Evaluation of Sleep Quality in Patients With Genital and Non-Genital Cutaneous Warts: a Prospective Controlled Study.

Introduction: Diseases affect sleep quality, and sleep quality may also affect diseases by affecting the immune system. Depending on the immune status of patients with cutaneous warts, the extent of the disease and the response to treatment may vary. Objectives: This study aimed to characterize the association between cutaneous warts and sleep quality. Methods: A prospective controlled study was conducted. Patients over 18 years with cutaneous warts were enrolled. The control subjects were healthy, age- and sex-matched people. Demographic and clinical data on the participants were gathered. The sleep quality of participants was evaluated with the Pittsburgh Sleep Quality Index (PSQI). Results: A total of 138 patients with genital or non-genital cutaneous warts (N = 59, N = 79, respectively) and 83 controls were interviewed. The average global PSQI score of the group with cutaneous warts was significantly higher than that of the control group (1.292 95% confidence interval 1.174-1.422). The rate of poor sleep quality in the patient group was higher than in the control group (odds ratio 3.835). Patients with genital warts had a significantly higher average global PSQI score than patients with non-genital warts (8.61 ± 3.63 versus. 6.98 ± 3.32). Female patients with genital warts had a significantly higher average global PSQI score than male patients with genital warts. Conclusions: Evaluation of sleep quality in patients with warts, especially in patients with genital warts, may be suggested. The management of sleep disturbances associated with cutaneous warts may help increase the quality of life of patients and may affect disease control.

Association between biophysical properties and anxiety in patients with sensitive skin.

BACKGROUND: Sensitive skin (SS) is a syndrome in which neurosensory disorders accompany epidermal barrier dysfunction. However, it is not yet clear how high anxiety levels affect the biophysical parameters of the skin in patients with SS. OBJECTIVES: We aimed to investigate the relationship between anxiety levels and facial neurosensitivity, the erythema index, sebum content, and sensitive skin scale scores in individuals with sensitive skin. METHODS: The study was carried out on 35 individuals with SS and 40 without SS over three months. In the study, a questionnaire to detect the presence of sensitive skin, the sensitive skin scale for sensitive skin severity, the lactic acid sting test (LAST) to show facial neurosensitivity, a Mexameter for erythema index measurement, and a Sebumeter for sebum content measurement were used. In addition, the anxiety levels of the patient and control groups were measured using the hospital anxiety and depression scale (HADS). RESULTS: While the HADS-Anxiety scores were found to be significantly higher in patients with sensitive skin, there was no significant difference in the HADS-Depression scores. Moreover, a strong positive correlation was found between the HADS-Anxiety scores and the erythema index in patients with sensitive skin. CONCLUSIONS: Sensitive skin is a disorder that can sometimes occur without any dermatological examination findings. In particular, the sensations of the patients, along with their anxiety levels, are essential parameters that should be evaluated in the approach to patients with sensitive skin.

Solitary noninfiltrating angiolipoma on the finger, an unusual localization.

Angiolipoma, a subtype of lipoma, is a benign adypocytic soft tissue tumor composed of mature adipose tissue and small vascular proliferations. This entity makes up 5-17% of all lipomas. The diagnosis is made by clinical and pathological examination, ultrasonography, and/or magnetic resonance imaging (MRI). It is generally an encapsulated tumor (noninfiltrative), but rarely has an infiltrative form. Angiolipoma mostly occurs on the trunk and extremities with male predominance. The forearm is the most frequent location for angiolipomas. It is very rarely seen on the fingers. Herein, we report a patient with solitary noninfiltrating angiolipoma on a finger. The patient was treated with surgical excision and no recurrence has been noted over one year of observation.