2018 Wakley Prize Essay: something understood
Published in The Lancet
Diagnostics and Treatment of Cryoglobulinaemia: It Takes Two to Tango
Published in Clinical Reviews in Allergy & Immunology
Cryoglobulins are immunoglobulins that reversibly precipitate in the cold. They come in different flavours and, as such, are differentially associated with lymphoproliferative diseases (type I), or systemic autoimmune diseases, and/or infectious diseases (type II/III). The clinical manifestations of cryoglobulinaemia result from either hyper-viscos...
Defining success in neoadjuvant breast cancer trials
Published in The Lancet
Low-Dose Pravastatin and Age-Related Differences in Risk Factors for Cardiovascular Disease in Hypercholesterolaemic Jap...
Published in Drugs & Aging
Background: Limited data are available regarding the relationship between age and the effect of HMG-CoA reductase inhibitor (statin) treatment. Objective: The aim of the present analysis was to evaluate the relationships between age, baseline patient characteristics, and pravastatin treatment with respect to the development of cardiovascular diseas...
Myelodysplastic syndromes
Published in The Lancet
Myelodysplastic syndromes are clonal marrow stem-cell disorders, characterised by ineffective haemopoiesis leading to blood cytopenias, and by progression to acute myeloid leukaemia in a third of patients. 15% of cases occur after chemotherapy or radiotherapy for a previous cancer; the syndromes are most common in elderly people. The pathophysiolog...
Modifying disability in progressive multiple sclerosis
Published in The Lancet
Improving access to vaccines through tiered pricing
Published in The Lancet
Cholangiocarcinoma
Published in The Lancet
Cholangiocarcinoma represents a diverse group of epithelial cancers united by late diagnosis and poor outcomes. Specific diagnostic and therapeutic approaches are undertaken for cholangiocarcinomas of different anatomical locations (intrahepatic, perihilar, and distal). Mixed hepatocellular cholangiocarcinomas have emerged as a distinct subtype of ...
Adrenal insufficiency
Published in The Lancet
Adrenal insufficiency is the clinical manifestation of deficient production or action of glucocorticoids, with or without deficiency also in mineralocorticoids and adrenal androgens. It is a life-threatening disorder that can result from primary adrenal failure or secondary adrenal disease due to impairment of the hypothalamic–pituitary axis. Promp...
Effect of radiotherapy after mastectomy and axillary surgery on 10-year recurrence and 20-year breast cancer mortality: ...
Published in The Lancet
BackgroundPostmastectomy radiotherapy was shown in previous meta-analyses to reduce the risks of both recurrence and breast cancer mortality in all women with node-positive disease considered together. However, the benefit in women with only one to three positive lymph nodes is uncertain. We aimed to assess the effect of radiotherapy in these women...
