Browsing by Author "Bjekić, M. (6602745387)"

The incidence of gonorrhea in Belgrade decreased 55.5% from 1988 to 1994, but a decreasing trend of gonorrhea incidence actually started many years before. In all age groups gonorrhea incidence was higher in men than women, and the male/female ratio increased with age. The incidence was highest in men and women 20-29 years old. In both sexes the lowest incidence was below 15 years of age and in persons 50 or more years of age. In men, service and industrial workers were the most frequently affected by gonorrhea. In women the disease was commonest among unemployed persons and among workers of the service and industrial sectors. In both sexes gonorrhea infection was commonest in populations who had never married, and in the divorced population.

Summary Background: Lichen sclerosus (LS) is an inflammatory disease of the skin and mucous membranes. Its aetiology is still unknown. Objectives To determine risk factors for genital LS in men. Methods In a case-control study, 73 patients with LS, consecutively diagnosed at the City Dispensary for Skin and Venereal Diseases in Belgrade, were compared with 219 male patients visiting the same institution because of tinea cruris. Univariate and multivariate logistic regression analyses were used for analysis of data collected. Results According to multivariate logistic regression analysis, risk factors for male LS were as follows: a personal history of genital injury [odds ratio (OR) 28·1, 95% confidence interval (CI) 5·2-150·8], vitiligo (OR 23·1, 95% CI 2·2-240·2), alopecia areata (OR 8·8, 95% CI 1·1-68·5) and hypercholesterolaemia (OR 3·1, 95% CI 1·1-8·2), and a family history of alopecia areata (OR 24·3, 95% CI 2·1-280·7), diseases of the thyroid gland (OR 9·1, 95% CI 2·3-36·2) and other autoimmune diseases (OR 8·6, 95% CI 1·3-58·6). Conclusions The results of the present study are in line with the hypothesis that trauma of the penis is a possible trigger of symptoms in genetically predisposed individuals and that personal and family histories of autoimmune disorders are risk factors for male LS. © 2011 British Association of Dermatologists.

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