Makale Arama

Aim: The clinical course of COVID-19 cases and the severity of symptoms vary according to the case.
However, it has been seen in the cases examined that it poses a greater risk for those with chronic
diseases and elderly individuals. In order to protect elderly individuals from COVID-19, governments
have introduced some restrictions. It is thought that the wrong evaluation of these restrictions may lead
to attitudes of ageism. This study aimed to determine the relationship between society's fear of COVID-19
and attitudes towards ageism.
Patients and Methods: This work is designed in descriptive type. This study was conducted with
volunteers between the ages of 18-65 683 people. The data of the study were collected using the Fraboni
Scale of Ageism and COVID-19 Fear Scale. Data were collected on 1-20 Jun e 2020.
Results: The mean Fraboni Scale of Ageism and COVID-19 Fear Scale scores were 67.87±6.15 and
18.81±6.16, respectively. The results showed a weak and negative correlation between COVID19 fear
and ageism.
Conclusion: In general, individuals had a positive attitude towards the elderly and had low levels of
COVID-19 fear.

Aim: It was aimed to discuss a rare case which was diagnossed as pilomatrix carcinoma. Case Report:We report the case of a 50-year- old man with a pilomatrix carcinoma in his left forearm. In his history the patient announced taht the lesion had developed one year ago, and its size had expanded rapidly after the first six- month period. Diagnosis of malignant pilomatricoma is essentially histopathological .The tumor was composed of pleomorphic basaloid cells with prominent nucleoli and frequent atypical mitoses accompanied by central areas with keratotic materials, shadow cells, and foci of necrosis. Vascular or perineural infiltration was not observed. The patient remained disease-free at the 22 months follow- up. Conclusion: Pilomatrix carcinoma is a neoplasm of low-grade malignancy that should be distinguished from the conventional pilomatrixoma and its variants. Clinicians and pathologists should be aware of the occurrence of pilomatrix carcinoma because of its potential for distant metastases. We reviewed the literature and comment on the histopathologic differences from other cutaneous tumors.

Androjen duyarsızlık sendromu (AIS), Xq11-q12'de yer alan androjen reseptör (AR) genindeki
mutasyonların neden olduğu genotip/fenotip uyumsuzluğu ile seyreden X'e bağlı çekinik bir hastalıktır.
Bu çalışmada AR geninde literatürde daha önce bildirilmemiş nadir bir mutasyon saptadık. AIS’nun temel
klinik bulguları; 46,XY bireylerde, doğumda dişi dış genitalya, puberte döneminde anormal sekonder seks
karakter gelişimi ve erişkinlik döneminde görülen infertilitedir. 17 yaşında, dişi dış genitalyaya sahip hasta
primer amenore nedeniyle kromozom analizi yapılmak üzere kliniğimize yönlendirildi. Hastanın genotipi
46,XY olarak saptandı. Hastanın AR geni sekans analizinde ekzon 1’de; daha önce ExAc, 1000genome
ve diğer popülasyon veri tabanlarında bulunmayan NM000044 c.5A>G varyantı tespit edildi. Bu varyant 2.
pozisyonda glutamik asidin glisine dönüşümüne neden olmaktadır. Negatif yüklü, polar bir aminoasit olan
glutamik asidin; hidrofobik özelliğe sahip glisine dönüşümü nedeniyle, bu mutasyonun AR geninin fiziksel
yapısını ve proteinin 3 boyutlu yapısını bozabileceğini düşündü k.

Sialolipom is a rare benign tumor, defined as the variant of intraoral lipoma. Tumour is completely surrounded by thin fibrous capsule and consisted of mature adipocytes and normal salivary gland tissue. In here, we present a 55 years old female patient with submandibular gland located sialolipoma.

Aim: We have investigated effect of recurrent laryngeal nerve identification during thyroid surgery on incidence of nerve paralysis. Material and method: Routine intraoperative dissection and identification of recurrent laryngeal nerve was said to have reduced the nerve paralysis at recent reports in the literatüre. This prospective study was conducted between January 2003 and October 2005. The recurrent laryngeal nerve identification was performed during thyroid surgery and incidence of nerve paralysis was recorded in 36 patients. Results: For 30 patients (83.3%) the surgical procedure was bilateral subtotal lobectomy, for 4 patients (11.1%) the surgical procedure was unilateral total lobectomy + isthmusectomy and for 2 patients (5.6%) the surgical procedure was near-total thyroidectomy. There was no permanent recurrent laryngeal nerve paralysis. The temporary recurrent laryngeal nerve paralysis rate was 1.42 percent. Conclusion: The identification of recurrent laryngeal nerve reduced the rate of postoperative recurrent laryngeal nerve paralysis.

Melanoacanthoma or pigmented seborrhoeic keratosis is a rare variant of seborrhoeic keratosis which commonly occurs as deeply pigmented lesion in the head and neck or trunk of elderly patients. Melanoacanthomas shows proliferation of dendritic melanocytes and basaloid keratinocytes on histology. The lesion can clinically mimic malignant melanoma and variants a histopathological examination for the right diagnosis and proper management.

Aim: In this study, it was aimed whether biochemical parameters, vital signs and neutrophil-lymphocyte ratio
(NLR) values could be used in determining the indication for intensive care hospitalization in COVID-19
patients.
Patients and Methods: This retrospective observational study was conducted in the emergency department
of a university hospital. Patients with positive SARS-CoV-2 PCR test who applied to our hospital on 1-31 July
2020 were included in the study. Laboratory results, demographic findings and clinical results of the patients
were collected electronically. The patients were divided into 3 groups as discharged, admitted to the service
or intensive care unit. The incidence and severity of symptoms, comorbidities, laboratory values, and NLR
values were compared between the groups.
Results: A total of 489 patients were included in the study. The mean age of the included patients was 48.69
+ 17.25 years, of which 260 (53.16%) were female. While 248 (50.9%) of these patients were discharged,
207 (42.3%) were taken to the service and 33 (6.7%) to the intensive care units. Age, heart rate, urea,
creatinine, CRP, D-dimer and NLR values of the patients admitted to the intensive care unit were higher
than the other groups, while oxygen saturation was statistically significantly lower in this group. Concomitant
systemic diseases such as Diabetes Mellitus, Essential Hypertension, Chronic Obstructive Pulmonary
Disease were more common in those hospitalized in the intensive care unit. In multivariable analysis, oxygen
saturation (OR:0.803) and neutrophil-lymphocyte ratio (OR:1.09) were found to be independent predictors of
the indication for hospitalization in the intensive care unit.
Conclusion: As a result of our study, we think that especially low oxygen saturation and high neutrophillymphocyte
ratio can be used in determining the indication for intensive care hospitalization in patients who
apply to the emergency department due to COVID-19.

Noonan syndrome is an autosomal dominant disorder that is typically dysmorphic anamolies at birth. In many affected individuals, this syndrome is associated with cardiac defects and a distinctive facial appearance. We aimed to discuss a different variant of Noonan Syndrome progressing especially with gingival overgrowth and dental anomaly in our cases. A 15-year-old female patient presented to our family medicine outpatient clinic with the complaint of growth retardation. The patient was diagnosed with Noonan Syndrome with phenotypic symptoms. Noonan Syndrome is one of the syndromes without any chromosomal anomalies developing with Turner-like phenotypic features. Gingival overgrowth and dental anomaly coexistence in addition to the oral symptoms that are likely to be related to the Noonan Syndrome was present in our case.Specifically, if there are accompanying symptoms and findings in cases with gingival overgrowth and dental anomalies as seen in patients’ mouth and teeth examinations, Noonan Syndrome may be taken into consideration.

Objective: Dermoscopic features of basal cell carcinoma (BCC) have been well described in the literature, however, blue white variant of BCC has recently been described as a mimicker of melanoma. When reviewing the literature, it seems that there is just one original research about this special type of BCC. Here we aimed to evaluate this special and challenging variant of BCC cases of two dermatology departments from different regions of Turkey. 

Material and methods: Dermoscopic images of the histopathologically approved BCC cases  from two centers between the years 2015-2018 were reviewed. The cases showing diffuse blue white areas on dermoscopy were included in the study. The clinical and histopathological features, dermoscopic images and demographic data of all the cases were evaluated

Results: We detected 15 (9.74 %) lesions of BCC with diffuse blue-white dermoscopic pattern from 15 different patients among 154 cases of histopathologically confirmed basal cell carcinomas. All of the cases were located on the head region. All of the cases were excised with two main differantials: melanoma and BCC. The most common findings after blue white diffuse areas were irregular serpentine vessels (60.0 %), peripheral maple leaf like areas (46.6%) and ulceration (46.6%). The histopathological examination of all the cases were in keeping with nodular or noduloulcerative subtypes.

Conclusion: The present study, to the best of our knowledge, is the most comprehensive study regarding this rare and challenging presentation of BCC. The main differential diagnosis is melanoma. We suggest that it would be logical to consider blue white BCC in the lesions showing diffuse blue-white color. A careful dermoscopic examination regarding the presence of specific dermoscopic clues to basal cell carcinoma can provide a well-directed preliminary diagnostic evaluation. 

Keywords: Basal cell carcinoma, blue white, dermoscopy

Concha bullosa is a common anatomical variant of intranasal anatomy. Eighty-six patients who had paranasal sinüs infection were evaluated with CT for lateral nasal wall variations. İt was found that 22 % of the patients had concha bullosa at least on one side. İt was seen that paranasal sinüs infections developed vvithout concha bul­ losa and on the other hand, 15 patient that operated endoscopic surgery was shovvn that this prosedüre is useful for the treatment of sinusitis in cases with concha bullosa.

This is a group of Progressive renaldisorders that usualy have their onset in childhood. The common characteris- tic is the peresence of a variable number of cysts in the medulla associated with significant cortical tubular atro- phy and interstitial fibrosis. Although the presence of medullary cysts is important, the corticaltubulointerstitial dam- age is the causeof the eventual renal incufficiency. İt has four variants: 1- Sporodic, nonfamilial (% 20); 2- Familial juvenile nephronophytisis (% 50), inherited asa recessive disease; 3- Renal - retinal dysplasia (% 15), recessively inherited and associated with retinitis pigmentosa; and 4-Adult onset medullary cystic disease, dominantly inherited (%15). The case had shown the view of sporadic nonfamilial variant of UMCD and was presented because of the rarity in literatüre it.

Aim: The aim of the study was to evaluate the clinical features and consultation process of the patients who
were consulted from the pediatric emergency department to the surgical departments during the pandemic
period, and to compare the findings with the data before the pa ndemic.
Patients and Methods: The research was conducted between 11.03.2020-11.03.2021 in the pediatric
emergency department of our hospital. The enrolled patients at 0-18 years of age were retrospectively
evaluated in terms of gender, age, diagnosis, consultation result, consultation response time. Our study was
compared with the prepandemic data between 01.01.2019 and 31.12 .2019.
Results: Of the patients; 42,4% were female and 57,6% were male. The mean age was 6,9±4,9 years. It
was determined that 27,3% of our patients were consulted to one of the surgical clinics with the diagnosis of
foreign body, 22,2% acute abdomen, 10.6% foreign body aspiration. It was found that 38,5% of the patients
were consulted to the pediatric surgery department, 33,9% to the otolaryngology department and 11,4% to the
thoracic surgery department. The mean consultation response time was 72,2±48,8 minutes. The distribution
of diagnoses, consultation response time, consulted surgical departments, consultation results by age groups,
and distribution of the consultation response times by surgical departments during the pandemic were found
to be statistically significant compared to the pre-pandemic pe riod (p<0,05).
Conclusion: In our study, it was found that the number of patients admitted to the pediatric emergency
department decreased during the pandemic period, the number of hospitalizations increased, the diagnoses
associated with trauma and close physical contact decreased, and the diagnosis of epididymorchitis increased.
In addition consultation response times were observed to be con siderably longer.

Croup syndrome is a term that defines barking cough , hoarseness, inspiratory stridor, and presenting with changeable severity of respiratory distress according to the l (severity) of obstruction, Foreign body aspirations, retropharyngeal abscess, bacterial tracheits and epiglottitis are also reasons for croup like acute airway obstructions. We a 4 years old child with biphasic stridorwho admitted to the Pediatric Emergencydepartment In consequence of unresponsive medical treatment pati endoscophic examination has performed and a Szygium aromaticum at the level of vocal cordswas found The foreign body had removed with general anesthesia by endoscophy.

Aim: The aim of this study is to examine whether the timing of surgery in our elderly patients with a
diagnosis of hip fracture changed before and after the pandemic, and whether this situation caused an
increase in mortality .
Patients and Methods: The patients who were operated with the diagnosis of hip fracture between March
2019 and March 2020 in our hospital database were accepted as in the pre-pandemic period, and the
patients who were operated with the diagnosis of hip fracture between April 2020 and April 2021 were
considered as in pandemic period. Both groups were statistically compared in terms of age, gender,
waiting time for surgery , length of hospital stay and one year mortality .
Results: When the factors af fecting mortality were examined, the time elapsed until surgery significantly
increased mortality. While the mean waiting time for surgery was 27.6±19.4 hours in all patients, it was
25.7±19.1 hours in Group 1 and 29.6±19.6 hours in Group 2 and there was a significant difference between
the two groups (p=0.043). The cut-off value of the waiting time for surgery, which caused mortality, was
determined as “23.35” hours. While no significant increase in mortality was found in Group 1 (p=0.340),
the increased delay for surgery in Group 2 affected mortality significantly (p=0.027).
Conclusion: In this study, it was found that the increase in the delay of admission for surgery over 23.35
hours in the elderly population after hip fractures was directly associated with one year of mortality
and also we think that the waiting time for surgery in the pandemic conditions is one of the factors that
negatively af fect mortality in these patients.

The objective of this study was to evaluate renal arteries in living kidney candidate donors through DSA as well as compare and contrast the findings with surgical findings. 180 kidney donor candidates were evaluated through retrospective analysis and findings were compared and contrasted with surgical operation notes. DSA images of kidney donor candidates collected from the back-up service were randomly and independently from patient credentials examined in laboratory stations through retrospective analysis by two experienced radiologists. According to DSA findings of 180 kidney donor candidates, 158 donors (87,8%) were diagnosed with single renal artery and 22 donors (12,2%) were diagnosed with multiple renal artery while 156 donors (86,6%) were diagnosed with single renal artery and 24 donors (13,3%) were diagnosed with multiple renal artery according to surgical operation notes. Comparing and contrasting DSA findings with those of surgical operation notes, it was marked that 154 donors owned the same findings while 6 donors were diagnosed with different findings. In accordance with these findings, our accuracy rate was 96% and our sensitivity and specificity ratios in multiple renal artery diagnosis were measured as 83% and 98% respectively based on operation notes. It is of great significance to evaluate left side renal arteries accurately as well as to identify their variations in living kidney donors. DSA is regarded as golden standard in imaging vascular structure of kidney and it proves the pace, normal anatomy as well as variations of renal arteries accurately and in great detail.

Bronchial carcinoid tumors constitute approximately 5 percent of all lung tumors. They occur with about equal frequency in both sexes. Most patients are young or middle aged adults. These tumors are not related to cigarette smoking or other known pulmonary carcinogenic factors. Dependent upon the location of the tumor within the lung clinical presentation and morphologic appearance, these tumors are four variants. These variants are the central carcinoid, the peripheral carcinoid, atypical carcinoid, tumorlet type bronchial carcinoid. In this study, two cases diagnosed as bronchial carcinoid turner in Pathology Depart-ment of Medical School of Selçuk University between May 1987 -April 1988 were presented and discusseJ.

Bronchial carcinoid tumors constitute approximately 5 percent of all lung tumors. They occur with about equal frequency in both sexes. Most patients are young or middle aged adults. These tumors are not related to cigarette smoking or other known pulmonary carcinogenic factors. Dependent upon the location of the tumor within the lung clinical presentation and morphologic appearance, these tumors are four variants. These variants are the central carcinoid, the peripheral carcinoid, atypical carcinoid, tumorlet type bronchial carcinoid. In this study, two cases diagnosed as bronchial carcinoid turner in Pathology Depart-ment of Medical School of Selçuk University between May 1987 -April 1988 were presented and discusseJ.

In this study, thirty cases af laringeal carcinoma which diagnosed in our clinic between November-1994 June-1996 are compared by preoperative CT, laryngoscopy and postoperative speciemen findings. By laryngoscopy one could evaluate the status the mucosal lining and vocale cord motility. Lımitations of the cord vocale motility is attributed to deep invasion of the tumour but, the exact dimensions of the tumour could not be estimated. The conventional radiologic examination methods da not add any useful knowledge to the laryngoscopy. The com-puted tomograpic examination is useful to determine the precise anatomic localization and spread of the tumour which is very useful ta surgeon to choose the surgical treatment method. We concluded that CT is valuable di-agnostic method in evaluating the preepiglottic area, paraglottic area, subglottic area and the inferior areas of the larynx which is obstructed by the large laryngeal masses and the cartilage invasion which could not be evaluated by laryngoscopy and other conventional radiological methods. Also we concluded that there may be wrong de-cisions about the cartilage invasion due to the irreguler calcifications and microinvasions by CT examination. In the evaluation of the small mucosal lesions CT could yield false negative results and these lesions could be more accurately determined by laryngoscopy. CT evaluation of the laryngeal carcinoma patient prior to surgical in-tervantion is an additional diagnostic tool to the laryngoscopy and very useful for the determination of the best conservative surgical method.

Castleman’s disease is a rare lymphoproliferative disorder of unknown etiology exactly. Although the disease most commonly appears in the mediastinal lymph nodes, it can be occur in cervical, retroperitoneal, axillary and other regions lymph nodes. There is no gender predominance and often occurs in young adults. Two histological variants as hyaline-vascular and plasma cell type have been described. Clinically it is also divided in two types: a localized type, which is usually asymtomatic and presented as a mass or swelling. Systemic (multicentric) type is characterized nonspecific symptoms such as fever, anaemia, generalized lymphadenopathy and hepatosplenomegaly Complete surgical excision is curative for localized form. Although systemic type is usually treated with radiation therapy, corticosteroids and chemotherapy, there is no certain treatment. We herein reported a neck mass diagnosed as hyaline vascular type Castleman’s disease.

Since the identification of SARS-CoV-2, a multisystem inflammatory syndrome (MIS-C) that appears in
children after COVID-19 disease and mimics Kawasaki disease was reported in the UK in April 2020,
while it is associated with Covid-19 in adults. Multisystem inflammatory syndrome (MIS-A) was reported
in June 2020. MIS-A patients have been reported to be up to 50 years of age in the literature and are more
likely to have some underlying health condition and have recently had an identifiable respiratory disease
compared to MIS-C. On the other hand, MIS-A patients and MIS-C patients have many overlapping clinical
features, but the severity of cardiac dysfunction, incidence of thrombosis, and MIS-A mortality may be
higher in MIS-A. While it is clear that neutrophilia, lymphopenia, and thrombocytopenia are common in
MIS-C/A, these features, together with elevations in troponin and BNP/NT-proBNP, have been considered
measures of disease activity .

Absent pulmonary valve syndrome (APVS) is a rare congenital heart disease. It can be seen isolated or with other congenital heart diseases. Here, we presented a neonate with cyanosis and dyspnea because of APVS. A-female-newborn was referred to pediatric cardiology due to cyanosis, respiratory distress and prenatally diagnosed right ventricular dilatation. Rudimentary pulmonary valves and severe pulmonary and tricuspid regurgitations were determined postnatally with echocardiography and magnetic resonance imaging. Additionally, main pulmonary artery and its branches were seen dilated. Unfortunately she died on third day of her life, although supportive and medical treatments were administered intensively. Most of APVS cases are a variant of Tetralogy of Fallot. But clinical findings, prognosis and hemodynamic conditions can be different. Infants requiring mechanical ventilation shold be undergone operation as soon as possible. Our case could not be operated because of unstable vital functions. Absent pulmonary valve syndrome should be considered as a differential diagnosis in neonates with cyanosis and respiratory distress. If prenatal diagnosis is present, we suggest that parturition should happen in a medical center includes pediatric cardiology and cardiovascular surgery and also neonatal intensive care unit.

Among 1030 students studying at Konya Industrial Vocational High School where our study was conducted, smoking habit was 22.04%, drinking habit 0.68% and drug use habit 0.097%. relatively smoking habits among students studying at the school showed compliance with the results of similar studies in other provinces of Turkey. The rate of drinking habit among both students and their fathers was found to be lower than the values ​​obtained from other provinces. It has been shown that among children whose parents have smoking and drinking habits, there is a statistically significant higher rate of smoking and drinking.

Aim: Hypoxemia is a vital criterion used to determine prognosis in coronavirus disease (COVID-19)
cases. This study thus examined the effectiveness of capillary refill time (CRT) in defining hypoxiadependent
disease severity in COVID-19 patients.
Patients and Methods: This prospective study was conducted with COVID-19 patients and an agematched
healthy group. The optimum test ambiance was provided, and a stable smartphone platform
was used to record the measurements (in ms) to standardize our method. The captured videos were then
evaluated using a video processing program.
Results: In total, 39 patients with COVID-19 and 40 control groups participated in this study. The patients
were further divided into the moderate (n = 25) or severe group (n = 14) according to disease severity.
The mean oxygen saturation of both moderate/severe groups was above 94%. Per disease severity, the
CRT measurements were higher in the severe group than in the moderate group (p = 0.009). In patients
without lymphopenia (n = 18), CRT values were found to be increased in the severe group (p = 0.008).
The use of CRT in patients with Covid-19 was practicable (AUC: 0.91; 95% CI 0.848-0.978; P = 0.001).
Conclusions: Our results show that CRT prolongation can occur in patients with COVID-19. In patients
without lymphopenia and with normal O2 levels, detecting CRT prolongation may be a criterion for early
admission to ICU.

Recurrent Laryngeal Nerve injury still remains the major problem in thyroid gland surgery and is influenced both by morphology and function of the goitre and essentially by the resection technique. Therefore, the modifications have been improved in thyroidectomy technique. Fifty-seven goitre patients who underwent bilateral subtotal thyroidectomywere taken into the study in Medicine Faculty of Vie-zancii Yil University, Department of General Sur-gery from October 1994 and March 1996.Recurrent laryngeal nerves were seen in 27 patients and in-ferior thyroid ateries were tied, although int-racapsular thyrodiectorny was performed in 30 pa-tients. The vocal cord examination with indirect laryngoscopy was carried out before the operation and postoperatively. The laryngeal nerve injury was established in 1. grog both bilateral (one patient-3.7%) and unilateral (one patient-3.7%), althought it was established in 2. group unilateral only in one patient (3.3%). Except one patient who was de-termined bilateral nerve inury, others recovered. In conclusion of our preliminary study, it has been seen that decreased the laryngeal nerve injury of int-racapsular technique.

\r\n\r\n\r\n

In recent years, a better understanding of the relationship between the recurrent nerve and the thyroid gland has led to a decrease in the rate of vocal cord paralysis, which is a complication of thyroid surgeries. However, the frequently variable anatomical course of the recurrent nerve requires the routine identification of this nerve during thyroid surgery, so the thyroid surgeon must acquire this skill. In order to contribute to the subject, the anatomy suitable for surgical trauma (..) and recommended indentification methods of the recurrent nerve were reviewed. We focused on clinical boards and their precautions due to recurrent nerve trauma.

Aim: The literature revealed that group of COVID-19 patients who experience anosmia and ageusia
symptoms is younger, is predominantly female, and experiences a milder course of the disease. This
study aimed to evaluate the relationship of the presence of anosmia and ageusia symptoms with the
severity of pneumonia and laboratory test results in hospitaliz ed patients with COVID-19.
Patients and Methods: A retrospective evaluation was made of patients who were hospitalized by
the Department of Pulmonology between October 2020-March 2021 and underwent thorax computed
tomography (CT). Thorax CT findings of the patients were scored with a severity score for each lobe and
a total score was obtained. Pneumonia was classified according to the shape, distribution and appearance
of the lesions, and laboratory test results were obtained. These findings were compared according to the
presence of anosmia and ageusia symptoms.
Results: Evaluation was made of a total of 177 patients, comprising 89(50.2%) males and 88(49.8%)
females with a mean age of 53.0±14.5 years (range, 18-89 years). The number of patients who experienced
at least one of the symptoms of anosmia and ageusia (Group 1) was 67(37.9%) and the rest (Group 2)
did not experience any of these symptoms. The Group 1 patients who experienced these symptoms was
younger (p=0.009). No difference was determined between groups regarding the total pneumonia score
and involvement patterns (p> 0.05). The groups were similar in terms of laboratory results(p> 0.05) .
Conclusion: The prevalence of anosmia and ageusia in hospitalized patients is not a small number and
is more common in the younger population. No association was seen between the presence of these
symptoms and milder pneumonia severity and laboratory results. These symptoms do not have prognostic
value for the severity of the disease in hospitalized patients.

Objective: To determine the effect of COVID-19 infection on anxiety level in pregnant women.

Material and Methods: In this study, a questionnaire and Beck anxiety scale were applied to pregnant women who referred to outpatient clinic for routine pregnancy control in June 2020 to determine their concerns that may be related to COVID-19. Pregnant women admitted with obstetric emergencies and obstetric risk were not included in the study.

Results: 177 pregnant women were included in the study and the pregnant women were divided into four groups according to their score on Beck anxiety scale. Anxiety level of pregnant women was 44.6%. The possibility of not being with his family at the time of birth and the fear of death due to COVID-19 were statistically significantly associated with higher anxiety levels.

Conclusions: In this process, it is important to provide psychosocial support in addition to the follow-up of pregnant women by a multidisciplinary team consisting of perinatology, newborn and intensive care specialists.

Eosinophilic granuloma is a clinical variant of histiocytosis - X. There are solitary or multiple le-sions on the bones due to histiocytic proliferation. The lesions are rarely located in the temporal re-gion. The tumor is asymptomatic at the onset. We present a case whose lesion is located on the temporoparietal area. The case is followed after the operation without chernotherapy and radiotherapy.