Publications by authors named "J A Bingley"

Objective: This study aimed to examine the association between serum microRNAs (miRNAs) and diagnosis and growth of abdominal aortic aneurysm (AAA), and to test their diagnostic and prognostic value.

Methods: The expression levels of 800 miRNA tags were assessed in 108 patients with AAA, 12 age and sex matched healthy controls (HCs), and 12 patients with peripheral artery disease (PAD) using NanoString technology. Findings were assessed in an independent sample of 66 patients with AAA and 29 age and sex matched HCs by reverse transcriptase polymerase chain reaction.

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The authors report the case of a 55-year-old patient with a chronic lower-limb wound thought to be secondary to vasculitis. This case illustrates the importance of maintaining a high index of suspicion for vasculitic ulcers in patients with autoimmune disease. Management considerations in this context are also discussed.

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Article Synopsis
  • Bacillus Calmette-Guerin (BCG) is a weakened form of Mycobacterium bovis used as an immunotherapy for bladder cancer, but rare vascular infections can occur as complications of this treatment.
  • A systematic review identified 74 cases of BCG vascular infections, predominantly affecting male patients who had received BCG through bladder instillations, with many cases diagnosed over a year after exposure.
  • Common symptoms included arterial ruptures, with most infections found in the abdominal aorta; the main treatments were surgical repairs, and the 30-day mortality rate reported was 10%.
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Fibromuscular dysplasia is a non-inflammatory, non-atherosclerotic vascular disease that commonly affects renal and carotid arteries but involvement of virtually any vascular territory has been observed. This is a case report of a ruptured left gastric artery aneurysm as the first presentation of fibromuscular dysplasia. After written consent from the patient, relevant clinical notes and imaging were retrospectively reviewed and critically analysed.

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