1. Çarşamba Government Hospital, Çarşamba, Samsun, Turkey
2. Department of Internal Medicine, Division of Rheumatology and Immunology, Akdeniz University, Antalya, Turkey
3. Department of Cardiology, Akdeniz University, Antalya, Turkey
4. Department of Internal Medicine, Division of Rheumatology and Immunology, Akdeniz University, Antalya, Turkey,