{"id":334,"date":"2024-09-26T11:47:10","date_gmt":"2024-09-26T11:47:10","guid":{"rendered":"https:\/\/saatall.com\/?p=334"},"modified":"2025-07-09T12:53:51","modified_gmt":"2025-07-09T12:53:51","slug":"viral-deri-enfeksiyonlari","status":"publish","type":"post","link":"https:\/\/drfatmaerden.com\/viral-deri-enfeksiyonlari\/","title":{"rendered":"Viral Deri Enfeksiyonlar\u0131"},"content":{"rendered":"

V\u0130RAL DER\u0130 ENFEKS\u0130YONLARI<\/strong><\/h4>\n
Viral deri enfeksiyonlar\u0131; baz\u0131 ya\u015f gruplar\u0131nda daha s\u0131k tutulum yapsa da her ya\u015f grubunu etkileyebilen hastal\u0131klard\u0131r. \u00c7o\u011fu zaman semptomsuzdur yani herhangi bir bulgu, \u015fikayet yaratmayabilir. \u015eikayet olarak en \u00e7ok d\u00f6k\u00fcnt\u00fc, k\u0131zar\u0131kl\u0131k, ka\u015f\u0131nt\u0131, kabar\u0131kl\u0131k gibi deri bulgular\u0131 yarat\u0131r.<\/div>\n
Bu grupta en s\u0131k g\u00f6r\u00fclen veya klini\u011fimize en s\u0131k ba\u015fvuru yap\u0131lan viral deri enfeksiyonlar\u0131na de\u011finilecektir.<\/div>\n

EL AYAK A\u011eIZ HASTALI\u011eI<\/strong><\/h4>\n
Enterovir\u00fcs grubundan s\u0131kl\u0131kla Koksaki vir\u00fcs taraf\u0131ndan olu\u015fturulan d\u00f6k\u00fcnt\u00fcl\u00fc bir hastal\u0131kt\u0131r.<\/div>\n
Bahar ve yaz d\u00f6nemlerinde daha s\u0131k g\u00f6zlenir. \u00c7ok bula\u015f\u0131c\u0131d\u0131r. \u0130nsandan insana oral\u2013oral veya fekal\u2013oral yolla (yani ortak kullan\u0131lan alanlardan) ge\u00e7er.<\/div>\n

Klini\u011fi Nas\u0131ld\u0131r?<\/strong><\/h4>\n
Genellikle temastan 3 g\u00fcn sonra \u015fikayetler ba\u015flar. A\u011fr\u0131l\u0131 a\u011f\u0131z \u00fclserleri, \u00f6zellikle \u00e7ocuklarda yeme reddine sebep olur. V\u00fccut lezyonlar\u0131, a\u011f\u0131z lezyonlar\u0131 ile e\u015f zamanl\u0131 veya sonras\u0131nda ortaya \u00e7\u0131kar ve y\u00fczlerce olabilir. K\u0131rm\u0131z\u0131 benekler \u015feklinde ba\u015flayan d\u00f6k\u00fcnt\u00fcler, su dolu baloncuklara d\u00f6n\u00fc\u015f\u00fcr. Kabuklan\u0131p iz b\u0131rakmadan iyile\u015fir. Fakat, \u00e7ok \u015fiddetli veya atopik yap\u0131l\u0131 bireylerde sekonder enfeksiyon nedeniyle iz kalabilir.<\/div>\n
Y\u00fcksek ate\u015f, halsizlik, ishal gibi barsak semptomlar\u0131 olabilir. Her \u00e7ocukta \u015fiddeti de\u011fi\u015fkendir. Baz\u0131 \u00e7ocuklarda sadece deri bulgular\u0131 varken, baz\u0131 \u00e7ocuklarda daha \u015fiddetli ve g\u00fcr\u00fclt\u00fcl\u00fc olabilir.<\/div>\n
Benzer d\u00f6k\u00fcnt\u00fcye sebep olan hastal\u0131klardan ay\u0131r\u0131c\u0131 tan\u0131s\u0131n\u0131n yap\u0131lmas\u0131 \u00f6nemlidir.<\/div>\n
Tedavi;<\/strong>\u00a0\u015fiddetine g\u00f6re, rahatlat\u0131c\u0131 tedaviler verilebilmektedir. V\u00fccuttan at\u0131l\u0131m\u0131 1 hafta 10 g\u00fcn\u00fc bulmaktad\u0131r. \u00d6zellikle kre\u015f veya okul \u00e7ocuklar\u0131nda istirahat bula\u015f a\u00e7\u0131s\u0131ndan \u00f6nemlidir.<\/div>\n

HERPES V\u0130R\u00dcS ENFEKS\u0130YONLARI<\/strong><\/h4>\n
Etken \u00e7ift sarmall\u0131 bir DNA vir\u00fcs\u00fc olan Herpesvirus hominis\/ Herpes simplex virus (HSV)\u2019d\u00fcr. Tipleri:<\/div>\n
HSV-1: Orofasiyal herpes (yani u\u00e7uk yapan tip)<\/div>\n
HSV-2: Genital herpes (genital u\u00e7uk yapan tip)<\/div>\n
HSV-3: Varisella (su\u00e7i\u00e7e\u011fi), Varisella (zona) zoster (zona hastal\u0131\u011f\u0131)<\/div>\n

Herpes\u00a0Vir\u00fcs Enfeksiyonlar\u0131 ve Bula\u015f<\/h4>\n
D\u00fcnyada yayg\u0131n olarak g\u00f6zlenen bu vir\u00fcs enfeksiyonunda bula\u015f, yak\u0131n ki\u015fisel temas ile olur.\u00a0Primer (ilk enfeksiyon), latent (saklanma periyodu) ve rek\u00fcrren (tekrarlay\u0131c\u0131) enfeksiyon<\/strong>\u00a0olu\u015ftururlar.<\/div>\n
Primer enfeksiyonlar\u0131n %99 belirtisiz enfeksiyon \u015feklindedir. HSV-1 \u00f6zellikle t\u00fck\u00fcr\u00fck ve di\u011fer salg\u0131larla kontamine olmu\u015f maddelerle do\u011frudan temas sonucu yay\u0131l\u0131r, HSV-2 cinsel temasla yay\u0131l\u0131r. Bu nedenle HSV-2, HIV bula\u015fma ve ge\u00e7i\u015f riskini art\u0131r\u0131r.<\/div>\n
Enfeksiyon alan\u0131nda vir\u00fcs \u00e7o\u011fal\u0131r, klinik belirti versin ya da vermesin daha sonra dorsal k\u00f6k ganglionu dedi\u011fimiz sinir d\u00fc\u011f\u00fcmlerinde latent ad\u0131n\u0131 verdi\u011fimiz saklanma periyoduna girer.<\/div>\n
Saklanan bu vir\u00fcs kendili\u011finden ate\u015f, g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131, stres ve menstr\u00fcasyon gibi uygun uyar\u0131larla yeniden aktive olabilir<\/div>\n
HSV-1 s\u0131kl\u0131kla trigeminal gangliondan, HSV-2 s\u0131kl\u0131kla sakral gangliondan aktive olur.<\/div>\n
Tipik olarak aktivasyonda, deride veya mukozalarda vezik\u00fcl dedi\u011fimiz kabarc\u0131klar olu\u015furken; ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131f olanlarda oldu\u011fu gibi vir\u00fcs sadece mukoza ve deriye s\u0131n\u0131rl\u0131 kalmaz, beraberinde yayg\u0131n i\u00e7 organ tutulumu da g\u00f6r\u00fclebilir.<\/div>\n

PR\u0130MER HERPES V\u0130R\u00dcS ENFEKS\u0130YONLARI<\/h4>\n
Primer enfeksiyonda, maruziyetten 3-7 g\u00fcn sonra tipik belirtiler g\u00f6r\u00fcl\u00fcr. D\u00f6k\u00fcnt\u00fc ba\u015flamadan \u00f6nce a\u011fr\u0131l\u0131 bezeler(lenfadenopati), halsizlik, kas a\u011fr\u0131s\u0131, i\u015ftahs\u0131zl\u0131k, ate\u015f, lokal a\u011fr\u0131-yanma, ka\u015f\u0131nt\u0131 gibi belirtiler olabilir.<\/div>\n
Belirtili seyreden primer orolabial HSV enfeksiyonu, \u00e7ocuklarda gingivostomatit, herpetik doloma gibi bulgular yaparken; gen\u00e7lerde ise farenjit\/monon\u00fckleoz benzeri bir tablo \u015feklindedir.<\/div>\n
En s\u0131k a\u011f\u0131z ve dudaklar etkilenir, dil, yanak mukozas\u0131, di\u015f etleri, \u00fcst damak ve bo\u011fazda lezyonlar g\u00f6r\u00fcl\u00fcr. Ate\u015f, a\u011fr\u0131, \u00fclserasyon, yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, salya akmas\u0131, k\u00f6t\u00fc kokulu nefes, di\u015fetlerinde \u015fi\u015fme ve kanama e\u015flik edebilir.<\/div>\n
Ba\u015flang\u0131\u00e7ta a\u011fr\u0131l\u0131, eritemli zeminde \u00e7ok say\u0131da grup \u015feklinde ve da\u011f\u0131n\u0131k vezik\u00fcller g\u00f6r\u00fcl\u00fcr, bunlar hemen a\u00e7\u0131larak kabuklu \u00fczerinde zar bulunan lezyonlara d\u00f6n\u00fc\u015f\u00fcr. Lezyonlar\u0131n kabuklanmas\u0131 ve kaybolmas\u0131 2-3 haftay\u0131 bulur. Benzer lezyonlar, tekrarlayan enfeksiyonlarda daha hafif \u015fiddette g\u00f6zlenir.<\/div>\n
Tedavi Planlamas\u0131;\u00a0<\/strong>ilk 24 saatte ba\u015flanmal\u0131d\u0131r. Daha sonra ba\u015flanan tedavi vir\u00fcs \u00e7o\u011falmas\u0131n\u0131 engellemeyecektir. S\u0131k tekrarlayan hastalarda, profilaktik yani koruyucu ama\u00e7l\u0131 uzun s\u00fcreli tedavi tercih edilebilmektedir.<\/div>\n
Atopik Dermatit, yan\u0131klar, pemfigus gibi bozuk deri bariyeri olan bireylerde, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi yetersiz bireylerde ya da yenido\u011fan d\u00f6neminde \u015fiddetli ve \u00f6l\u00fcmc\u00fcl olabilece\u011fi unutulmamal\u0131d\u0131r.<\/div>\n

HERPES ZOSTER, ZONA VEYA HALK D\u0130L\u0130NDE GECE YANI\u011eI<\/h4>\n
Etken HSV-3 grubundan, Varisella Zoster vir\u00fcs\u00fcd\u00fcr. Ge\u00e7irilmi\u015f su\u00e7i\u00e7e\u011fi enfeksiyonu vir\u00fcs\u00fcn\u00fcn tekrar aktifle\u015fmesi ile olu\u015fur.<\/div>\n
Sa\u011fl\u0131kl\u0131 eri\u015fkinlerin %20\u2019sinde, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131f bireylerin %50\u2019sinde geli\u015fir<\/div>\n
Kendili\u011finden nedensiz olarak mevsim ge\u00e7i\u015f d\u00f6nemlerinde g\u00f6r\u00fclebilir. Stres, ate\u015f, radyasyon tedavisi, travma gibi doku hasar\u0131, ba\u011f\u0131\u015f\u0131kl\u0131k sistemini zay\u0131flamas\u0131 gibi durumlarda vir\u00fcs aktifle\u015ferek bu tabloyu olu\u015fturabilir.<\/div>\n

Herpes Zoster Klini\u011fi Nas\u0131l Seyreder?<\/h4>\n
S\u0131kl\u0131kla \u015fiddetli a\u011fr\u0131 ile ba\u015flar ve hastalar\u0131n %90\u2019\u0131ndan fazlas\u0131nda ka\u015f\u0131nt\u0131, hassasiyet veya hiperestezi denilen tutulum b\u00f6lgesinde a\u015f\u0131r\u0131 duyarl\u0131l\u0131k \u015fikayetleri e\u015flik edebilir.<\/div>\n
En s\u0131k olarak g\u00f6vde ve pe\u015fi s\u0131ra ba\u015f-boyun b\u00f6lgesi etkilenir. Postherpetik nevralji yani a\u011fr\u0131, d\u00f6k\u00fcnt\u00fcn\u00fcn kaybolmas\u0131ndan sonra aylar veya y\u0131llar boyunca devam edebilir ve ciddi anlamda ya\u015fam kalitesini etkiler<\/div>\n
G\u00f6\u011f\u00fcs b\u00f6lgesi tutulumunda kalp krizleri, kar\u0131n b\u00f6lgesi tutulumlar\u0131nda akut apandisit gibi acil durumlar ile kar\u0131\u015ft\u0131r\u0131labilir.<\/div>\n
Deri lezyonlar\u0131 tutulum b\u00f6lgesinin sa\u011f ya da sol alan\u0131nda k\u0131zar\u0131k zeminde grup yapm\u0131\u015f vezik\u00fcl dedi\u011fimiz k\u00fc\u00e7\u00fck baloncuklar \u015feklindedir.<\/div>\n
Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi sa\u011flam olan \u00e7ocuk ve gen\u00e7 eri\u015fkinlerde herhangi bir hasara neden olmaz.<\/div>\n
Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131flad\u0131k\u00e7a ve ya\u015f att\u0131k\u00e7a a\u011fr\u0131, d\u00f6k\u00fcnt\u00fc \u015fiddeti ve hasar b\u0131rakma oran\u0131 artar. Ayr\u0131ca, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131f insanlarda daha fazla alan\u0131 etkiler ve daha farkl\u0131 g\u00f6r\u00fcn\u00fcme sahip lezyonlar yapabilir.<\/div>\n
\u00d6zellikle d\u0131\u015f kulak kep\u00e7esi \u00fczerinde ba\u015flayan tablolarda, y\u00fcz felci, tat duyusunda kay\u0131p, i\u015fitme kayb\u0131; g\u00f6z b\u00f6lgesi \u00fczerinde ba\u015flayan tablolarda beyin \u00fczerine ilerleyerek ensefalit ve menenjit yapabilir. Bu, nedenle bu b\u00f6lge tutulumlar\u0131nda dikkatli olmak ve hekim takibinde olmak \u00f6nemlidir.<\/div>\n

Herpes Zoster veya Zona\u00a0Komplikasyonlar\u0131 Yani Hangi Hasarlara Sebep Olabilir?<\/h4>\n
Postherpetik Nevralji: Zona sonras\u0131 devam eden a\u011fr\u0131, en s\u0131k g\u00f6zlenen problemdir.<\/div>\n
Sekonder bakteriyel enfeksiyon<\/div>\n
Skar yani iz geli\u015fimi<\/div>\n
Oftalmik zostere ba\u011fl\u0131 keratit<\/div>\n
Ramsay-Hunt Sendromu: Kulakta, dilde ve sert damakta vezik\u00fcller, Fasiyal paralizi (y\u00fcz felci), Kulak a\u011fr\u0131s\u0131, Dilin 2\/3 \u00f6n k\u0131sm\u0131nda tat kayb\u0131, Kuru a\u011f\u0131z-g\u00f6z<\/div>\n
Meningoensefalit (beyin ve uzant\u0131lar\u0131n\u0131n tutulumu)<\/div>\n
Motor paralizi (motor g\u00fc\u00e7 kayb\u0131)<\/div>\n
Pn\u00f6moni (akci\u011fere olan etkisi nedeniyle)<\/div>\n
Hepatit (karaci\u011fere olan etkisi nedeniyle)<\/div>\n

Nas\u0131l Tedavi Ediyoruz?<\/h4>\n
Tedavisiz de kendili\u011finden gerileyebilen bir hastal\u0131kt\u0131r. Fakat;<\/div>\n
    \n
  • Y\u00fcz b\u00f6lgesinde tutulum varsa<\/li>\n
  • Gebe, emzikli veya do\u011fuma yak\u0131n d\u00f6nemde ise<\/li>\n
  • Ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131 d\u00fc\u015f\u00fck bireylerde (kanser hastas\u0131, b\u00f6brek yetmezli\u011fi, yenido\u011fan bebeklerde)<\/li>\n
  • \u015eiddetli tutulum varsa anti viral tedavi ba\u015flanmal\u0131d\u0131r. \u00d6zellikle tedavi endikasyonu olan bu bireylerin tedavi s\u0131ras\u0131nda komplikasyonlar a\u00e7\u0131s\u0131ndan takibi \u00f6nem ta\u015f\u0131maktad\u0131r.<\/li>\n<\/ul>\n

    ZONA A\u015eISI<\/h4>\n
    Zay\u0131flat\u0131lm\u0131\u015f canl\u0131 a\u015f\u0131 ile rekombinant a\u015f\u0131 olmak \u00fczere iki formda a\u015f\u0131 vard\u0131r:<\/div>\n
    Zay\u0131flat\u0131lm\u0131\u015f canl\u0131 a\u015f\u0131;<\/u><\/strong>\u00a0Su\u00e7i\u00e7e\u011fi a\u015f\u0131lar\u0131nda\u00a0oldu\u011fu gibi ayn\u0131 Oka su\u015funu kullanan,\u00a0ancak daha y\u00fcksek bir potens olan tek doz uygulanan, canl\u0131 zay\u0131flat\u0131lm\u0131\u015f bir a\u015f\u0131d\u0131r.<\/div>\n
    ABD\u2019de A\u015f\u0131 Uygulamalar\u0131 Tavsiye Komitesi (Advisory Committe on Immunization Practices, ACIP) Haziran 2006 y\u0131l\u0131nda ilk piyasaya \u00e7\u0131kan canl\u0131 a\u015f\u0131 uygulamas\u0131n\u0131 onaylam\u0131\u015ft\u0131r. Daha sonra CDC (Centers for Disease Control) taraf\u0131ndan 2008\u2019 de 60 ya\u015f ve \u00fcst\u00fc t\u00fcm bireylere, kronik sa\u011fl\u0131k sorunlar\u0131 olanlara a\u015f\u0131 \u00f6nermi\u015ftir.<\/div>\n
    Rekombinant Zoster A\u015f\u0131s\u0131:<\/u><\/strong>\u00a02017 y\u0131l\u0131nda FDA taraf\u0131ndan ve daha sonra ACIP taraf\u0131ndan onaylanm\u0131\u015f canl\u0131 olmayan bir\u00a0a\u015f\u0131d\u0131r.\u00a0\u0130ki doz uygulan\u0131r (doz ba\u015f\u0131na 0,5 ml), 2-6 ay arayla kas i\u00e7ine uygulan\u0131r. Daha \u00f6nce canl\u0131 a\u015f\u0131 olmu\u015f bireyler, canl\u0131 a\u015f\u0131dan 2 ay sonra rekombinant a\u015f\u0131 uygulatabilir.<\/div>\n
    2017 y\u0131l\u0131nda ACIP komitesi taraf\u0131ndan<\/div>\n
    1) 50 ya\u015f \u00fcst\u00fc ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 yeterli yeti\u015fkinlerde,<\/div>\n
    2) Daha \u00f6nce canl\u0131 a\u015f\u0131 ile a\u015f\u0131lanm\u0131\u015f ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 yeterli yeti\u015fkinlerde rekombinant formu \u00f6nerilmi\u015ftir.<\/div>\n
    \u015eu an \u00fclkemizde de rekombinant a\u015f\u0131 bulunmaktad\u0131r.<\/div>\n

     <\/p>\n

    MOLLUSCUM CONTAG\u0130OSUM<\/strong><\/h4>\n
    Poksvir\u00fcs ad\u0131 verilen DNA grubu bir vir\u00fcs taraf\u0131ndan ortaya \u00e7\u0131kan bir tablodur.<\/div>\n
    \u00c7ocuklarda s\u0131k g\u00f6zlenir, \u00f6zellikle okul \u00e7a\u011f\u0131nda kre\u015flerde yayg\u0131n ortaya \u00e7\u0131kabilir.<\/div>\n
    \u0130yi seyirli ve kendini s\u0131n\u0131rlayan bir hastal\u0131kt\u0131r. Fakat; atopik dermatit gibi deri bariyeri bozuk ve ba\u011f\u0131\u015f\u0131kl\u0131k d\u00fczeyi d\u00fc\u015f\u00fck bireylerde daha \u015fiddetli seyreder.<\/div>\n

    Nas\u0131l Bula\u015f\u0131r?<\/strong><\/h4>\n
    En s\u0131k bula\u015f; deri temas\u0131\/ortak kullan\u0131lan malzemeler\/e\u015fyalar yolu ile olur. Y\u00fczme havuzlar\u0131, kre\u015fler bu a\u00e7\u0131dan dikkat \u00e7eker. Eri\u015fkinlerde genellikle cinsel yolla bula\u015f\u0131r. Kulu\u00e7ka s\u00fcresi: 14 g\u00fcn-6 ay kadard\u0131r.<\/div>\n

    Deri Lezyonlar\u0131 Nas\u0131ld\u0131r?<\/strong><\/h4>\n
    Sert, g\u00f6beksi, inci gibi, mumsu y\u00fczeyli kabar\u0131kl\u0131klar yapar. Herhangi bir deri b\u00f6lgesinde g\u00f6r\u00fclebilir, ancak deri k\u0131vr\u0131mlar\u0131nda ve genital b\u00f6lgede s\u0131k. Yayg\u0131n, b\u00fcy\u00fck, bi\u00e7imsiz lezyonlar daha \u00e7ok ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 zay\u0131f ve deri bariyeri bozulmu\u015f bireylerde g\u00f6r\u00fcl\u00fcr. Ka\u015f\u0131nt\u0131 e\u015flik edebilir, ka\u015f\u0131mayla art\u0131\u015f g\u00f6sterir. Ka\u015f\u0131maya ba\u011fl\u0131 \u00fczerine deri enfeksiyonu eklenebilir.<\/div>\n

    Nas\u0131l Tedavi Ediyoruz?<\/strong><\/h4>\n
    Kendili\u011finden ge\u00e7ebilir. \u00c7ok say\u0131da lezyon oldu\u011funda\/kozmetik olarak sorun oldu\u011funda tedavi gerekebilmektedir.<\/div>\n
    Tedavi olarak; lezyonlar\u0131n da\u011f\u0131l\u0131m alanlar\u0131na, hastan\u0131n ya\u015f\u0131na veya ailenin talebine g\u00f6re de\u011fi\u015febilmektedir.<\/div>\n
    \u00d6zellikle \u00e7ocuk hastalarda, tedaviye ra\u011fmen tekrarlamalar s\u0131k olur. Bu nedenle \u00f6zellikle ebeveynlerin k\u00f6t\u00fc bir hastal\u0131k olmad\u0131\u011f\u0131n\u0131 kabullenmeleri ve biraz sab\u0131r g\u00f6stermeleri gerekti\u011fini hat\u0131rlatmak isterim.<\/div>\n","protected":false},"excerpt":{"rendered":"

    V\u0130RAL DER\u0130 ENFEKS\u0130YONLARI Viral deri enfeksiyonlar\u0131; baz\u0131 ya\u015f gruplar\u0131nda daha s\u0131k tutulum yapsa da her ya\u015f grubunu etkileyebilen hastal\u0131klard\u0131r. \u00c7o\u011fu zaman semptomsuzdur yani herhangi bir bulgu, \u015fikayet yaratmayabilir. \u015eikayet olarak en \u00e7ok d\u00f6k\u00fcnt\u00fc, k\u0131zar\u0131kl\u0131k, ka\u015f\u0131nt\u0131, kabar\u0131kl\u0131k gibi deri bulgular\u0131 yarat\u0131r. Bu grupta en s\u0131k g\u00f6r\u00fclen veya klini\u011fimize en s\u0131k ba\u015fvuru yap\u0131lan viral deri enfeksiyonlar\u0131na de\u011finilecektir. […]<\/p>\n","protected":false},"author":1,"featured_media":335,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-334","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatolojik-tedaviler"],"yoast_head":"\nViral Deri Enfeksiyonlar\u0131 Ankara - Uzm.Dr. Fatma Erden<\/title>\n<meta name=\"description\" content=\"Viral deri enfeksiyonlar\u0131 tedavisi ile cilt sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 koruyun. 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