The journal of the Royal College of Physicians of Edinburgh
-
J R Coll Physicians Edinb · Jan 2014
Case ReportsA masquerading mass: an unusual presentation of IgG4-related systemic disease with tubulointerstitial nephritis.
IgG4 tubulointerstitial nephritis (IgG4-TIN) is the most common form of IgG4 renal disease. When IgG4-TIN is accompanied by other systemic manifestations the disease is known as IgG4-related systemic disease (IgG4-RSD). ⋯ This case highlights the importance of recognising IgG4-RSD as a non-malignant disease with presentations having commonly shared features including tumour-like swelling of involved organs and its ability to mimic many systemic diseases. In the majority of patients it can be treated successfully with corticosteroids.
-
J R Coll Physicians Edinb · Jan 2014
Assisted death: a basic right or a threat to the principal purpose of medicine?
There is much debate in the UK and abroad around whether the law should be changed to license doctors to prescribe lethal drugs to assist terminally ill patients to commit suicide. Here, Sir Graeme Catto argues that terminally ill mentally competent adults should be able to choose the time and place of their death. Opposing him, Baroness Ilora Finlay argues that both the Assisted Suicide (Scotland) Bill and Lord Falconer's private member's bill in the House of Lords endanger patients' safety and require doctors to assess patients against criteria that cannot be verified.