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1. Expert clinical management of autoimmune hepatitis in the real world

Author

R. Liberal, Y. S. de Boer, R. J. Andrade, G. Bouma, G. N. Dalekos, A. Floreani, D. Gleeson, G. M. Hirschfield, P. Invernizzi, M. Lenzi, A. W. Lohse, G. Macedo, P. Milkiewicz, B. Terziroli, B. van Hoek, J. M. Vierling, M. A. Heneghan, on behalf of the International Autoimmune Hepatitis Group (IAIHG), A. Pares, A. J. Montano-Loza, A. Granito, A. E. Kremer, C. Schramm, C. Lammert, E. L. R. Cancado, E. Bjornsson, F. Lammert, G. M. Hirschflield, H. Hofer, I. Mackay, J. Neuberger, J. P. H. Drenth, C. M. J. van Nieuwkerk, L. Muratori, M. Swain, M. Heneghan, M. Zeniya, O. Chazouilleres, P. Gines, R. Chapman, T. Berg, H. van Buuren, X. Ma, Gastroenterology and hepatology, AGEM - Re-generation and cancer of the digestive system, AGEM - Digestive immunity, AII - Inflammatory diseases, Pediatric surgery, Liberal, R, de Boer, Y, Andrade, R, Bouma, G, Dalekos, G, Floreani, A, Gleeson, D, Hirschfield, G, Invernizzi, P, Lenzi, M, Lohse, A, Macedo, G, Milkiewicz, P, Terziroli, B, van Hoek, B, Vierling, J, Heneghan, M, DIPARTIMENTO DI SCIENZE MEDICHE E CHIRURGICHE, Facolta' di MEDICINA e CHIRURGIA, Da definire, AREA MIN. 06 - Scienze mediche, R. Liberal, Y. S. de Boer, R. J. Andrade, G. Bouma, G. N. Daleko, A. Floreani, D. Gleeson, G. M. Hirschfield, P. Invernizzi, M. Lenzi, A. W. Lohse, G. Macedo, P. Milkiewicz, B. Terziroli, B. van Hoek, J. M. Vierling, M. A. Heneghan, on behalf of the International Autoimmune Hepatitis Group (IAIHG), A. Pare, A. J. Montano-Loza, A. Granito, A. E. Kremer, C. Schramm, C. Lammert, E. L. R. Cancado, E. Bjornsson, F. Lammert, G. M. Hirschflield, H. Hofer, I. Mackay, J. Neuberger, J.P.H. Drenth, C.M.J. van Nieuwkerk, L. Muratori, M. Swain, M. Heneghan, M. Zeniya, O. Chazouillere, P. Gine, R. Chapman, T. Berg, H. van Buuren, and X. Ma

Subjects
Pediatrics, medicine.medical_specialty, Evidence-based practice, Biopsy, Azathioprine, Autoimmune hepatitis, Tacrolimus, Hepatitis, Immunosuppressive Agent, 03 medical and health sciences, 0302 clinical medicine, Maintenance therapy, MED/12 - GASTROENTEROLOGIA, medicine, Humans, Pharmacology (medical), Budesonide, Methyltransferase, Hepatology, Thiopurine methyltransferase, biology, business.industry, Gastroenterology, Cyclosporine, Health Care Surveys, Hepatitis, Autoimmune, Immunosuppressive Agents, Methyltransferases, Mycophenolic Acid, Rituximab, medicine.disease, Infliximab, Renal disorders Radboud Institute for Molecular Life Sciences [Radboudumc 11], Health Care Survey, Tacrolimu, 030220 oncology & carcinogenesis, Immunology, biology.protein, 030211 gastroenterology & hepatology, business, Human, medicine.drug, Autoimmune
Abstract

none 55 si First published: 22 December 2016 Background: High-quality data on the management of autoimmune hepatitis (AIH) are scarce. Despite published guidelines, management of AIH is still expert based rather than evidence based. Aim: To survey expert hepatologists, asking each to describe their practices in the management of patients with AIH. Methods: A survey questionnaire was distributed to members of the International AIH Group. The questionnaire consisted of four clinical scenarios on different presentations of AIH. Results: Sixty surveys were sent, out of which 37 were returned. None reported budesonide as a first line induction agent for the acute presentation of AIH. Five (14%) participants reported using thiopurine S-methyltransferase measurements before commencement of thiopurine maintenance therapy. Thirteen (35%) routinely perform liver biopsy at 2 years of biochemical remission. If histological inflammatory activity is absent, four (11%) participants reduced azathioprine, whereas 10 (27%) attempted withdrawal altogether. Regarding the management of difficult-to-treat patients, mycophenolate mofetil is the most widely used second-line agent (n = ~450 in 28 centres), whereas tacrolimus (n = ~115 in 21 centres) and ciclosporin (n = ~112 in 18 centres) are less often reported. One centre reported considerable experience with infliximab, while rescue therapy with rituximab has been tried in seven centres. Conclusions: There is a wide variation in the management of patients with autoimmune hepatitis even among the most expert in the field. Although good quality evidence is lacking, there is considerable experience with second-line therapies. Future prospective studies should address these issues, so that we move from an expert- to an evidence- and personalised-based care in autoimmune hepatitis. mixed R. Liberal; Y. S. de Boer; R. J. Andrade; G. Bouma; G. N. Dalekos; A. Floreani; D. Gleeson; G. M. Hirschfield; P. Invernizzi; M. Lenzi; A. W. Lohse; G. Macedo; P. Milkiewicz; B. Terziroli; B. van Hoek; J. M. Vierling; M. A. Heneghan; on behalf of the International Autoimmune Hepatitis Group (IAIHG); A. Pares; A. J. Montano-Loza; A. Granito; A. E. Kremer; A. Floreani; A. W. Lohse; B. van Hoek; B. Terziroli; C. Schramm; C. Lammert; E. L. R. Cancado; E. Bjornsson; F. Lammert; G. N. Dalekos; G. Bouma; G. M. Hirschflield; G. Macedo; H. Hofer; I. Mackay; J. Neuberger; J. M. Vierling; J.P.H. Drenth; C.M.J. van Nieuwkerk; L. Muratori; M. Lenzi; M. Swain; M. Heneghan; M. Zeniya; O. Chazouilleres; P. Gines; P. Invernizzi; P. Milkiewicz; R. J. Andrade; R. Chapman; T. Berg; H. van Buuren; X. Ma R. Liberal; Y. S. de Boer; R. J. Andrade; G. Bouma; G. N. Dalekos; A. Floreani; D. Gleeson; G. M. Hirschfield; P. Invernizzi; M. Lenzi; A. W. Lohse; G. Macedo; P. Milkiewicz; B. Terziroli; B. van Hoek; J. M. Vierling; M. A. Heneghan; on behalf of the International Autoimmune Hepatitis Group (IAIHG); A. Pares; A. J. Montano-Loza; A. Granito; A. E. Kremer; A. Floreani; A. W. Lohse; B. van Hoek; B. Terziroli; C. Schramm; C. Lammert; E. L. R. Cancado; E. Bjornsson; F. Lammert; G. N. Dalekos; G. Bouma; G. M. Hirschflield; G. Macedo; H. Hofer; I. Mackay; J. Neuberger; J. M. Vierling; J.P.H. Drenth; C.M.J. van Nieuwkerk; L. Muratori; M. Lenzi; M. Swain; M. Heneghan; M. Zeniya; O. Chazouilleres; P. Gines; P. Invernizzi; P. Milkiewicz; R. J. Andrade; R. Chapman; T. Berg; H. van Buuren; X. Ma

Published
2017
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2. Irish Society of Gastroenterology

Author

M. Woods, L. J. D. O’Donnell, B. Battistini, T. Warner, J. Vane, M. G. Fartming, J. Yaqoob, J. J. Wu, L. A. Norris, M. I. Khan, P. W. N. Keeling, D. Maguire, G. O’Sullivan, B. Harvey, B. Curran, Y. Xin∘, E. W. Kay, M. Leader, K. Henry, O. Crosbie, S. Norris, P. Costello, C. O’Farrelly, J. Hegarty, B. Kennedy, M. Duggan, R. Plant, E. K. Kenny-Walsh, P. Cotter, M. J. Whelton, M. Maloney, N. Noonan, M. Buckley, H. Hamilton, S. Beattie, C. O’Morain, B. McNamara, J. Cuffe, R. A. Barry, D. A. Collins, G. C. O’Sullivan, J. K. Collins, F. Shanahan, M. M. Skelly, H. E. Mulcahy, A. Troy, T. Connell, C. Duggan, M. J. Duffyt, K. Sheahan, D. P. O’Donoghue, H. X. Xia, D. Hyde, M. G. O’Brien, E. F. Fitzgerald, G. Lee, A. J. Hussey, T. J. Boyle, B. Garrihy, O. P. Clinton, O. J. McAnena, G. O’Sulllvan, H. Corby, V. Donnelly, C. O’Herlihy, P. R. O’Connell, T. Deignan, J. Kelly, N. P. Breslin, C. MacDonnell, J. O’Keeffe, K. Mills, U. Srinivasan, R. Willoughby, C. Feighery, B. Twohig, K. Gaynor, P. F. O’Regan, S. Duggan, H. P. Redmond, J. McCarthy, D. Bouchier-Hayes, Q. Y. Ma, K. E. Williamson, B. J. Rowlands, A. Tobin, R. Pilkington, M. O’Donnell, E. O’Shea, A. Conroy, G. Kaminski, A. Walsh, I. J. Temperley, D. Kelleher, D. G. Weir, M. K. Barry, E. D. Mulligan, M. A. Stokes, M. G. O’Riordain, T. F. Gorey, K. F. McGeeney, J. M. Fitzpatrick, R. W. G. Watson, J. H. Wang, F. Campbell, D. Bennett, E. Kavanagh, P. O. Gorman, P. O’Regan, M. M. I. Yassin, M. McCaigue, T. G. Parks, A. A. B. Barros D’Sa, M. Lawlor, S. McElwaine, M. A. Heneghan, M. Kerins, J. Goulding, E. L. Egan, F. M. Stevens, C. F. McCarthy, M. Quirke, A. M. Eustace-Ryan, S. Qureshi, E. Aziz, A. Maree, S. Collins, T. Browne, S. Ahmed, B. O. Sullibhan, P. Smith, F. Walker, F. O’Connor, E. Sweeney, R. J. Farrell, M. Morrint, M. Goggins, and J. G. McNulty

Subjects
medicine.medical_specialty, Irish, business.industry, Ophthalmology, language, medicine, Library science, General Medicine, business, language.human_language
Published
1995
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3. National Scientific Medical Meeting 1994 Abstracts

Author

M. J. Turner, J. Upton, T. P. J. Hennessy, P. Kelehan, A. D. Crockard, Paul A. McGettigan, M. Grouden, Y. A. Cusack, Catherine Curran, B. Cryan, C. Pidgeon, T. G. Cooke, E. Shorten, B. M. Kinsella, P. Sweeney, A. Southey, S. G. Richardson, M. Sheehan, E. R. Horwitz, J. Belch, E. Griffin, E. Healy, A. Oakhill, H. Johnson, P. Shah, A. Kinsella, P. A O’Connell, P. Humphries, P. Lenehan, S. Fanning, C. N. Pidgeon, D. Pamphilon, M. T. P. Caldwell, B. Tuohy, P. Dack, J. Murphy, P. Gaffney, Fiona M. Stevens, C. Bergin, A. Locasciulli, G. Nolan, M. Kearns, D. F. Smith, J. P. H. Fee, I. Reid, Muiris X. Fitzgerald, T. Cawley, G. Swanwick, U. Kondaveeti, F. Davidson, A. Early, D. Noone, S. Farrell, A. Hale, C. M. Costello, L. English, Colm O'Herlihy, B. Crowley, J. F. Lyons, P. Kent, D. Coakley, M. Geary, L. J. Egan, M. Hogan, G. A. FitzGerald, P. White, R. Merriman, Mary Leader, M. Fitzgerald, N. AlAnsari, H. P. Singh, N. Mahmud, Sarah Rogers, T. Conlon, J. O’Shea, C. Larkin, Norman Delanty, L. Maguire, J. Mahady, J. T. Ennis, E. Creamer, R. P. Kernan, I. Temperley, M. Hargrove, J. Joseph Walshe, J. M. T. Redmond, B. Gilmer, Michael Hutchinson, J. Woof, K. D. Carson, C. Darby, D. Lyons, Michael T. Dawson, G. Gibson, A. B. Atkinson, J. A. Lawson, N. Ryall, D. S. O’Briain, R. Pilkington, W. Blunnie, T. Donoghue, D. M. O’Hanlon, S. Coulter-Smith, James R. Docherty, G. Mortimer, Enda W. McDermott, C. Conlon, T. Cooke, B. Hennelly, P. Boylan, P. Lawlor, S. Young, B. Marsh, R. J. Cunney, S. Lynch, W. O’Connor, M. C. Prabhakar, G. Dempsey, C. Fitzpatrick, L. Boissel, P. O’Callaghan, Terry J. Smith, B. P. McMahon, F. M. Ryan, D. Allcut, Sinead O’Neill, Emer Shelley, M. Coca-Prados, J. Lawson, E. G. Smyth, J. Geraghty, C. A. Whelan, M. Goggins, R.J. Cunney, B. McGeeney, A. J. Cunningham, P. Eustace, K. Carson, B. Sheridan, D. Powell, C. Foley-Nolan, P. M. Byrne, L. Barnes, G. King, C. Cullen, Maria A. O'Connell, Shaun Gallagher, G. J. Fitzpatrick, J. Mulhall, M. G. Mott, E. Shanahan, S. Murphy, D. Buggy, Cliona O'Farrelly, M. Buckley, T. M. Murray, G. McQuoid, D. O’Riordain, P. M. Bell, P. McNamara, P. Byrne, M. P. Colgan, S. Hone, T. J. McKenna, R. McManus, D. O’Neill, M. R. N. Darling, Aaj Adgey, P. Campbell, T. Finch, M. Robson, H. C. Loughrey, P. Foster, C. O’Keane, G. I. Adebayo, J. McEnri, J. D. Allen, Martin Cormican, C. Timon, E. O’Mongain, V. S. Donnelly, E. Corcoran, J. J. Gilmartin, M.J. Duffy, Brian J. Harvey, Peter P.A. Smyth, J. O. L DeLancey, Desmond J. Fitzgerald, J. Wang, T. Larkin, C. Barry-Kinsella, T. O’Connell, E. O’Callaghan, A Jefferson, G. D. Johnston, N. Shepard, A. L. Kennedy, I. M. Rea, C. F. McCarthy, D. Kerr, Margaret McLaren, G. Z. Kaminski, Hugh Staunton, P. Grainger, M. Norton, F. Lavin, B. F. McAdam, M. Maguire, R. Rafferty, M. Caldwell, R. Hone, C. M. MacDonagh-White, Dermot Kelleher, R. Namushi, G. MacKenzie, Michael J. Kerin, James Bernard Walsh, Mark Lawler, A. K. Cherukuri, U. Fearon, M. Doran, S. Orwa, J. Liu, N. Al fnAnsari, A. P. Heaney, K. Tipton, M. Glennon, H. Grimes, S. Hamilton, C. Smith, C. M. Kilgallen, Thomas Barry, R. Horgan, C. Saidtéar, V. Urbach, A. B. P. Cullinane, M. A. Christie, K. Daly, L. Madrigal, D. R. Hadden, C. McCreary, Q. Razza, Catherine Hayes, T. Walsh, T. Clarke, E. T. Burke, S. Liston, D. Mulherin, M. P. Reilly, D. Tansey, N. Cannon, V. P. Coffey, A. A. El-Magbri, D. P. O’Donoghue, P. W. N. Keeling, Jack Phillips, L. Condren, Jill J. F. Belch, J. R. Anderson, B. McAdam, Reza Mofidi, F. Hegarty, J. Kavanagh, Frances J. Hayes, D. Murray, E. Holmes, J. Fenton, J. Strattan, G. D. Wright, D. H. Hill, H. G. Nelson, A. C. Moloney, J. Goh, C. S. McArdle, G. Loughrey, J. Phillips, J. Fennell, T. Aherne, J. Stronge, S. Lewis, Kieran Sheahan, T. Markham, Madeline Murphy, P. J. Byrne, B. Harding, R. Hitchcock, M. Bourke, J. McSweeney, K. Colgan, Z. Johnson, D. Cotter, R. F. Harrison, Patricia Fitzpatrick, J. Feely, J. Crowe, H. F. Given, A. Mofidi, M. Hynes, E. B. McNamara, Michael J. Turner, T. Woods, Blánaid Hayes, J. Tyrrell, E. O’Toole, G. G. Lavery, A. M. Deveney, A. J. McShane, O. Bradley, B. Blackwood, O. White, L. W. Poulter, H. Maguire, E. S. Prosser, N. Dowd, Michael Kennedy, Peter J. Kelly, John J. O'Leary, K. Hickey, B. C. Morrow, P. Oslizlok, Malachi J. McKenna, J. Fabry, R. Chander, D. Clarke, C. O’Sullivan, M. O’Reilly, M. M. Young, F. Abuaisha, Clare O'Connor, N. A. Herity, J. Toland, D. Buckley, G. Kirk, E. Maguire, Cecily Kelleher, I. Hillary, H. D. Alexander, R. Keimowitz, L. H. Murray, S. Hennessy, D. Whyte, K. Holmes, M. S. Robson, J. Stratton, Conor T. Keane, B. Kanagaratnam, A. Heffernan, J. Golden, Anthony O'Grady, A. Tobin, J. I. O’Riordan, D. Sloan, Niall O'Higgins, A. Vance, A. Foot, B. Murphy, F. Mulvany, P. C. Sham, J. Higgins, P. M. Mercer, G. Browne, Y. Young, H. J. Gallagher, Thomas F. Gorey, A. Lane, Nollaig A. Parfrey, P. R. O’Connell, J. O’Neill, J. Adgey, Z. Imam, R. O’Sullivan, D. Maguire, L. Thornton, L. Drury, Douglas J. Veale, M. Reilly, M. Eljamel, A. W. Murphy, J. Laundon, M. Reidy, E. Ryan, A. Bacigalupo, C. O’Shaughnessy, B. Silke, R. A. Greene, J. P. McGrath, Connail McCrory, C. T. Keane, S. McMechan, J. Strangeways, T. O’Gorman, Malcolm D. Smith, M. Madden, G. Nicholson, B. O’Shea, A. McCann, M. Foley, G. Gearty, J. Hosseini, R. O’Moore, A. Taylor, A. M. Hetherton, Elizabeth Smyth, John V. Reynolds, J. A. B. Keogh, John Bonnar, D. Cafferty, D. Graham, J. R. Lennon, Barry Bresnihan, B. Denham, R. Holliman, M. B. O’Connor, Y. K. Tay, Padraic MacMathuna, M. S. Eljamel, H. Osborne, G. Shanik, S. M. Lavelle, R. Watson, Premkumar, M. Byrne, Fionnuala M. McAuliffe, S. Sharif, S. Killalea, E. Zimmermann, K. Kengasu, D. Duff, A. Hickey, D. McShane, J. Fogarty, M. Geoghegan, G. O’Reilly, T. Scott, P. Killeen, T. Kinsella, E. McIlrath, Helen M. Byrne, M. Borton, R. A. Rusk, J. M. McGinley, P. L. Yeoh, D. Warde, R. Stanwell-Smith, John Newell, M. Greer, David J. Brayden, E. M. Lavelle, C. D’Arrigo, J. McManus, R. Gonsalves, Barbara Murray, P. Murphy, G. D’Arcy, Camillus K. Power, N. Hughes, P. M. E. McCormack, R. Dwyer, N. Iman, R. B. Fitzsimons, S. C. Sharma, M. Carmody, Stewart R. Walsh, Gillian M. Murphy, E. McGuinness, L. Kevin, E. Barrett, S. K. Cunningham, A. Orren, S. Ni Scanaill, Karl Gaffney, P. McCormack, M. Martin, J. Malone, E. L. Egan, M. J. Walshe, D. Walsh, S. Kaf Al-Ghazal, M. Kuliszewski, S. Blankson, J. R. Sutherst, M. Lynch, M. T. Thornton, I. Boylan, Fiona Mulcahy, Oliver FitzGerald, T. N. Walsh, Y. Wen, K. McQuaid, D. R. McCance, M. Hall, U. Ni Riain, J. Hollyer, Michael Walsh, J. Donohoe, J. Doherty, D. Carney, D. J. Moore, S. E. Lawlor, K. Birthistle, H. S. Khoo Tan, A. M. Powell, G. Boyle, C. Burke, D. Veale, E. Lawlor, L. Zimmerman, M. Stewart, L. Hemeryck, Conor Burke, Irene B. Hillary, A. Pooransingh, K. Butler, P. W. Johnston, Daniel Rawluk, N. Foreman, M. J. Conran, B. L. Sheppard, P. Gilligan, D. Keane, E. Mulligan, D. Phelan, J. G. Kelly, J. Stack, Y. McBrinn, E. Sweeney, S. Calvert, E. A. Maguire, E. Keane, D. McKeogh, M. Post, S. N. Tham, P. Connolly, A. C. Gordon, Frank Gannon, Rosemarie Freaney, C. Collins, J. F. Malone, B. Moule, C. Saidlear, Seamus Sreenan, S. Teahan, J. McCann, J. Dixon, C. Quigley, J. L. Waddington, D. Maher, I. Graham, Diarmaid Hughes, S. Thomas, A. O’Leary, K. Carroll, A. M. Bourke, J. Candal Couto, N. Nolan, R. Harper, D. P. O’Brien, T. C. M. Morris, E. O’Leary, Michael M. Maher, M. White, C. Hallahan, N. Ni Scannlain, Colm O'Morain, E. Hayes, Luke Clancy, B. Stuart, P. Crean, J. Dowling, I. Cree, M. A. Heneghan, B. Cassidy, C. A. Barnes, Donald G. Weir, J. Flynn, E. Clarke, J. Stinson, N. Gardiner, R. Mulcahy, B. J. Harvey, Gerald C. O'Sullivan, G. S. A. McDonald, P. Costigan, P. O’Connor, D. Carrington, J. Goulding, C. Sheehan, A. Kitching, Conleth Feighery, M. LaFoy, E. Coleman, S. Pathmakanthan, C. Condon, S. B. Grimes, J. M. O’Donoghue, J. Hildebrand, Gerard Bury, A. W. Clare, S. Feely, S. R. McCann, J. A. O’Hare, B. E. Kelly, A. Moloney, M. Donnelly, D. O’Meara, and A. Chan

Subjects
medicine.medical_specialty, business.industry, Family medicine, Human immunodeficiency virus (HIV), Medicine, General Medicine, business, medicine.disease_cause
Published
1994
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4. Palliative care in liver disease

Author

J. G. OʼGrady and M. A. Heneghan

Subjects
medicine.medical_specialty, Liver disease, Palliative care, business.industry, Medicine, business, Intensive care medicine, medicine.disease
Published
2001
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5. Myocardial collagen network in dilated cardiomyopathy

Author

Peter A. Dervan, M. A. Heneghan, and D. Malone

Subjects
Cardiomyopathy, Dilated, business.industry, Dilated cardiomyopathy, General Medicine, Anatomy, medicine.disease, Pathophysiology, Microscopy, Electron, Heart failure, Microscopy, Collagen network, medicine, Ultrastructure, Humans, Myocyte, Collagen, Abnormality, business
Abstract

Although some form of myocyte damage is probably the main abnormality responsible for heart failure in dilated cardiomyopathy, abnormalities of the supporting interstitial collagen meshwork also occur. To see if abnormal collagen could be detected in cardiomyopathic hearts, which did not have interstitial fibrosis by routine light microscopy, we examined interstitial collagen using scanning electron microscopy and a novel digestion technique. Cardiomyopathetic collagen fibrils were significantly thicker and more densely packed than normal. We conclude that an ultrastructural collagen abnormality occurs early in dilated cardiomyopathy, this abnormality may contribute to the pathophysiology of this disease.

Published
1991
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6. Lymphocytic gastritis and coeliac disease: evidence of a positive association

Author

M A Heneghan, F. M. Stevens, C F McCarthy, and Kenneth M Feeley

Subjects
Adult, Male, Pathology, medicine.medical_specialty, Lymphocytosis, T-Lymphocytes, lymphoma, ulcerative enteritis, Gastroenterology, Coeliac disease, Pathology and Forensic Medicine, gastropathy, Helicobacter Infections, ireland, Internal medicine, Immunopathology, medicine, Gastric mucosa, Humans, Lymphocyte Count, Aged, enteropathy associated t cell lymphoma, lymphocytic gastritis, biology, Helicobacter pylori, business.industry, General Medicine, sprue, Middle Aged, biology.organism_classification, medicine.disease, infection, digestive system diseases, Celiac Disease, medicine.anatomical_structure, Gastric Mucosa, helicobacter-pylori, Gastritis, Intraepithelial lymphocyte, Enteropathy-associated T-cell lymphoma, Female, medicine.symptom, business, coeliac disease, celiac-disease, Research Article
Abstract

AIMS: To investigate the prevalence of lymphocytic gastritis in patients with coeliac disease. METHODS: Gastric biopsies from 70 patients with coeliac disease were examined by light microscopy for the presence of lymphocytic gastritis, defined as 25 or more intraepithelial lymphocytes/100 gastric columnar epithelial cells. RESULTS: Lymphocytic gastritis was found in seven cases. Positive cases had a mean of 32.1 intraepithelial lymphocytes/100 columnar cells, compared with a mean of 13.9 in negative cases, and 5.15 in noncoeliac controls. No differences were found for age, sex, gastric corpus or antrum, or degree of inflammation in the gastric lamina propria. All intraepithelial lymphocytes were of T cell lineage. Cases not showing lymphocytic gastritis did however show significantly increased gastric intraepithelial lymphocytes compared with non-coeliac controls. Eighteen of 70 cases were positive for Helicobacter pylori, and four of seven cases of lymphocytic gastritis were H pylori positive; no significant difference was observed between H pylori positive and negative patients. Three cases had concomitant ulcerative enteritis, of which none showed lymphocytic gastritis, while five cases had concomitant enteropathy associated T cell lymphoma, of which one showed lymphocytic gastritis. CONCLUSIONS: Lymphocytic gastritis occurred in 10% of patients with coeliac disease. Cases without lymphocytic gastritis nevertheless showed increased gastric intraepithelial lymphocytes. Coeliac disease may on occasion be a diffuse lymphocytic enteropathy occurring in response to gluten. Lymphocytic gastritis outside coeliac disease may involve an immune response to luminal antigens, such as H pylori, not unlike the response to gluten in patients with coeliac disease.

Published
1998

7. Heel pain due to retrocalcaneal bursitis-radiographic diagnosis (with an historical footnote on Sever's disease)

Author

M. A. Heneghan and T. Wallace

Subjects
Male, musculoskeletal diseases, medicine.medical_specialty, Heel, Adolescent, genetic structures, Bursitis, Radiography, Sever's disease, Pain, Avascular necrosis, Achilles Tendon, Diagnosis, Differential, medicine, Humans, Radiology, Nuclear Medicine and imaging, Child, Retrocalcaneal bursitis, Achilles tendon, business.industry, Soft tissue, Anatomy, medicine.disease, Surgery, Calcaneus, medicine.anatomical_structure, Pediatrics, Perinatology and Child Health, Female, business
Abstract

Retrocalcaneal bursitis is a distinct condition causing posterior heel pain in active, healthy children. It appears to result from post-traumatic inflammation of the soft tissues of the posterior heel, and is unrelated to avascular necrosis of the calcaneal apophysis. The diagnosis may be confirmed radiographically by the loss of the lucent retrocalcaneal recess, with a normal Achilles tendon and superficial soft tissue contour, and intact cortex of the underlying os calcis.

Published
1985
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8. The Haglund syndrome: initial and differential diagnosis

Author

V Vigorita, Amy Beth Goldman, M A Heneghan, Helene Pavlov, and A Hersh

Subjects
Adult, Male, musculoskeletal diseases, Heel, Adolescent, Radiography, Pain, Achilles Tendon, Arthritis, Reactive, Talus, Arthritis, Rheumatoid, Diagnosis, Differential, Bursitis, medicine, Humans, Radiology, Nuclear Medicine and imaging, Haglund's deformity, Retrocalcaneal bursitis, Aged, Achilles tendon, business.industry, Soft tissue, Objective method, Syndrome, Anatomy, Middle Aged, medicine.disease, body regions, Calcaneus, medicine.anatomical_structure, Female, Differential diagnosis, business
Abstract

Haglund syndrome is a common cause of posterior heel pain, characterized clinically by a painful soft-tissue swelling at the level of the achilles tendon insertion. On the lateral heel radiograph the syndrome is characterized by a prominent calcaneal bursal projection, retrocalcaneal bursitis, thickening of the Achilles tendon, and a convexity of the superficial soft tissues at the level of the Achilles tendon insertion, a "pump-bump." An objective method for evaluating prominence of the bursal projection is measurement using the parallel pitch lines. This measurement helps to identify patients with Haglund syndrome and patients predisposed to develop this condition, and also to differentiate local causes of posterior heel pain from systemic causes. The parallel pitch line measurement was determined in 10 symptomatic feet and 78 control feet and the results were analyzed statistically.

Published
1982
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9. Persistent pulmonary abnormalities in newborns: The changing picture of bronchopulmonary dysplasia

Author

M. A. Heneghan, J. M. Baquero, and R. Sosulski

Subjects
Thorax, Pediatrics, medicine.medical_specialty, Neonatal respiratory distress syndrome, Pathology, Lung, business.industry, Respiratory disease, Infant, Newborn, Retrospective cohort study, respiratory system, medicine.disease, respiratory tract diseases, Radiography, medicine.anatomical_structure, Respiratory failure, Bronchopulmonary dysplasia, Pediatrics, Perinatology and Child Health, Humans, Medicine, Radiology, Nuclear Medicine and imaging, business, Bronchopulmonary Dysplasia, Neuroradiology
Abstract

Significant changes in the radiographic features of bronchopulmonary dysplasia (BPD) have accompanied recent advances in treatment of neonatal respiratory distress syndrome. Retrospective study of 709 newborns showed atypical radiographic findings in many patients with clinical BPD. While 12/20 infants with clinical BPD showed changes identical to Northway's stage 4 disease, the remaining 8 (40% of patients with significant respiratory dysfunction) had diffuse, fine infiltrates without emphysema. Radiographic progression from RDS through all Northway stages was observed in only 4 patients. Diagnosis of stage 2 BPD was complicated by the presence of PDA in 9/17 cases. Stage 3 BPD was identified with certainty in only 5 infants, but may have coexisted with PIE in as many as 22 cases. Nevertheless, there was close agreement between the radiographic findings and clinical severity of chronic lung disease. Mild (type 1) infiltrates following RDS may be distinguished from chronic pulmonary insufficiency of prematurity (CPIP) or "immature lung." In patients who require only short-term supplemental O2, type 1 changes may reflect delayed resolution of RDS in an underdeveloped lung. These same findings in infants with prolonged O2 dependence usually indicate a mild form of BPD. Coarse infiltrates and emphysema (type 2) are almost always associated with severe respiratory impairment.

Published
1986
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10. Inflammatory pseudotumor of the liver: a rare cause of obstructive jaundice and portal hypertension in a child

Author

J. S. Partin, M. A. Heneghan, C. G. Kaplan, and C. J. Priebe

Subjects
medicine.medical_specialty, Intrahepatic bile ducts, Fibroma, Gastroenterology, Diagnosis, Differential, Internal medicine, Hypertension, Portal, medicine, Humans, Radiology, Nuclear Medicine and imaging, Child, Neuroradiology, Cholestasis, Bile duct, business.industry, Liver Neoplasms, Pediatric age, medicine.disease, medicine.anatomical_structure, Pediatrics, Perinatology and Child Health, Inflammatory pseudotumor, Portal hypertension, Rare Lesion, Obstructive jaundice, Female, business, Tomography, X-Ray Computed
Abstract

Inflammatory pseudotumor (IPT) of the liver and intrahepatic bile ducts is a rare cause of obstructive jaundice and portal hypertension in the pediatric age group. Because it seems to have a better long-term outcome than many of the conditions with which it may be confused, it is important to recognize the radiologic and pathologic features of this rare lesion so that appropriate therapy may be instituted.

Published
1984

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