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  1. Article ; Online: Don't forget the vasculitides.

    Hepburn, Alastair L

    BMJ (Clinical research ed.)

    2012  Volume 344, Page(s) e2897

    MeSH term(s) Antihypertensive Agents/therapeutic use ; Blood Pressure ; Blood Pressure Determination ; Female ; Humans ; Hypertension/mortality ; Hypertension/physiopathology ; Male ; Primary Health Care
    Chemical Substances Antihypertensive Agents
    Language English
    Publishing date 2012-04-24
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.e2897
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Adult coeliac disease: Rheumatic presentations are common.

    Hepburn, Alastair L

    BMJ (Clinical research ed.)

    2007  Volume 335, Issue 7621, Page(s) 627

    MeSH term(s) Celiac Disease/diagnosis ; Diagnosis, Differential ; Fatigue Syndrome, Chronic/diagnosis ; Humans ; Practice Guidelines as Topic ; Vitamin D Deficiency/diagnosis
    Language English
    Publishing date 2007-09-27
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.39346.499005.3A
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The role of vitamin D testing and replacement in fibromyalgia: a systematic literature review.

    Ellis, Shawn D / Kelly, Sam T / Shurlock, Jonathan H / Hepburn, Alastair L N

    BMC rheumatology

    2018  Volume 2, Page(s) 28

    Abstract: Background: Fibromyalgia is a debilitating condition, characterized by extensive muscular pain and fatigue. Vitamin D is essential for overall health, with ubiquitous involvement in various inflammatory and pain pathways. Little is known about its role ... ...

    Abstract Background: Fibromyalgia is a debilitating condition, characterized by extensive muscular pain and fatigue. Vitamin D is essential for overall health, with ubiquitous involvement in various inflammatory and pain pathways. Little is known about its role in fibromyalgia. We performed a systematic literature review to determine if vitamin D contributes to the pathology and disability of patients with fibromyalgia, and to assess the role of vitamin D supplementation in disease management.
    Methods: We searched Medline, EMBASE and the Cochrane Library for clinical studies and randomized controlled trials published in English during January 2000 to June 2017, using the terms vitamin D or hypovitaminosis D combined with fibromyalgia or FMS. References were reviewed manually and articles were only included if they were specific in their diagnosis of fibromyalgia and used appropriate control groups.
    Results: Four hundred and sixty-six studies were retrieved, of which fourteen fulfilled the inclusion criteria. Six studies, of which two had the best quality evidence, found that patients with fibromyalgia have low levels of vitamin D compared to healthy controls. Conflicting results were obtained on the effect of vitamin D on pain or symptom control, with no clear consensus as to the role of supplementation in the management of fibromyalgia.
    Conclusions: Our results highlight an association between vitamin D deficiency and fibromyalgia. However, its role in the pathophysiology of fibromyalgia and the clinical relevance of identifying and treating this requires further elucidation with appropriately controlled studies.
    Language English
    Publishing date 2018-10-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2918121-5
    ISSN 2520-1026 ; 2520-1026
    ISSN (online) 2520-1026
    ISSN 2520-1026
    DOI 10.1186/s41927-018-0035-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Gout. Aspects of management.

    Hepburn, Alastair L / Rider, Tom G / Jordan, Kelsey M

    BMJ (Clinical research ed.)

    2011  Volume 342, Page(s) d115

    MeSH term(s) Adrenal Cortex Hormones/administration & dosage ; Colchicine/administration & dosage ; Drug Administration Schedule ; Gout/drug therapy ; Gout Suppressants/administration & dosage ; Humans ; Prednisolone/administration & dosage
    Chemical Substances Adrenal Cortex Hormones ; Gout Suppressants ; Prednisolone (9PHQ9Y1OLM) ; Colchicine (SML2Y3J35T)
    Language English
    Publishing date 2011-01-11
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.d115
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Gout.

    Hepburn, Alastair L / Feher, Michael D

    The New England journal of medicine

    2004  Volume 350, Issue 5, Page(s) 519–20; author reply 519–20

    MeSH term(s) Coronary Disease/prevention & control ; Fenofibrate/therapeutic use ; Gout/drug therapy ; Humans ; Hypolipidemic Agents/therapeutic use ; Metabolic Syndrome/drug therapy ; Risk Factors ; Uric Acid/blood
    Chemical Substances Hypolipidemic Agents ; Uric Acid (268B43MJ25) ; Fenofibrate (U202363UOS)
    Language English
    Publishing date 2004-01-29
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJM200401293500521
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The management of peripheral blood cytopenias in systemic lupus erythematosus.

    Hepburn, Alastair L / Narat, Santosh / Mason, Justin C

    Rheumatology (Oxford, England)

    2010  Volume 49, Issue 12, Page(s) 2243–2254

    Abstract: Haematological complications are frequently seen in SLE. Anaemia, leucopenias and thrombocytopenia may result from bone marrow failure or excessive peripheral cell destruction, both of which may be immune mediated. Drugs and infection are other common ... ...

    Abstract Haematological complications are frequently seen in SLE. Anaemia, leucopenias and thrombocytopenia may result from bone marrow failure or excessive peripheral cell destruction, both of which may be immune mediated. Drugs and infection are other common causes. In this review, we will focus on the diagnosis and management of immune-mediated leucopenias and thrombocytopenia in SLE. The roles of bone marrow examination and the measurement of antibodies against leucocytes and platelets are discussed. Although many patients do not require specific treatment for cytopenias in SLE, CSs remain the mainstay of treatment. Other conventional therapies include AZA, CYC and human normal immunoglobulin. More recently, MMF has found a role as a CS and CYC-sparing agent. We also review B-cell depletion in the management of thrombocytopenia associated with SLE and other novel therapies including thrombopoeitin receptor agonists.
    MeSH term(s) Antibodies, Monoclonal, Murine-Derived/therapeutic use ; Antirheumatic Agents/therapeutic use ; B-Lymphocytes ; Blood Platelets ; Bone Marrow ; Cyclophosphamide/therapeutic use ; Humans ; Lupus Erythematosus, Systemic/complications ; Lupus Erythematosus, Systemic/drug therapy ; Lymphopenia/drug therapy ; Lymphopenia/etiology ; Neutropenia/drug therapy ; Neutropenia/etiology ; Receptors, Fc/therapeutic use ; Recombinant Fusion Proteins/therapeutic use ; Rituximab ; Thrombocytopenia/drug therapy ; Thrombocytopenia/etiology ; Thrombopoietin/therapeutic use
    Chemical Substances Antibodies, Monoclonal, Murine-Derived ; Antirheumatic Agents ; Receptors, Fc ; Recombinant Fusion Proteins ; Rituximab (4F4X42SYQ6) ; Cyclophosphamide (8N3DW7272P) ; Thrombopoietin (9014-42-0) ; romiplostim (GN5XU2DXKV)
    Language English
    Publishing date 2010-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1464822-2
    ISSN 1462-0332 ; 1462-0324
    ISSN (online) 1462-0332
    ISSN 1462-0324
    DOI 10.1093/rheumatology/keq269
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: In vivo evidence for apoptosis in the bone marrow in systemic lupus erythematosus.

    Hepburn, Alastair L / Lampert, Irvin A / Boyle, Joseph J / Horncastle, Donna / Ng, W Fai / Layton, Mark / Vyse, Timothy J / Botto, Marina / Mason, Justin C

    Annals of the rheumatic diseases

    2007  Volume 66, Issue 8, Page(s) 1106–1109

    Abstract: An increase in leucocyte apoptosis and impaired clearance of apoptotic cells has been observed in patients with systemic lupus erythematosus (SLE). Apoptotic cells are likely to be a key source of autoantigens in SLE as they express many of the nuclear ... ...

    Abstract An increase in leucocyte apoptosis and impaired clearance of apoptotic cells has been observed in patients with systemic lupus erythematosus (SLE). Apoptotic cells are likely to be a key source of autoantigens in SLE as they express many of the nuclear autoantigens (in surface blebs and apoptotic bodies) that are relevant to this disease. The clearance of apoptotic cells is usually a rapid process, such that few cells are usually seen in the extracellular environment in vivo. We report a case in which multiple apoptotic bodies were observed in the bone marrow of a patient with SLE that was complicated by an immune-mediated pancytopenia. We have subsequently examined the frequency of apoptotic cells, identified morphologically, and by caspase-3 staining in bone-marrow trephine samples taken from patients with SLE over a 10-year period of follow-up. A high proportion of bone marrows contained apoptotic debris. The novel demonstration of apoptotic bodies in vivo in patients with SLE is unusual and supports the notion that the marrow may be a target organ in the disease. Their abundance is also consistent with the hypothesis that normal clearance mechanisms are defective and/or overwhelmed in SLE.
    MeSH term(s) Adult ; Apoptosis ; Autoimmunity ; Bone Marrow/pathology ; Caspase 3/analysis ; Female ; Granulocyte Colony-Stimulating Factor/therapeutic use ; Humans ; Immunologic Factors/therapeutic use ; Immunosuppressive Agents/therapeutic use ; Leukocytes/pathology ; Lupus Erythematosus, Systemic/immunology ; Lupus Erythematosus, Systemic/pathology ; Male ; Methylprednisolone/therapeutic use ; Middle Aged ; Mycophenolic Acid/analogs & derivatives ; Mycophenolic Acid/therapeutic use ; Pancytopenia/immunology ; Pancytopenia/pathology ; Staining and Labeling
    Chemical Substances Immunologic Factors ; Immunosuppressive Agents ; Granulocyte Colony-Stimulating Factor (143011-72-7) ; Caspase 3 (EC 3.4.22.-) ; Mycophenolic Acid (HU9DX48N0T) ; Methylprednisolone (X4W7ZR7023)
    Language English
    Publishing date 2007-02-02
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 7090-7
    ISSN 1468-2060 ; 0003-4967
    ISSN (online) 1468-2060
    ISSN 0003-4967
    DOI 10.1136/ard.2006.065003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The discovery of new deep-sea hydrothermal vent communities in the southern ocean and implications for biogeography.

    Rogers, Alex D / Tyler, Paul A / Connelly, Douglas P / Copley, Jon T / James, Rachael / Larter, Robert D / Linse, Katrin / Mills, Rachel A / Garabato, Alfredo Naveira / Pancost, Richard D / Pearce, David A / Polunin, Nicholas V C / German, Christopher R / Shank, Timothy / Boersch-Supan, Philipp H / Alker, Belinda J / Aquilina, Alfred / Bennett, Sarah A / Clarke, Andrew /
    Dinley, Robert J J / Graham, Alastair G C / Green, Darryl R H / Hawkes, Jeffrey A / Hepburn, Laura / Hilario, Ana / Huvenne, Veerle A I / Marsh, Leigh / Ramirez-Llodra, Eva / Reid, William D K / Roterman, Christopher N / Sweeting, Christopher J / Thatje, Sven / Zwirglmaier, Katrin

    PLoS biology

    2012  Volume 10, Issue 1, Page(s) e1001234

    Abstract: Since the first discovery of deep-sea hydrothermal vents along the Galápagos Rift in 1977, numerous vent sites and endemic faunal assemblages have been found along mid-ocean ridges and back-arc basins at low to mid latitudes. These discoveries have ... ...

    Abstract Since the first discovery of deep-sea hydrothermal vents along the Galápagos Rift in 1977, numerous vent sites and endemic faunal assemblages have been found along mid-ocean ridges and back-arc basins at low to mid latitudes. These discoveries have suggested the existence of separate biogeographic provinces in the Atlantic and the North West Pacific, the existence of a province including the South West Pacific and Indian Ocean, and a separation of the North East Pacific, North East Pacific Rise, and South East Pacific Rise. The Southern Ocean is known to be a region of high deep-sea species diversity and centre of origin for the global deep-sea fauna. It has also been proposed as a gateway connecting hydrothermal vents in different oceans but is little explored because of extreme conditions. Since 2009 we have explored two segments of the East Scotia Ridge (ESR) in the Southern Ocean using a remotely operated vehicle. In each segment we located deep-sea hydrothermal vents hosting high-temperature black smokers up to 382.8°C and diffuse venting. The chemosynthetic ecosystems hosted by these vents are dominated by a new yeti crab (Kiwa n. sp.), stalked barnacles, limpets, peltospiroid gastropods, anemones, and a predatory sea star. Taxa abundant in vent ecosystems in other oceans, including polychaete worms (Siboglinidae), bathymodiolid mussels, and alvinocaridid shrimps, are absent from the ESR vents. These groups, except the Siboglinidae, possess planktotrophic larvae, rare in Antarctic marine invertebrates, suggesting that the environmental conditions of the Southern Ocean may act as a dispersal filter for vent taxa. Evidence from the distinctive fauna, the unique community structure, and multivariate analyses suggest that the Antarctic vent ecosystems represent a new vent biogeographic province. However, multivariate analyses of species present at the ESR and at other deep-sea hydrothermal vents globally indicate that vent biogeography is more complex than previously recognised.
    MeSH term(s) Animals ; Antarctic Regions ; Bacteria/classification ; Bacteria/genetics ; Bacteria/growth & development ; Biodiversity ; Crustacea/classification ; Crustacea/genetics ; Crustacea/growth & development ; Decapoda/classification ; Decapoda/genetics ; Decapoda/growth & development ; Ecosystem ; Electron Transport Complex IV/genetics ; Gastropoda/classification ; Gastropoda/genetics ; Gastropoda/growth & development ; Geography ; Hydrogen Sulfide/metabolism ; Hydrogen-Ion Concentration ; Hydrothermal Vents ; Molecular Sequence Data ; Oceans and Seas ; Phylogeny ; RNA, Ribosomal, 16S/genetics ; RNA, Ribosomal, 18S/genetics ; RNA, Ribosomal, 28S/genetics ; Seawater/chemistry ; Seawater/microbiology ; Sequence Analysis, DNA ; Sodium/metabolism ; Species Specificity ; Temperature
    Chemical Substances RNA, Ribosomal, 16S ; RNA, Ribosomal, 18S ; RNA, Ribosomal, 28S ; Sodium (9NEZ333N27) ; Electron Transport Complex IV (EC 1.9.3.1) ; Hydrogen Sulfide (YY9FVM7NSN)
    Language English
    Publishing date 2012-01-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2126776-5
    ISSN 1545-7885 ; 1544-9173
    ISSN (online) 1545-7885
    ISSN 1544-9173
    DOI 10.1371/journal.pbio.1001234
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: The discovery of new deep-sea hydrothermal vent communities in the Southern Ocean and implications for biogeography

    Rogers, Alex D. / Tyler, Paul A. / Connelly, Douglas P. / Copley, Jonathan T. / James, Rachael / Larter, Robert D. / Linse, Katrin / Mills, Rachel A. / Garabato, Alfredo Naveira / Pancost, Richard D. / Pearce, David A. / Polunin, Nicholas V. C. / German, Christopher R. / Shank, Timothy M. / Boersch-Supan, Philipp H. / Alker, Belinda J. / Aquilina, Alfred / Bennett, Sarah A. / Clarke, Andrew /
    Dinley, Robert J. J. / Graham, Alastair G. C. / Green, Darryl R. H. / Hawkes, Jeffrey A. / Hepburn, Laura / Hilario, Ana / Huvenne, Veerle A. I. / Marsh, Leigh / Ramirez-Llodra, Eva / Reid, William D. K. / Roterman, Christopher N. / Sweeting, Christopher J. / Thatje, Sven / Zwirglmaier, Katrin

    Abstract: The Author(s), 2012. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in PLoS Biology 10 (2012): e1001234, doi:10.1371/journal.pbio.1001234. ...

    Abstract © The Author(s), 2012. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in PLoS Biology 10 (2012): e1001234, doi:10.1371/journal.pbio.1001234.
    Language en_us
    Document type Article
    Database AGRIS - International Information System for the Agricultural Sciences and Technology

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