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Amaç: Atopik hastalıklarda deri prick testi (DPT), allerjenlerin saptanmasında oldukça hızlı, kolay ve ucuz bir yöntem olarak kullanılmaktadır. Bu çalışmada DPT ile tespit edilen allerjenler ile total serum IgE (T.IgE) düzeyleri arasındaki ilişkinin değerlendirilmesi ve bölgemizdeki allerjenlerin sıklığının incelenmesi planlandı. Gereç ve Yöntem: Ocak 2009 ile Aralık 2013 arasında Dicle Üniversitesi Göğüs Hastalıkları Polikliniği'ne allerjik astım ve/veya rinit tanısı ile başvurup DPT yapılan 1791 hastanın klinik özellikleri, deri prick testi sonuçları ve T.IgE düzeyleri geriye dönük olarak değerlendirildi. Bulgular: Çalışmaya dahil edilen 1791 hastanın 1077'si (%60.1) kadın, 714'ü (%39.9) erkekti. Bu hastalardan 722'ünde (%40.3) en az bir ya da daha fazla allerjene karşı pozitif yanıt saptandı. Erkeklerde (% 44.5) allerji testi pozitifliği kadınlara (%37.5) kıyasla daha yüksekti (p=0,002). DPT'nde en sık saptanan allerjenler sırasıyla çayır polenleri (%70.3), buğday poleni (%46.5) ve ağaç polenleri (%46.1) idi. Kadınlarda erkeklere göre kedi ve köpek epiteline duyarlılık daha fazla idi (p=0.023, p=0.036). Total serum IgE seviyesi yüksek olan hastalarda DPT pozitifliği, T.IgE seviyesi normal olanlardan istatistiksel olarak anlamlı derecede daha fazlaydı (p < 0.001). Tartışma: Diyarbakır ilinde çayır ve buğday polenlerinin en sık karşılaşılan allerjenler olduğu saptandı., Introduction: Skin-prick test (SPT) is used as a quite fast, easy and cheap method in detecting allergens for atopic diseases. In this study, it was planned to evaluate the relationship between allergens determined by the SPT and total serum IgE (T.IgE) levels and to examine the frequency of allergens in our region. Material and Methods: One thousand seven hundred and ninety one patient with allergic asthma and/or rhinits applied Dicle University Medical Faculty Department of Chest Diseases policlinic between January 2009 and December 2013 who had been made SPT were evaluated retrospectively in terms of the clinical features,the result of skin prick test and the level of T.IgE. Results: One thousand seven hundred and seventy seven (%60.1) of 1791 patients who were included study were female and 714 (39.9%) of them were male. At least one or more positive response to the allergen was established in 722 (40.3%) of these patients. The positivity of allergy test was higher than in the men (44.5%) compared with women (37.5%) (p = 0.002). The most frequent allergens determined in SPT respectively were grass pollens, (70.3%), wheat pollens (46.5%) and tree pollens (46.1%). Women were more sensitive than men to the cat and dog epithelium (p = 0.023, p = 0.036) The positivity of SPT in patients with high levels of total serum IgE was seen statistically significantly more frequent than patients with normal levels of total serum IgE (p

Aim: Massive pulmonary thromboembolism (PTE) is one of the cause of unexpected deaths in hospitalized patients. Our aim is to present diagnosis and treatment of massive pulmonary thromboembolism in a patient with pneumonia and cancer. Case: A 52 years old male with a metastatic colon adenocarcinoma, admitted to the emergency department with shortness of breath, one month after the right hemicolectomy and chemotherapy. The physical examination of the patient: general condition was bad and he had tachypnea, tachycardia, and rals in the left lung bases and leukocyte: 21.000 K/ml, CRP: 28mg/dl, Ph:7.46, PaO2:56.6, PaCO2:23.2, SO2:%82, HCO3:19.8. Tachypnea, tachycardia, hypoxia, hypocapnia, and respiratory alkalosis was observed, PTE was considered and diagnosed by CT pulmonary angiography. 50 mg Alteplase was applied to the patient. After administration of alteplase, general condition was improved (pH:7.37, PaO2:85.1, PaCO2: 38.9,SO2:98.5%, HCO3:20.3). Conclusion:Pneumonia, may mask the diagnosis of PTE and should be considered in patients with dyspnea, hypocapnia, hypoxia, and hypotension