Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
The Role of Micronutrients in Young Men Presenting with Hair Loss
Genç Erkeklerde Saç Dökülmesinde Mikrobesinlerin Rolü
Ayşe AKBAŞa, Fadime KILINÇa
aClinic of Dermatology and Venerology, Ankara City Hospital, Ankara, TURKEY
Turkiye Klinikleri J Dermatol. 2021;31(1):6-13
doi: 10.5336/dermato.2020-80196
Article Language: EN
Full Text
ABSTRACT
 Objective: Vitamins and minerals, micronutrients, play a role in the cellular structure of the normal hair follicle cycle, essential for the growth and function of matrix cells in the hair follicle. They can cause hair loss when they are insufficient. We aimed to investigate the potential role of deficiencies of micronutrients in the etiology of male hair loss. Material and Methods: A total of 116 male patients aged 18-30 years, who were admitted between November 2018 and October 2019, were included in the study. Male patients with a diagnosis of androgenetic alopecia (AGA) and telogen effluvium (TE) were included. The factors that may play a role in the etiology, were investigated with the following tests; hemogram, fasting blood glucose, serum iron, ferritin, folate, vitamin B12 and D levels, zinc levels and thyroid function tests. Results: The mean age of the patients with TE was 23.18±3.6 years, and the mean age of the patients with AGA was 24.43±3.59 years. AGA was found to be 62.06% and TE was found to be 37.93% in the study group. In general, the deficiencies of vitamin D, vitamin B12 and low ferritin levels were found as 54.3 (n=63), 45.6 (n=53) and 15.5% (n=18) respectively. The mean time of hair loss was 37.7±35 months. Family history was positive 69.44% (n=50) in AGA, 45.5% (n=20) in TE. Conclusion: Especially vitamins D and B12 levels were found to be lower. Therefore, we recommend that these tests should be requested in male patients with hair loss and we think this will contribute to the treatment.

Keywords: Androjenik alopesi; saç dökülmesi; erkekler; mikrobesinler; telogen effluvium
ÖZET
 Amaç: Vitaminler ve mineraller, yani mikro besinler, normal saç folikülü döngüsünde hücresel yapıda rol oynarlar, kıl folikülünde matriks hücrelerinin büyümesi ve işlevi için gereklidir. Yetersiz olduklarında saç dökülmesine neden olabilirler. Bu çalışmada, saç dökülmesi ve seyrelmesi ile başvuran erkek hastalarda etiyolojinin olası rolünü araştırmayı amaçladık. Gereç ve Yöntemler: Kasım 2018 ile Ekim 2019 arasında saç dökülmesi şikâyeti ile başvuran toplam 116 hasta çalışmaya alındı. Androgenetik alopesi (AGA) ve telogen effluvium (TE) tanısı alan 18-30 yaş arası genç yetişkin erkekler araştırmaya dâhil edildi. Hemogram, açlık kan şekeri, serum demir, ferritin, folat, vitamin B12 ve D düzeyleri, çinko düzeyleri ve tiroid fonksiyon testleri incelenerek etiyolojide rol oynayabilen faktörler araştırıldı. Bulgular: TE'li hastaların ortalama yaşı 23,18±3,6 yıl, AGA'lı hastaların ortalama yaşı 24,43±3,59 yıldı. Hastaların %62,06'sında AGA, %37,93'ünde TE saptandı. Tüm hastalarda D vitamini eksikliği %54,3 (n=63), B12 vitamini eksikliği %45,6 (n=53), ferritin değerinde düşüklük %15,5 (n=18) olarak bulundu. Saç dökülmesinin ortalama süresi 37,7±35 aydı. Aile öyküsü AGA'da %69,44 (n=50), TE'de %45,5 (n=20) pozitif idi. Sonuç: Çalışmamızda özellikle vitamin D ve B12 düzeyleri daha düşük bulundu. Bu nedenle saç dökülmesi olan erkek hastalarda bu testlerin istenmesini öneriyoruz, bunun tedaviye de katkıda bulunacağını düşünüyoruz.

Anahtar Kelimeler: Androgenic alopecia; hair loss; men; micronutrients; telogen effluvium
REFERENCES:
  1. Trüeb RM. Molecular mechanisms of androgenetic alopecia. Exp Gerontol. 2002;37(8-9):981-90.[Crossref] [PubMed] 
  2. Harrison S, Bergfeld W. Diffuse hair loss: its triggers and management. Cleve Clin J Med. 2009;76(6):361-7.[Crossref] [PubMed] 
  3. Aksoy GG.[Diffuse alopecia; nutritional factors and supplements]. Türkderm.2014;48(özel sayı 2): 45-7.[Crossref] 
  4. Ruiz-Tagle SA, Figueira MM, Vial V, Espinoza-Benavides L, Miteva M. Micronutrients in hair loss. Our Dermatol Online. 2018;9(3):320-8.[Crossref] 
  5. Almohanna HM, Ahmed AA, Tsatalis JP, Tosti A. The role of vitamins and minerals in hair loss: a review. Dermatol Ther (Heidelb). 2019;9(1):51-70.[Crossref] [PubMed] [PMC] 
  6. Ozturk P, Kurutas E, Ataseven A, Dokur N, Gumusalan Y, Gorur A, et al. BMI and levels of zinc, copper in hair, serum and urine of Turkish male patients with androgenetic alopecia. J Trace Elem Med Biol. 2014;28(3):266-70.[Crossref] [PubMed] 
  7. Jin W, Zhu Z, Wu S, Zhang X, Zhou X. [Determination of zinc, copper, iron and manganese contents in hair for MPA patients and healthy men]. Guang Pu Xue Yu Guang Pu Fen Xi. 1998;18(1):91-3.[PubMed] 
  8. Rojas P, Gosch M, Basfi-fer K, Carrasco F, Codoceo J, Inostroza J, et al. Alopecia en mujeres con obesidad severa y mórbida sometidas a cirugía bariátrica [Alopecia in women with severe and morbid obesity who undergo bariatric surgery]. Nutr Hosp. 2011;26(4):856-62.[PubMed] 
  9. Norwood OT. Male pattern baldness: classification and incidence. South Med J. 1975;68(11):1359-65.[Crossref] [PubMed] 
  10. Rajendrasingh J R. Role of non androgenic factors in hair loss and hair regrowth. J Cosmo Trichol. 2017;3(2):1-5.[Crossref] 
  11. Upton JH, Hannen RF, Bahta AW, Farjo N, Farjo B, Philpott MP. Oxidative stress-associated senescence in dermal papilla cells of men with androgenetic alopecia. J Invest Dermatol. 2015;135(5):1244-52.[Crossref] [PubMed] 
  12. Kılınc F, Sener S, Akbas A, Neselioğlu S, Erel O, Aktas A. Investigation of dynamic thiol-disulfide homeostasis in alopecia areata patients. BJMMR. 2017;21(6):1-7.[Crossref] 
  13. Akar A, Arca E, Erbil H, Akay C, Sayal A, Gür AR. Antioxidant enzymes and lipid peroxidation in the scalp of patients with alopecia areata. J Dermatol Sci. 2002;29(2):85-90.[Crossref] [PubMed] 
  14. Inui S, Fukuzato Y, Nakajima T, Yoshikawa K, Itami S. Androgen-inducible TGF-beta1 from balding dermal papilla cells inhibits epithelial cell growth: a clue to understand paradoxical effects of androgen on human hair growth. FASEB J. 2002;16(14):1967-9.[Crossref] [PubMed] 
  15. Antico A, Tampoia M, Tozzoli R, Bizzaro N. Can supplementation with vitamin D reduce the risk or modify the course of autoimmune diseases? A systematic review of the literature. Autoimmun Rev. 2012;12(2):127-36.[Crossref] [PubMed] 
  16. Engin B, Erkan E, Çelik U, Kutlubay Z, Serdaroğlu S. [The importance of food supplement in dermatology]. Dermatoz. 2016;7(2):1-14.[Link] 
  17. Bikle DD. Vitamin D metabolism and function in the skin. Mol Cell Endocrinol. 2011;347(1-2):80-9.[Crossref] [PubMed] [PMC] 
  18. Aoi N, Inoue K, Chikanishi T, Fujiki R, Yamamoto H, Kato H, et al. 1α,25-dihydroxyvitamin D3 modulates the hair-inductive capacity of dermal papilla cells: therapeutic potential for hair regeneration. Stem Cells Transl Med. 2012;1(8):615-26.[Crossref] [PubMed] [PMC] 
  19. Amor KT, Rashid RM, Mirmirani P. Does D matter? The role of vitamin D in hair disorders and hair follicle cycling. Dermatol Online J. 2010;16(2):3.[PubMed] 
  20. Kechichian E, Ezzedine K. Vitamin D and the skin: an update for dermatologists. Am J Clin Dermatol. 2018;19(2):223-35.[Crossref] [PubMed] 
  21. Reichrath J, Schilli M, Kerber A, Bahmer FA, Czarnetzki BM, Paus R. Hair follicle expression of 1,25-dihydroxyvitamin D3 receptors during the murine hair cycle. Br J Dermatol. 1994;131(4):477-82.[Crossref] [PubMed] 
  22. Bergman R, Schein-Goldshmid R, Hochberg Z, Ben-Izhak O, Sprecher E. The alopecias associated with vitamin D-dependent rickets type IIA and with hairless gene mutations: a comparative clinical, histologic, and immunohistochemical study. Arch Dermatol. 2005;141(3):343-51.[Crossref] [PubMed] 
  23. Sanke S, Samudrala S, Yadav A, Chander R, Goyal R. Study of serum vitamin D levels in men with premature androgenetic alopecia. Int J Dermatol. 2020;59(9):1113-6.[Crossref] [PubMed] 
  24. Brescoll J, Daveluy S. A review of vitamin B12 in dermatology. Am J Clin Dermatol. 2015;16(1):27-33.[Crossref] [PubMed] 
  25. Gonul M, Cakmak SK, Soylu S, Kilic A, Gul U. Serum vitamin B12, folate, ferritin, and iron levels in Turkish patients with alopecia areata. Indian J Dermatol Venereol Leprol. 2009;75(5):552.[Crossref] [PubMed] 
  26. Almohanna HM, Ahmed AA, Tosti A. Role of Oral Supplements: When and How To Choose. Tosti A, Sigall DA, Pirmez R, eds. Hair and Scalp Treatments. Miami, USA, Springer; 2020. p.77-90.[Crossref] 
  27. Cheung EJ, Sink JR, English Iii JC. Vitamin and mineral deficiencies in patients with telogen effluvium: a retrospective cross-sectional study. J Drugs Dermatol. 2016;15(10):1235-7.[PubMed] 
  28. Kantor J, Kessler LJ, Brooks DG, Cotsarelis G. Decreased serum ferritin is associated with alopecia in women. J Invest Dermatol. 2003;121(5):985-8.[Crossref] [PubMed] 
  29. Goldberg LJ, Lenzy Y. Nutrition and hair. Clin Dermatol. 2010;28(4):412-9.[Crossref] [PubMed] 
  30. Rushton DH. Nutritional factors and hair loss. Clin Exp Dermatol. 2002;27(5):396-404.[Crossref] [PubMed] 
  31. Sinclair R. There is no clear association between low serum ferritin and chronic diffuse telogen hair loss. Br J Dermatol. 2002;147(5):982-4.[Crossref] [PubMed] 
  32. Aydingöz IE, Ferhanoğlu B, Güney O. Does tissue iron status have a role in female alopecia? J Eur Acad Dermatol Venereol. 1999;13(1):65-7.[Crossref] [PubMed] 
  33. Olsen EA, Reed KB, Cacchio PB, Caudill L. Iron deficiency in female pattern hair loss, chronic telogen effluvium, and control groups. J Am Acad Dermatol. 2010;63(6):991-9.[Crossref] [PubMed] 
  34. Gowda D, Premalatha V, Imtiyaz DB. Prevalence of nutritional deficiencies in hair loss among indian participants: results of a cross-sectional study. Int J Trichology. 2017;9(3):101-4.[Crossref] [PubMed] [PMC] 
  35. Daulatabad D, Singal A, Grover C, Chhillar N. Prospective analytical controlled study evaluating serum biotin, vitamin b12, and folic acid in patients with premature canities. Int J Trichology. 2017;9(1):19-24.[Crossref] [PubMed] [PMC] 
  36. Alhaj E, Alhaj N, Alhaj NE. Diffuse alopecia in a child due to dietary zinc deficiency. Skinmed. 2007;6(4):199-200.[Crossref] [PubMed] 
  37. Yavuz İH, Ozaydın Yavuz G, Bilgili SG, Demir H, Demir C. Assessment of heavy metal and trace element levels in patients with telogen effluvium. Indian J Dermatol. 2018;63(3):246-50.[Link] 
  38. Plonka PM, Handjiski B, Popik M, Michalczyk D, Paus R. Zinc as an ambivalent but potent modulator of murine hair growth in vivo- preliminary observations. Exp Dermatol. 2005;14(11):844-53.[Crossref] [PubMed] 
  39. Kondrakhina IN, Verbenko DA, Zatevalov AM, Gatiatulina ER, Nikonorov AA, Deryabin DG, et al. Plasma zinc levels in males with androgenetic alopecia as possible predictors of the subsequent conservative therapy's effectiveness. Diagnostics (Basel). 2020;10(5):336.[Crossref] [PubMed] [PMC] 
  40. White PJ, Broadley MR. Historical variation in the mineral composition of edible horticultural products. Journal of Horticultural Science and Biotechnology. 2005;80(6):660-7.[Crossref] 
  41. Addor FAS. Antioxidants in dermatology. An Bras Dermatol. 2017;92(3):356-62.[Crossref] [PubMed] [PMC] 
  42. Kondrakhina IN, Verbenko DA, Zatevalov AM, Gatiatulina ER, Nikonorov AA, Deryabin DG, et al. A cross-sectional study of plasma trace elements and vitamins content in androgenetic alopecia in men. Biol Trace Elem Res. 2020.[Crossref] [PubMed] 
  43. Yorulmaz A. [Androgenetic alopecia]. Journal Of Contemporary Medicine. 2016;6(3);248-54.[Link] 
  44. Bilgiç Temel A, Şenol Y, Nazlım B, Özkesici B, Dicle Ö. [Experience of a Hair Disease Unit: Analysis of 1.617 Cases]. Turk J Dermatol. 2016;10:19-26.[Crossref] 
  45. Baldari M, Guarrera M, Rebora A. Thyroid peroxidase antibodies in patients with telogen effluvium. J Eur Acad Dermatol Venereol. 2010;24(8):980-2.[Crossref] [PubMed] 
  46. Güngör Ş,Topal İ, Gökdemir G. [Evaluation of thyroid autoimmunity in female patients with telogen effluvium]. Turkiye Klinikleri J Med Sci. 2014;34(1):93-6.[Crossref] 
  47. Jayashankar CA, Shailaja A, Bhanu Prakash, Shwetha HP. Hemoglobin, ferritin and thyroid profile in women with chronic telogen effluvium. Int J Res Med. 2016; 4(1):152-5.[Crossref] 
  48. Wang X, Xiong C, Zhang L, Yang B, Wei R, Cui L, et al. Psychological assessment in 355 Chinese college students with androgenetic alopecia. Medicine (Baltimore). 2018;97(31):e11315.[Crossref] [PubMed] [PMC] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com