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P Hatzinicolaou

Publications and source records attributed to P Hatzinicolaou.

3 recordsLinked to original sources

Neurogenic bladder dysfunction due to Behçet's disease.

BACKGROUND: Behcet's disease is a chronic multisystem condition of unknown origin. Genitourinary tract involvement with genital apthous ulcers, epididymitis, urethritis and recurrent cystitis is encountered commonly. Neurogenic bladder dysfunction due to neural involvement of the syndrome, has been reported extremely rarely. METHODS: A case of neurogenic bladder dysfunction due to Behcet's disease is presented. The patient was 17-year-old young male with a long history of the disease and neurological affection, but with neglected lower urinary tract symptoms and urinary incontinence. The patient was diagnosed urodynamically to have hyperreflexic detrusor. RESULTS/DISCUSSION: After failure of medical treatment (oxybutynin chloride) the patient submitted to augmentation clam-type sigmoidocystoplasty. Four years postoperatively, the patient is dry, on clean intermittent self catheterization twice daily and he is practically asymptomatic from lower urinary tract symptoms.

Adolescent↗

Nailfold capillary abnormalities in Behçet's disease.

OBJECTIVE: To determine the degree and the frequency of the nailfold capillary abnormalities and to correlate these with clinicolaboratory variables of Behçets disease. METHODS: A stereomicroscope was applied to study the nutritional skin capillaries of the nailfolds. Stages 0, A, B and C (Fagrell's classification) were distinguished. RESULTS: In 40 healthy subjects capillary abnormalities (stage A) were detected in 7%. In 33 of our patients abnormal nailfold capillary findings (stages A, B, C) were noted in 75%. The stage of capillary abnormalities was significantly correlated with skin manifestations (p = 0.03), arthritis/arthralgia (p = 0.04), and pathergy test (p = 0.04). The correlation between stages 0 and A and eye involvement was not significant (p = 0.08). Disease duration was longer in patients of stage C than in stage 0 but this difference was also not significant (p < 0.10). CONCLUSION: Using a noninvasive method we detected nailfold capillary abnormalities in the majority of our patients.

Adult↗