid nitrogen with a temperature of 195.6 °C are used for cryotherapy. The advantages of this treatment method are that there is no need to anesthetize the area beforehand and that it is easy to apply. Liquid nitrogen is sprayed onto the diseased tissue until it forms a freezing ring around the diseased tissue. If one application is not sufficient for treatment, the application can be repeated at intervals of 2–4 weeks. Regional pain during and after treatment is an expected effect. In addition, there may be pain, swelling, blistering, and a white or brown scar in the treated area after the treatment. Cryotherapy is often used to treat skin diseases like warts, seborrheic keratosis, actinic keratosis, calluses, and keloid.
ELECTROCOTERIZATION:
It is a method that causes the tissue to cauterize by heating a metal with electrical energy and is utilized in the treatment of some dermatological diseases such as warts, moles, pyogenic granuloma, seborrheic keratosis, and milia. The area is cleaned with an antiseptic solution before the procedure and then anesthetized so that you do not feel any pain. To avoid infection after the procedure, it is advised not to touch the area with water for a few days and to apply the antibiotic cream prescribed by your doctor. This procedure also has some potential risks. The anesthetic substance may cause allergic reactions, bleeding, wound infections, leaving a white or brown scar while the area is healing, the lesion may not go away completely, or it may come back. There may also be pain during or after the procedure, as well as damage to the tissues next to the procedure area.
IONTOPHORESIA:
It is a treatment method that involves the use of an electric current to introduce various ions into the skin. It is used to treat a variety of skin diseases, particularly excessive sweating. Plastic basins filled with warm water are used in the application to cover sweaty areas of the hands and feet. The electrical current is supplied by electrodes in the water, and the current is provided by galvanometric means.
ALEXANDRITE LASER EPILATION:
It is a method used in the treatment of unwanted hair and is especially effective on light-skinned people and those with thick, dark hair. The hairs in the laser-applied area completely disappear after the session. When compared to other hair removal lasers, it is a painless and painless method. Although the number of sessions required to complete the treatment varies from individual to individual, the sessions may need to be repeated 6–12 times. Session intervals vary between 4–8 weeks depending on the region. Temporary redness may occur after treatment. If a laser is used without a cooling system on extremely sensitive individuals, a condition such as a sunburn may occur. This situation improves after a few days of treatment. However, dark and light staining on the skin can be seen following laser epilation.
PROYELLOW 577 NM YELLOW LIGHT:
It is used to treat capillary vessel dilation, resistant spots, rosacea, and a variety of other vascular lesions. The application, which does not cause significant pain, has no effect on the person's daily life. The redness that occurs immediately after the treatment disappears within hours. Sunscreen should be used for a while after treatment to ensure a better treatment response. The process can be repeated until a complete response is obtained.
DERMATOSURGERY
Dermatosurgery procedures such as punch biopsy, excisional biopsy, shave excision, and nail surgery are performed in our clinic. Moles with suspected cancer and other skin cancers are completely removed with appropriate methods. Skin cysts are removed along with the sac using appropriate surgical techniques. In ingrown nails, the nail is partially or completely removed. In partial nail surgery, the ingrown part is completely removed using the chemical matrixectomy method, then phenol is applied to prevent its recurrence. A biopsy is performed, and the mass or cysts in the nail are removed with the most appropriate methods. A biopsy is performed to diagnose the diseases present in the nail, and the mass or cysts in the nail are removed using the most appropriate methods.
How to Make an Appointment with the Department
Appointments for the Skin and Venereal Diseases Polyclinic can be made through the Kocaeli University Research and Application Hospital's website, the online appointment system, or by calling 02623036627.
Contact information for the policlinic section:
0262 3036627 (Secretariat)
02623036615 (Phototherapy Unit)
02623036624-26 (Rooms for examination)
SERVICE
02623038903 (Secretariat)
02623037409 (nursing room)
02623038328 (Doctor's Room)
The Dermatology and Venereal Diseases AD polyclinic is on the second floor of the new polyclinic building, which houses all of the polyclinics.
Academic Staff:
• Professor.Dr. Dilek BAYRAMGÜRLER (Head of the Department)
• Professor.Dr. Nilgün SAYMAN BİLEN
• Professor.Dr. Aysun Şikar AKTÜRK
• Associate Professor. Dr. Evren ODYAKMAZ DEMİRSOY
• Asst.Professor.Dr. Abdullah DEMİRBAŞ