negar karimian

Publications

• 1.18

  Impact points

  Body Image Concern Inventory (BICI) for identifying patients with BDD seeking rhinoplasty: using a Persian (Farsi) version.

  Saber Ghadakzadeh, Ali Ghazipour, Niloufar Khajeddin, Negar Karimian, Mehrdad Borhani

  Aesthetic plastic surgery. 04/2011; 35(6):989-94.

  Dissatisfaction with appearance is most pronounced in rhinoplasty patients compared to candidates for other aesthetic procedures. We aimed to test and introduce the Body Image Concern Inventory (BICI) as a self-report screening tool for identifying body dysmorphic disorder (BDD) among patients seeki... [more] Dissatisfaction with appearance is most pronounced in rhinoplasty patients compared to candidates for other aesthetic procedures. We aimed to test and introduce the Body Image Concern Inventory (BICI) as a self-report screening tool for identifying body dysmorphic disorder (BDD) among patients seeking rhinoplasty. The surgeon completed a two-point defect severity scale in which a score of 1 represented no defect or one defect and a score of 2 represented more than one defect. Each of the 117 subjects with a score of 1 answered a questionnaire that was designed to obtain demographic data and completed the Persian version of the BICI. The psychiatrist, considering the patient's demographic data and blind to the BICI score, interviewed him/her using a semistructured diagnostic tool for BDD based on DSM-IV. The validity of the Persian version of the BICI was calculated at 85%. The reliability of the Persian BICI items was tested and Cronbach's alpha was 0.90. The results of ROC analysis for the ideal cutoff point of the Persian BICI, based on the Youden index method and optimum sensitivity and specificity, revealed that the ideal cutoff point for positive or negative criterion of that questionnaire's result may be the total score of 42 (sensitivity, 93.5%; specificity, 80.8%) The diagnostic accuracy of the Persian BICI in comparison with the gold standard (psychiatric interview), according to the area under the ROC curve (AUC), was 91.4% (95% CI = 86-97%, P < 0.0001). The agreement of the results of the Persian BICI questionnaire with the psychiatric interview for diagnosis of BDD, according to kappa index, was 61.7% (P < 0.001), and the odds ratio (OR) of being diagnosed with BDD in a psychiatric interview for those with overall scores ≥42 for the Persian BICI was 47.7 (95% CI = 43-52). The results of the present study emphasize the high rate of BDD (12.2%) in subjects seeking rhinoplasty. The BICI appears to be an internally consistent and valid brief multiple-choice instrument for assessing dysmorphic concern. To our knowledge, this is the first time that this measure has ever been used for identifying BDD patients in a rhinoplasty setting; it is also the first time that ROC analysis has been used for calculating and analyzing the results of BICI. Our study suggests that rhinoplasty surgeons could rely on the scores of the BICI to identify subjects with probable BDD among their consultants with no or one slight defect.
• 3.97

  Impact points

  Swyer syndrome in a woman with pure 46,XY gonadal dysgenesis and a hypoplastic uterus: a rare presentation.

  Negar Karimian, Saber Ghadakzadeh, Mahdi Eshraghi

  Fertility and sterility. 11/2009;

  OBJECTIVE: To report a rare presentation of Swyer syndrome in a woman with pure 46,XY gonadal dysgenesis. DESIGN: Case report. SETTING: Academic gynecology and obstetrics department. PATIENT(S): A 28-year-old woman with primary amenorrhea. INTERVENTION(S): Laparoscopic gonadectomy. MAIN OUTCOME MEAS... [more] OBJECTIVE: To report a rare presentation of Swyer syndrome in a woman with pure 46,XY gonadal dysgenesis. DESIGN: Case report. SETTING: Academic gynecology and obstetrics department. PATIENT(S): A 28-year-old woman with primary amenorrhea. INTERVENTION(S): Laparoscopic gonadectomy. MAIN OUTCOME MEASURE(S): Age at diagnosis, risk of gonadal malignancy, bone mineral density, uterus size, height. RESULT(S): The patient had pure 46,XY gonadal dysgenesis with hypoplastic uterus, which is a rare finding in Swyer syndrome. She had developed no gonadal malignancies and, despite receiving estrogen, had remained amenorrheic. CONCLUSION(S): Further studies should be done on this rare chromosomal condition to find the exact factors affecting the uterus size and to improve the ways of inducing puberty in such patients by considering the age of diagnosis in order to help them have a normal sex life and also the ability to carry a fetus in their immature uteruses.

• Self-inflicted non-healing genital ulcer: a rare form of factitious disorder.

  A Feily, M R Namazi, M Saboktakin, M Mehri, J Lotfi, A Ayoobi, S Ghadakzadeh, N Karimian

  Acta dermatovenerologica Alpina, Panonica, et Adriatica. 07/2009; 18(2):83-5.

  Dermatitis artefacta is a factitious dermatological disorder with many forms of presentation that may occur on any part of the body. A diagnosis of dermatitis artefacta is often reached after rigorous and repeated investigations. Here we present the case of a 49-year-old single man complaining of a ... [more] Dermatitis artefacta is a factitious dermatological disorder with many forms of presentation that may occur on any part of the body. A diagnosis of dermatitis artefacta is often reached after rigorous and repeated investigations. Here we present the case of a 49-year-old single man complaining of a 4- month history of ulceration on the dorsal surface of the glans penis. In view of the unusual appearance of the lesion and the negative findings from clinical investigations, a diagnosis of dermatitis artefacta was made and the patient was referred for psychiatric evaluation. He was started on 20 mg/day of citalopram and titrated up to 40 mg/day by the 4th week, leading to complete remission in the following weeks. Thus, although rare, artefactual dermatitis should be considered in the differential diagnosis of unusual penile lesions.
• 0.65

  Impact points

  The comparison between two different combinations of alar cartilage-modifying techniques: is lateral crural steal the choice?

  Ali Ghazipour, Saber Ghadakzadeh, Negar Karimian

  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 08/2008;

  To assess the effect of two different combinations of alar cartilage-modifying techniques on the degree of nasal tip projection and rotation, a prospective trial was performed using preoperative and postoperative photos. The patients were seen in private practice. Sixty patients who had underproject... [more] To assess the effect of two different combinations of alar cartilage-modifying techniques on the degree of nasal tip projection and rotation, a prospective trial was performed using preoperative and postoperative photos. The patients were seen in private practice. Sixty patients who had underprojected with/without underrotated nasal tips, primarily due to alar cartilage malformities, were randomly divided into two equal groups (A, B). All patients were operated using an external rhinoplasty approach. The techniques of narrowing transdomal sutures and placing a collumellar strut were used in both groups; in addition, lateral crural steal (LCS) was used only in group B. The patients were reevaluated after a minimum period of 6 months. The nasofacial angle and the Goode ratio were measured to assess tip projection and the nasolabial angle was used to assess tip rotation. The patients of both groups showed significant increase in tip projection and rotation (P < 0.001). Additionally, the use of LCS in patients of group B resulted in significantly more increase in tip projection and rotation in comparison with group A (P < 0.05). The LCS along with placement of a columellar strut and a transdomal suture is more beneficial in patients suffering from underprojection with/without underrotated nasal tips.