Publications by authors named "M Sheaff"

Anti-neutrophil cytoplasmic antibody-associated vasculitides (AAV) represent a heterogeneous multisystem group of disorders typified by necrotising inflammation of smaller blood vessels, classically yielding a pauci-immune, crescentic glomerulonephritis. Without prompt treatment, there is a significant risk of irreversible damage and ensuing renal impairment.Diagnosis is often challenging, exacerbated by the disorder's often vague and insidious presentation.

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The morbidity and mortality from AL amyloidosis has significantly improved with the development of novel treatments. Daratumumab is a highly effective treatment for AL amyloidosis, but end-stage kidney disease is a common complication of this condition. Kidney transplantation is the ideal form of renal replacement therapy but has historically been contraindicated in this group of patients.

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Article Synopsis
  • Immunoglobulin G4-related disease is an inflammatory condition that can affect multiple organs, with the kidneys often showing signs of tubulointerstitial nephritis, and sometimes glomerular diseases like membranous nephropathy.
  • A 67-year-old male presented with symptoms of nephrotic syndrome, including heavy proteinuria and low albumin levels, and was diagnosed with minimal change disease linked to the immunoglobulin G4-related disease after a kidney biopsy.
  • The case illustrates the association between immunoglobulin G4-related disease and various kidney conditions, as well as the serious risks of complications from high-dose steroid treatments.
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Importance: Arginine deprivation using ADI-PEG20 (pegargiminase) combined with chemotherapy is untested in a randomized study among patients with cancer. ATOMIC-Meso (ADI-PEG20 Targeting of Malignancies Induces Cytotoxicity-Mesothelioma) is a pivotal trial comparing standard first-line chemotherapy plus pegargiminase or placebo in patients with nonepithelioid pleural mesothelioma.

Objective: To determine the effect of pegargiminase-based chemotherapy on survival in nonepithelioid pleural mesothelioma, an arginine-auxotrophic tumor.

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