M.D. Berkun Koncay

A 7-year-old Syrian refugee girl, Leyla, presented with severe malnutrition and recurrent pneumonia. Dr. Koncay discovered she had an undiagnosed primary immunodeficiency. He coordinated with social services for nutritional support and initiated immunoglobulin replacement therapy. Her recovery was slow but steady over 18 months, with her extended family actively participating in her care despite language barriers.

Kaan, a 14-year-old competitive swimmer from an affluent family, developed unexplained exercise-induced anaphylaxis. Dr. Koncay identified it as a rare form of food-dependent exercise-induced allergy to wheat. He created a personalized management plan involving pre-exercise dietary restrictions and emergency protocols. The athlete returned to competition within 3 months with no further episodes.

Elif, a 3-year-old from a rural village, was brought in with developmental delay and unusual skin lesions. Dr. Koncay diagnosed tuberous sclerosis complex, a genetic disorder neither local doctors nor her family had ever heard of. He initiated mTOR inhibitor therapy and connected the family with a specialized educational program. Progress was monitored through quarterly visits over two years.

A 9-year-old boy, Arda, son of migrant workers, presented with mysterious cyclical fevers every 3 weeks. Dr. Koncay diagnosed PFAPA syndrome (periodic fever syndrome) after ruling out infections and autoimmune conditions. He prescribed a single dose of prednisone at fever onset, which consistently aborted attacks. The family was taught to recognize patterns and manage episodes at home.