# List of abbreviations

# List of abbreviations

Abbreviations
5-​FU	
5-​fluorouracil
5-​HIAA	
5-​hydroxyindoleacetic acid
5-​HT	
5-​hydroxytryptamine
5-​HT	
5-​hydroxytryptamine
AAA	
acquired aplastic anaemia
AAFB	
acid-​ and alcohol-​fast bacilli
AASLD	
American Association for the Study of Liver Diseases
AAV	
antineutrophil cytoplasm autoantibody-associated 
vasculitis (also aplastic anaemia
ABC	
ATP-​binding cassette
ABCDE	
airway, breathing, circulation, disability, and exposure
ABG	
arterial blood gas
ABMR	
antibody-​mediated rejection
ABPA	
allergic bronchopulmonary aspergillosis
ABPM	
ambulatory blood pressure measurement
ACE	
angiotensin-​converting enzyme
AChE	
acetylcholinesterase, define at first mention
ACPA	
anticitrullinated peptide/​protein antibodies
ACR	
American College of Rheumatology (also 
albumin:creatinine ratio)
ACS	
acute coronary syndromes
ACTH	
adrenocorticotropic hormone
AD	
Alzheimer’s disease
ADEM	
acute disseminated encephalomyelitis
ADH	
antidiuretic hormone
ADL	
activities of daily living
ADME	
absorption, distribution, metabolism, and excretion
ADPKD	
autosomal dominant polycystic kidney disease
ADR	
adverse drug reaction
ADRT	
advanced decision to refuse treatment
AECA	
antiendothelial cell antibodies
AF	
atrial fibrillation
AFP	
α-​fetoprotein
AGT	
alanine–​glyoxylate aminotransferase
aGVHD	
acute graft-​versus-​host disease
AHA	
American Heart Association
aHUS	
atypical haemolytic uraemic syndrome
AIF	
apoptosis-​inducing factor
AIHA	
autoimmune haemolytic anaemia
AIN	
acute interstitial nephritis
AIP	
autoimmune pancreatitis (also acute interstitial 
pneumonia)
AIS	
androgen insensitivity syndromes
AKI	
acute kidney injury
ALD	
alcoholic liver disease
ALF	
acute liver failure
ALL	
acute lymphoblastic leukaemia
alloSCT	
allogeneic stem cell transplantation
ALP	
alkaline phosphatase
ALS	
amyotrophic lateral sclerosis
ALT	
alanine aminotransferase
AMA	
antimitochondrial antibody
AML	
acute myeloid leukaemia
AMLR	
autologous mixed lymphocyte reactions
AMT	
Abbreviated Mental Test
ANA	
antinuclear autoantibodies
ANC	
absolute neutrophil count
ANCA	
antineutrophil cytoplasmic antibodies
ANP	
atrial natriuretic peptide
AOSD	
adult-​onset Still’s disease
AP	
alternative pathway
APA	
aldosterone-​producing adenoma
APC	
antigen presenting cell
APCM	
active physiological conservative management
APL	
acute promyelocytic leukaemia
APS	
antiphospholipid syndrome
APTT	
activated partial thromboplastin time
AR	
androgen receptor
ara-​C	
cytosine arabinoside
ARB	
angiotensin receptor blocker
ARDS	
adult respiratory distress syndrome
ARF	
acute renal failure
ARH	
autosomal recessive hypercholesterolaemia
ARPKD	
autosomal recessive polycystic kidney disease
ART	
antiretroviral therapy
ARVC	
arrhythmogenic right ventricular cardiomyopathy
ARVD	
atherosclerotic renovascular disease
AS	
ankylosing spondylitis
ASAS	
Assessment of SpondyloArthritis International 
Society
ASCT	
autologous stem cell transplantation
ASD	
atrial septal defect
ASH	
Action on Smoking and Health
ASOT	
antistreptolysin O titre
AST	
aspartate aminotransferase
ATG	
antithymocyte globulin
ATP	
adenosine triphosphate
ATRA	
all-​trans-​retinoic acid
AV	
aortic valve
AVN	
arteriovenous nipping


Abbreviations
xxxvi
AVSD	
atrioventricular septal defect
AZA	
azacitidine
BCAA	
branched-​chain amino acid
BCC	
basal cell carcinoma
BCG	
bacillus Calmette–​Guérin
BEN	
Balkan endemic nephropathy
BH4	
tetrahydrobiopterin
BHS	
British Hypertension Society
BICC	
betaferon in chronic viral cardiomyopathy
BKV	
BK polyomavirus
BM	
bone marrow
BMD	
bone mineral density
BMF	
bone marrow failure
BMI	
body mass index
BMP	
bone morphogenic protein
BNF	
British National Formulary
BNP	
B-​type natriuretic peptide
BOS	
bronchiolitis obliterans syndrome
BP	
blood pressure
BPG	
biphosphoglycerate
BRAO	
branch artery occlusion
BRVO	
branch retinal vein occlusion
BSEP	
haemolysis, elevated liver enzymes, and low 
platelet count
BSP	
bromosulphthalein
BTS	
British Thoracic Society
BUN	
blood urea nitrogen
CA	
carbohydrate antigen
CABG	
coronary artery bypass grafting
CAF	
Comprehensive Assessment for Frailty
CAH	
congenital adrenal hyperplasia
CAM	
Confusion Assessment Method
CAMT	
congenital amegakaryocytic thrombocytopenia
CAP	
community-​acquired pneumonia
CAPS	
cryopyrin-​associated periodic syndromes
CaR	
calcium-​sensing receptor
CAT	
COPD assessment test
CBT	
cognitive behaviour therapy
CCB	
calcium channel blocker
CCK	
cholecystokinin
CCP	
anticyclic citrullinated peptide
CCQ	
Clinical COPD questionnaire
CCV	
clathrin-​coated vesicles
CCyR	
complete cytogenetic response
CD	
cluster of differentiation
CDA	
congenital dyserythropoietic anaemia
CDC	
donation after circulatory death
CEA	
carcinoembryonic antigen
CETP	
cholesteryl ester transfer protein
CF	
cystic fibrosis
CFA	
cryptogenic fibrosing alveolitis
cfDNA	
cell-​free DNA
CFS	
Clinical Frailty Scale
CFTR	
cystic fibrosis transmembrane regulator
CFU	
colony forming unit
CGA	
comprehensive geriatric assessment
CGRP	
calcitonin gene-​related peptide
cGVHD	
chronic graft-​versus-​host disease
CHAD	
cold haemagglutinin disease
CHD	
coronary heart disease
CHF	
congestive heart failure
CHM	
Commission on Human Medicines
CINAC	
chronic interstitial nephritis in agricultural 
communities
CINCA	
chronic infantile neurological, cutaneous, and 
articular syndrome
CISN	
coumarin-​induced skin necrosis
CK	
creatine kinase
CKD	
chronic kidney disease
CKD-​EPI	
Chronic Kidney Disease Epidemiology Collaboration
CLL	
chronic lymphocytic leukaemia
CML	
chronic myeloid leukaemia
CMR	
cardiac magnetic resonance
CMS	
congenital myasthenic syndrome
CMT	
Charcot–​Marie–​Tooth disease
CMV	
cytomegalovirus
CNI	
calcineurin inhibitor
CNS	
central nervous system
CNSHA	
congenital non-​spherocytic haemolytic anaemia
CO	
cardiac output
CoA	
coenzyme A
COPD	
chronic obstructive pulmonary disease
COX	
cyclooxygenase
CPAP	
continuous positive airway pressure
CPM	
central pontine myelosis
CPP	
central precocious puberty
CPPS	
chronic pelvic pain syndrome
CPR	
cardiopulmonary resuscitation
CR	
complete remission
CRDQ	
Chronic Respiratory Disease Questionnaire
CREST	
calcinosis, Raynaud’s, oesophageal dysmotility, 
sclerodactyly, telangiectasia
CRF	
chronic renal failure
CRH	
corticotropin-​releasing hormone
CRIM	
cross-​immunoreactive material
CRP	
C-​reactive protein
CRT	
cardiac resynchronization therapy
CS	
continuous smokers
CSF	
cerebrospinal fluid/​colony-​stimulating factor
CT	
computed tomography
CTA	
computed tomography angiography
CTCA	
computed tomography coronary angiography
CTD	
connective tissue disease
CTEPH	
chronic thromboembolic pulmonary hypertension
CTL	
cytotoxic T-​lymphocyte
CVD	
cardiovascular disease
CVID	
common variable immunodeficiency
CVS	
chorionic villus sampling
CXR	
chest radiograph
CYP	
cytochrome P450
CZT	
cadmium zinc telluride
DAEC	
diffusely adherent Escherichia coli
DALY	
disability-​adjusted life year
DAMP	
damage-​associated molecular pattern
DASH	
Dietary Approaches to Stop Hypertension
DAT	
direct antiglobulin test


﻿  Abbreviations
xxxvii
DBA	
Diamond–​Blackfan anaemia
DBD	
donation after brain death
DBP	
diastolic blood pressure
DC	
dyskeratosis congenita (also dendritic cell)
DCA	
directional coronary atherectomy
DCCT	
Diabetes Control and Complications Trial
DCD	
donation after circulatory death
DCI	
decompression illness
dcSSc	
diffuse cutaneous systemic sclerosis
DCT	
distal convoluted tubule
DDAVP	
1-​deamino-​8-​d-​arginine vasopressin
DDD	
dense deposit disease
DECAF	
dyspnoea, eosinopenia, consolidation, acidosis, and 
atrial fibrillation
DGP	
deamidated gliadin peptide
DHG	
dihydroxyglutarate
DIC	
disseminated intravascular coagulation
DIC	
disseminated intravascular coagulation
DILI	
drug-​induced liver injury
DILV	
double-​inlet left ventricle
DIP	
desquamative interstitial pneumonia
DISC	
death-​initiating signalling complex
DISH	
diffuse idiopathic skeletal hyperostosis
DLB	
dementia with Lewy bodies
DLBCL	
diffuse large B-​cell lymphoma
DMARD	
disease-​modifying antirheumatic drug
DMD	
disease-​modifying drugs (can also mean Duchenne 
muscular dystrophy)
DMSA	
dimercaptosuccinic acid
DNACPR	
do-​not-​attempt-​cardiopulmonary resuscitation
DNR	
do not resuscitate
DOAC	
direct oral anticoagulant
DOCA	
desoxycorticosterone
DOPPS	
Dialysis Outcomes and Practice Patterns Study
DORV	
double-​outlet right ventricle
DPI	
dry powder inhalers
DRE	
digital rectal examination
DRESS	
drug reaction with eosinophilia and systemic 
symptoms
dRTA	
distal renal tubular acidosis
DSA	
donor-​specific antibodies
DTC	
direct to consumer
DTPA	
diethylenetriaminepentaacetic acid
DVT	
deep vein thrombosis
DXA	
dual energy X-​ray absorptiometry
EACTS	
European Association for Cardio-​Thoracic Surgery
EAggEC	
enteroaggregative Escherichia coli
EANM	
European Association of Nuclear Medicine
EAPCI	
European Association of Percutaneous 
Cardiovascular Interventions
EASL	
European Association for the Study of the Liver
EATL	
enteropathy-​associated T-​cell lymphoma
EBV	
Epstein–​Barr virus
ECD	
extended criteria donor
ECF	
extracellular fluid
ECG	
electrocardiogram
ECLAM	
European community lupus activity measure
ECM	
extracellular matrix
ECV	
extracellular volume
EDMD	
Emery–​Dreifuss muscular dystrophy
EDRF	
endothelial-​derived relaxing factor
EDTA	
European Dialysis and Transplant Association
EDV	
end-​diastolic volume
EEG	
electroencephalography
EELV	
end expiratory lung volume
EGF	
epidermal growth factor
eGFR	
estimated glomerular filtration rate
EGPA	
eosinophilic granulomatosis with polyangiitis
EIEC	
enteroinvasive Escherichia coli
EIS	
endoscopic injection sclerotherapy
ELCA	
excimer laser coronary atherectomy
ELISA	
enzyme-​linked immunosorbent assay
EM	
erythema multiforme (also electron microscopy)
EMA	
endomysial antibody
EMG	
electromyography
EMS	
early morning urethral smear
ENA	
extractable nuclear antigens
ENaC	
epithelial sodium channel
ENT	
ear, nose, or throat
EOL	
end of life
EoO	
eosinophilic oesophagitis
EPCR	
endothelial cell protein C receptor
EPEC	
enteropathogenic Escherichia coli
EPO	
erythropoietin
ER	
endoplasmic reticulum
ERA	
European Renal Association
ERC	
endoscopic retrograde cholangiography
ERCP	
endoscopic retrograde cholangiopancreatography
ERNV	
equilibrium radionuclide ventriculography
ERS	
European Respiratory Society
ESA	
erythropoiesis-​stimulating agent
ESC	
European Society of Cardiology
ESGE	
European Society of Gastrointestinal Endoscopy
ESH	
European Society of Hypertension
ESKD	
end-​stage kidney disease
ESR	
erythrocyte sedimentation rate
ESRD	
end-​stage renal disease
ESS	
EULAR sicca score
ESWL	
extracorporeal shock-​wave lithotripsy
ETEC	
enterotoxigenic Escherichia coli
EUS	
endoscopic ultrasonography
EVLP	
ex-​vivo lung perfusion
EVO	
endoscopic variceal obturation
FA	
Fanconi’s anaemia
FACIT	
fibril-​associated collagen with interrupted triple
FAK	
focal adhesion kinase
FAP	
familial adenomatous polyposis
FBC	
full blood count
FCAS	
familial cold autoinflammatory syndrome
FCHL	
familial combined hyperlipidaemia
FDA	
Food and Drug Administration
FDG	
fluorodeoxyglucose
FDG-​PET	
fluorodeoxyglucose-​positron emission tomography
FDP	
fibrinogen-​degradation product
FEV	
forced expiratory volume
FEV1	
forced expiratory volume in 1 s


Abbreviations
xxxviii
FFR	
fractional flow reserve
FGF	
fibroblast growth factor
FH	
familial hypercholesterolaemia
FISH	
fluorescent in situ hybridization
FL	
follicular lymphoma
FLC	
free light chain
FMF	
familial Mediterranean fever
FMTC	
familial medullary thyroid carcinoma
FNAB	
fine needle aspiration biopsy
FNH	
focal nodular hyperplasia
FOB	
faecal occult blood
FODMAPs	 fermentable oligosaccharides, disaccharides, 
monosaccharides, and polyols
FRC	
functional residual capacity
FSGS	
focal segmental glomerulosclerosis
FSH	
follicular stimulating hormone
FTD	
frontotemporal dementia
FVC	
forced vital capacity
FVU	
first voided urine
G6PD	
glucose-​6-​phosphate dehydrogenase
GABA	
γ-​aminobutyric acid
GAD	
generalized anxiety disorder
GALT	
gut-​associated lymphoid tissue
GAVE	
gastric antral vascular ectasia
GBD	
Global Burden of Disease
GBM	
glomerular basement membrane
G-​CSF	
granulocyte colony-​stimulating factor
GCA	
giant cell arteritis
GCS	
Glasgow Coma Score
GDF	
growth differentiation factors
GEP	
gastroenteropancreatic
GFB	
glomerular filtration barrier
GFR	
glomerular filtration rate
GH	
growth hormone
GI	
gastrointestinal
GIB	
gastrointestinal bleeding
GIE	
glucocorticoid inhibitory element
GIP	
gastric inhibitor peptide
GIST	
gastrointestinal stromal tumour
GLP	
glucagon-​like peptide
GM-​CSF	
granulocyte–​macrophage colony-​stimulating factor
GM/​MS	
gas chromatography–​mass spectrometry
GN	
glomerulonephritis
GnRH	
gonadotropin-​releasing hormone
GOLD	
Global Initiative for Obstructive Lung Disease
GOMMID	 glomerulonephritis with organized microtubular 
monoclonal immunoglobulin deposits
GORD	
gastro-​oesophageal reflux disease
GOV	
gastro-​oesophageal varices
GP	
glycoprotein (also general practitioner)
GPA	
granulomatosis with polyangiitis
GPCR	
G-​protein-​coupled-​receptors
GPI	
glycosylphosphatidylinositol
GRACE	
Global Registry of Acute Coronary Events
GRADE	
Grading of Recommendations, Assessment, 
Development and Evaluations
GRHPR	
glyoxylate/​hydroxypyruvate reductase
GSD	
glycogen storage disease
GSGS	
focal segmental glomerulosclerosis
GSH	
glutathione
GU	
gonococcal urethritis
GUM	
genitourinary medicine
GVHD	
graft-​versus-​host disease
GVL	
graft-​versus-​leukaemia
GWAS	
genome-​wide association study
H&E	
haematoxylin and eosin stain
HAART	
highly active antiretroviral therapy
HAND	
HIV-​associated neurocognitive disorder
HAV	
hepatitis A virus
HBc	
hepatitis B core
HBeAG	
hepatitis B e antigen
HBIg	
hepatitis B immunoglobulin
HBPM	
home blood pressure measurement
HBsAG	
hepatitis B surface antigen
HBV	
hepatitis B virus
HCC	
hepatocellular carcinoma
HCG	
human chorionic gonadotropin
HCV	
hepatitis C virus
HD	
haemodialysis
HDF	
haemodiafiltration
HDL	
high-​density lipoprotein
HDL-​C	
high-​density lipoprotein cholesterol
HDU	
high-​dependency unit
HDV	
hepatitis D virus
HE	
hepatic encephalopathy or hereditary elliptocytosis
HELLP	
haemolysis, elevated liver enzymes and low platelets
HES	
hypereosinophilic syndrome
hESC	
human embryonic stem cell
HETE	
hydroxyeicosatetraenoic acid
HEV	
hepatitis E virus
HF	
haemofiltration
HFA	
Heart Failure Association
HFnEF	
heart failure with a normal ejection fraction
HFOV	
high-​frequency oscillatory ventilation
HFV	
high-​frequency ventilation
HHT	
hereditary haemorrhagic telangiectasis/​
15-​hydroxy-​5,8,10-​hepatrotrienoic acid
HHV	
human herpesvirus
HIF	
hypoxia-​inducible factors
HIV	
human immunodeficiency virus
HIV-​OL	
human immunodeficiency virus oral lesion
HK	
high molecular weight kininogen
HL	
hepatic lipase
HLA	
human leucocyte antigen
HLH	
haemophagocytic lymphohistiocytosis
HLHS	
hypoplastic left heart syndrome
HMA	
hypomethylating agent
HOGA	
4-​hydroxy-​2-​oxoglutarate aldolase
HPA	
hypothalamic-​pituitary-​adrenal
HPG	
hypothalamic-​pituitary-​gonadal
HPLC	
high-​performance liquid chromatography
HPP	
hereditary pyropoikilocytosis
HPRT	
hypoxanthine-​guanine phosphoribosyltransferase
HPV	
human papillomavirus


﻿  Abbreviations
xxxix
HRA	
high-​resolution anoscopy
HRCT	
high-​resolution computed tomography
HRT	
hormone replacement therapy
HS	
hereditary spherocytosis
HSC	
haematopoietic stem cell or hepatic stellate cell
HSCT	
haemopoietic stem cell transplantation
HSP	
Henoch–​Schönlein purpura
HSPC	
haematopoietic stem and progenitor cell
HSV	
herpes simplex virus
HUS	
haemolytic uraemic syndrome
HUV	
hypocomplementaemic urticarial vasculitis
IADL	
instrumental activities of daily living
IAS	
insulin autoimmune syndrome
IBD	
irritable bowel disease
IBS	
irritable bowel syndrome
IBS-​C	
irritable bowel syndrome with constipation
IBS-​D	
irritable bowel syndrome with diarrhoea
IBS-​M	
irritable bowel syndrome with alternating 
constipation and diarrhoea
IC	
intercalated cell
ICAM	
intercell adhesion molecules
ICD	
implantable cardioverter-​defibrillator
ICP	
intracranial pressure
ICS	
inhaled oral corticosteroids
ICU	
intensive care unit
IDA	
iminodiacetic acid
IDL	
intermediate-​density lipoprotein
IEC	
intestinal epithelial cell
IF	
intrinsic factor
IFG	
impaired fasting glucose
IFN	
interferon
Ig	
immunoglobulin
IgAN	
immunoglobulin A nephropathy
IgE	
immunoglobulin E
IGF	
insulin-​like growth factors
IgG4-​RD	
immunoglobulin G4-​related disease
IgG4-​SC	
immunoglobulin G4-​related sclerosing cholangitis
IGV	
isolated gastric varices
IHD	
ischaemic heart disease
IHME	
Institute for Health Metrics and Evaluation
IIH	
idiopathic intracranial hypertension
IIP	
idiopathic interstitial pneumonias
IL	
interleukin
ILC	
innate lymphoid cell
ILD	
interstitial lung disease
IMA	
inferior mesenteric artery
INR	
international normalized ratio
IPAF	
interstitial pneumonitis with autoimmune features
IPEX	
immunodysregulation polyendocrinopathy 
enteropathy X-​linked
IPF	
idiopathic pulmonary fibrosis
IPI	
International Prognostic Index
iPSC	
induced pluripotent stem cell
IPSID	
immunoproliferative small intestinal disease
IRIDA	
iron-​refractory iron deficiency anaemia
IRIS	
immune reconstitution inflammatory syndrome
IRM	
immunoradiographic assay
IRV	
Inspiratory and expiratory reserve volume
ISH	
International Society of Hypertension
ISHLT	
International Society for Heart and Lung 
Transplantation
ISIS	
International Study of Infarct Survival
ISWT	
incremental shuttle walking test
ITP	
immune thrombocytopenia
ITU	
intensive care unit
IV	
intravenous
IVC	
inferior vena cava
IVF	
in vitro fertilization
IVIG	
intravenous immunoglobulin
IVU	
intravenous urography
JE	
Japanese encephalitis
JIA	
juvenile idiopathic arthritis
JNC	
Joint National Committee
KDIGO	
Kidney Disease: Improving Global Outcomes
LA	
left atrium
LAMA	
long-​acting antimuscarinic agents
LBBB	
left bundle branch block
LCAT	
lecithin–​cholesterol acyltransferase
LCH	
Langerhans’ cell histiocytosis
lcSSc	
limited cutaneous systemic sclerosis
LDH	
lactate dehydrogenase
LDL	
low-​density lipoprotein
LDL-​C	
low-​density lipoprotein cholesterol
LFT	
liver function test
LGE	
late gadolinium enhancement
LGMD	
limb-​girdle muscular dystrophy
LGV	
lymphogranuloma venereum
LH	
luteinizing hormone
LIC	
liver iron content
LINQ	
Lung Information Needs Questionnaire
LIP	
lymphocytic interstitial pneumonia
LKM	
liver–​kidney microsomal
LMICs	
low-​ and middle-​income countries
LMN	
lower motor neuron
LMWH	
low molecular weight heparin
LMWP	
low molecular weight protein
LOLA	
l-​ornithine l-​arginine
LP	
lumbar puncture
LPL	
lipoprotein lipase
LPLR	
lipoprotein lipase receptor
LTOT	
long-​term oxygen therapy
LV	
left ventricle
LVDD	
left ventricular diastolic dysfunction
LVEF	
left ventricular ejection fraction
LVOT	
left ventricular outflow tract
LVRS	
lung volume reduction surgery
LVSD	
left ventricular systolic dysfunction
MAG3	
mercaptoacetyltriglycine
MAGIC	
MAGnesium in Coronaries
MAHA	
microangiopathic haemolytic anaemia
MALT	
mucosa-​associated lymphoid tissue
MAO	
monoamine oxidase inhibitor
MAP	
mean arterial pressure
MAPK	
mitogen-​activated protein kinase
MBD	
mineral and bone disorder
M-​CSF	
macrophage colony-​stimulating factor


Abbreviations
xl
MCHC	
mean cell haemoglobin concentration
MCL	
mantle cell lymphoma
MCNS	
minimal change nephrotic syndrome
MCpEF	
myocarditis with preserved left ventricular ejection 
fraction
MCV	
mean corpuscular volume
MDE	
myeloma-​defining event
MDI	
metered dose inhalers
MDRD	
Modification of Diet in Renal Disease
MDS	
myelodysplastic syndrome
MED	
minimal erythema dose
MELD	
Model for End-​Stage Liver Disease
MEN	
multiple endocrine neoplasia
MERFF	
myoclonic epilepsy and ragged red fibres
mESC	
mouse embryonic stem cell
MGRS	
monoclonal gammopathy of renal significance
MGUS	
monoclonal gammopathy of undetermined 
significance
MHC	
major histocompatibility complex
MHRA	
Medicines and Healthcare Products 
Regulatory Agency
MIC	
minimum inhibitory concentration
MIDD	
monoclonal immunoglobulin deposition diseases
MKD	
mevalonate kinase deficiency
MM	
malignant melanoma
MMA	
methylmalonic acid
MMF	
mycophenolate mofetil
MMP	
matrix metalloproteinase
MMR	
mismatch repair
MN	
membranous nephropathy
MND	
motor neuron disease
MoCA	
Montreal Cognitive Assessment
MPA	
microscopic polyangiitis
MPO	
myeloperoxidase
MPS	
mucopolysaccharidosis (also myocardial perfusion 
scintigraphy)
MR	
magnetic resonance
MRA	
magnetic resonance angiography (can also be 
medicine regulatory authority)
MRC	
Medical Research Council
MRCP	
magnetic resonance cholangiopancreatography
MRI	
magnetic resonance imaging
MRSA	
methicillin-​resistant Staphylococcus aureus
MS	
multiple sclerosis
MS/​MS	
tandem mass spectroscopy
MSA	
multiple-​system atrophy
MSC	
mesenchymal stromal cell
MSH	
melanocyte-​stimulating hormone
MSU	
midstream urine
MTC	
medullary thyroid carcinoma
mTOR	
mammalian target of rapamycin
MUS	
medically unexplained symptoms
MWS	
Muckle–​Wells syndrome
NAAT	
nucleic acid amplification testing
NABQI	
N-​acetyl-​p-​benzoquinone imine
NADH	
reduced nicotinamide-​adenine dinucleotide
NADPH	
reduced nicotinamide-​adenine dinucleotide 
phosphate
NAFLD	
nonalcoholic fatty liver disease
NAIT	
neonatal alloimmune thrombocytopenia
NASH	
nonalcoholic steatohepatitis
NCAM	
neural-​cell adhesion molecule
NEP	
neutral endopeptidase
NET	
neuroendocrine tumour or neutrophil 
extracellular trap
NETT	
National Emphysema Therapy Trial
NEWS	
National Early Warning Score
NGF	
nerve growth factor
NGS	
next-​generation sequencing
NHDL-​C	
non-​high-​density lipoprotein cholesterol
NHL	
non-​Hodgkin’s lymphoma
NHS	
National Health Service (UK)
NICE	
National Institute for Health and Care Excellence
NIPPV	
non-​invasive nasal positive-​pressure ventilation
NIPT	
non-​invasive prenatal testing
NIV	
non-​invasive ventilation
NK	
natural killer
NKT	
natural killer T
NLST	
National Lung Screening Trial
NMS	
neuroleptic malignant syndrome
NMSC	
non-​melanoma skin cancer
NNH	
number needed to harm
NNT	
number needed to treat
NOTT	
Nocturnal Oxygen Treatment Trial
NREM	
non-​rapid eye movement
NRT	
nicotine replacement therapy
NSAID	
non-​steroidal anti-​inflammatory drug
NSCLC	
non-​small cell lung cancer
NSIP	
non-​specific interstitial pneumonia
NSTEMI	
non-​ST-​elevation myocardial infarction
NTD	
neural tube defect
NTM	
non-​tuberculous mycobacterial
NT-​proBNP	N-​terminal B-​type natriuretic peptide
NYHA	
New York Heart Association
OAF	
osteoclast-​activating factor
OAPR	
odds of being affected given a positive result
OB	
obliterative bronchiolitis
OCD	
obsessive–​compulsive disorder
OCT	
optical coherence tomography
OD	
once daily
OECD	
Organisation for Economic Cooperation and 
Development
OED	
other eating disorders
OLP	
oral lichen planus
OMIM	
Online Mendelian Inheritance in Man
OMT	
optimal medical therapy
OPAT	
outpatient parenteral antibiotic therapy
OR	
odds ratio
OS	
overall survival
OSA	
obstructive sleep apnoea
OTB	
oral tuberculosis
PA	
pernicious anaemia (also pulmonary artery)
PACAP	
pituitary adenylate cyclase activating polypeptide
PAF	
platelet activating factor
PAH	
polycyclic aromatic hydrocarbons (can also mean 
pulmonary hypertension)


﻿  Abbreviations
xli
PAOP	
pulmonary artery occlusion pressure
PAS	
periodic acid–​Schiff
PASI	
Psoriasis Area and Severity Index
PASP	
pulmonary artery systolic pressure
PBD	
polyglucosan body disease
PBM	
peripheral blood mononuclear cell
PCC	
prothrombin complex concentrate
PCH	
paroxysmal cold haemoglobinuria (also pulmonary 
capillary haemangiomatosis)
PCI	
percutaneous coronary intervention
PCNSL	
primary central nervous system lymphoma
Pco	
partial pressure of carbon dioxide
PCP	
Pneumocystis jirovecii pneumonia
PCR	
polymerase chain reaction (also 
protein:creatinine ratio)
PCT	
proximal convoluted tubule
PCV	
pneumococcal conjugate vaccine
PCWP	
pulmonary capillary wedge pressure
PD	
peritoneal dialysis (also Parkinson’s disease)
PDA	
patent ductus arteriosus
PDC	
pyruvate dehydrogenase complex
PDD	
Parkinson’s disease dementia
PDGF	
platelet-​derived growth factor
PE	
pleural effusion (can also mean pulmonary embolism)
PEACH	
Pelvic Inflammatory Disease Evaluation and 
Clinical Health
PEEP	
positive end expiratory pressure
PEF	
peak expiratory flow
PEG	
percutaneous endoscopic gastrostomy
PET	
position emission tomography
PFO	
patent foramen ovale
PFS	
progression-​free survival
PGK	
phosphoglycerate kinase
PHARC	
polyneuropathy, hearing loss, ataxia, retinitis 
pigmentosa, and cataract
PICS	
post-​intensive care syndrome
PID	
pelvic inflammatory disease
PIGN	
postinfectious glomerulonephritis
PK	
pyruvate kinase
PKD	
pyruvate kinase deficiency (also polycystic kidney 
disease)
PKU	
phenylketonuria
PLA2R	
phospholipase A2 receptor
PMN	
polymorphonuclear neutrophil
PMR	
polymyalgia rheumatica
PNH	
paroxysmal nocturnal haemoglobinuria
Po2	
partial pressure of oxygen
POC	
point of care
POMC	
pro-​opiomelanocortin
PP	
polypeptide
PPI	
proton pump inhibitor
ppm	
parts per million
PPS	
Palliative Performance Scale
PPV	
porcine parvovirus
PR3	
proteinase 3
PRCA	
pure red cell aplasia
PRI	
population reference intake
PRPP	
phosphoribosyl pyrophosphate
PRR	
pattern-​recognition receptor
PRrP	
parathyroid-​hormone-​related protein
PSA	
prostate-​specific antigen
PSC	
primary sclerosing cholangitis
PSP	
primary spontaneous pneumothorax
PT	
prothrombin time
PTC	
percutaneous transhepatic cholangiography
PTCA	
percutaneous transluminal coronary angioplasty
PTH	
parathyroid hormone
PTHrP	
PTH/​PTH-​related peptide
PTLD	
post-​transplant lymphoproliferative disorder
PTP	
post-​transfusion purpura
PTSD	
post-​traumatic stress disorder
PUVA	
psoralen ultraviolet A
PV	
pemphigus vulgaris (also plasmas viscosity test)
PVE	
prosthetic valve endocarditis
PVOD	
pulmonary veno-​occlusive disease
PVR	
pulmonary vascular resistance
PYY	
peptide tyrosine-​tyrosine
QALY	
quality-​adjusted life year
RA	
rheumatoid arthritis (can also mean right atrium)
RAAS	
renin–​angiotensin–​aldosterone system
RAS	
renin–​angiotensin system (also renal artery stenosis 
or restrictive allograft syndrome
RAVV	
right atrioventricular valve
RBBB	
right bundle branch block
RBF	
rat bite fevers
RCA	
right coronary artery
RCC	
renal cell carcinoma
RCDP	
rhizomelic chondrodysplasia punctata
RCT	
randomized controlled trial
RDA	
recommended dietary allowance
REM	
rapid eye movement
RF	
rheumatoid factor
RI	
resistivity index
RNA	
ribonucleic acid
RNI	
reference nutrient intake
RNP	
ribonucleoprotein
ROC	
receiver–​operator characteristic
RP	
ribosomal protein
RRT	
renal replacement therapy
RTA	
renal tubular acidosis
RV	
residual volume (also right ventricle)
RVOTO	
right ventricular outflow tract obstruction
SA	
short-​axis
SABR	
stereotactic ablative body radiotherapy
SBP	
spontaneous bacterial peritonitis (also systolic blood 
pressure)
SCC	
squamous cell carcinoma
SCD	
sickle cell disease (also sudden cardiac death)
SCI	
spinal cord injuries
SCID	
severe combined immunodeficiency
SCLC	
small cell lung cancer
SCMR	
Society for Cardiovascular Magnetic Resonance
SCN	
sickle cell nephropathy or severe congenital 
neutropenia
sdLDL	
small dense low-​density lipoprotein
SDS	
Shwachman–​Diamond syndrome


Abbreviations
xlii
SEER	
Surveillance, Epidemiology, and End Results
SGRQ	
St George’s Respiratory Questionnaire
SHBG	
sex hormone binding globulin
SHEC	
Shiga toxin-​producing Escherichia coli
SIADH	
syndrome of inappropriate antidiuretic hormone 
secretion
SIRS	
systemic inflammatory response syndrome
SLB	
surgical lung biopsy
SLE	
systemic lupus erythematosus
SM	
smouldering myeloma
SMA	
superior mesenteric artery (also smooth muscle 
antibody)
SMC	
smooth muscle cell
sMDRD	
simplified Modification of Diet in Renal Disease
SMR	
standardized mortality ratio
SNGFR	
single-​nephron glomerular filtration rate
SNP	
single nucleotide polymorphism
SNS	
sympathetic nervous system
SOD	
sphincter of Oddi disorder
SPC	
Summary of Product Characteristics
SPD	
storage pool deficiency
SPECT	
single-​positron emission computed tomography
SPF	
sun protection factor
SSc	
systemic sclerosis
SSD	
somatic symptom disorder
SSFP	
steady-​state free precession
SSRI	
selective serotonin reuptake inhibitor
STEMI	
ST elevation myocardial infarction
STI	
sexually transmitted infection
STOPP/​START	 set of inappropriate combinations of medicines 
and disease (STOPP) and a set of recommended 
treatments for given conditions (START)
suPAR	
soluble urokinase plasminogen activating 
receptor
SVC	
superior vena cava
SVR	
systemic vascular resistance
TACE	
transarterial chemoembolization
TAE	
transarterial embolization
TALH	
thick ascending limb of Henle
TAR	
thrombocytopenia with absent radii
TAVI	
transcatheter aortic valve implantation
TB	
tuberculosis
TBLC	
transbronchial lung cryobiopsy
TBM	
tuberculous meningitis
TC	
total cholesterol
TCA	
tricyclic antidepressant
TCPC	
total cavopulmonary connection
TCR	
T-​cell receptor
TCT	
thrombin clotting time
TdT	
terminal deoxyribonucleotidyl transferase
TEC	
transient erythroblastopenia of childhood
TEN	
toxic epidermal necrolysis
TF	
transcription factor (also tissue factor)
TFPI	
tissue factor pathway inhibitor
TG	
triglyceride
TGF	
transforming growth factor
TGFα, TGFβ	
transforming growth factor-​α, -​β
TGN	
trans Golgi network
THR	
total hip replacement
THRIVE	
Treatment of HDL to Reduce the Incidence of 
Vascular Events
TIA	
transient ischaemic attack
TIBC	
total iron-​binding capacity
TIMI	
thrombolysis in myocardial infarction
TINU	
tubulointerstitial nephritis uveitis
TIPS	
transjugular intrahepatic portosystemic shunt
TK	
tyrosine kinase
TKI	
tyrosine kinase inhibitor
TKR	
total knee replacement
TLC	
total lung capacity
TLR	
Toll-​like receptor
TMA	
thrombotic microangiopathy
t-​MDS	
therapy-​related myelodysplastic syndrome(s)
TNF	
tumour necrosis factor
TNFα	
tumour necrosis factor-​α
tPA	
tissue plasminogen activator
TPN	
total parenteral nutrition
TPN	
total parenteral nutrition
TRAIL	
TNF-​related apoptosis-​inducing ligand
TRAPS	
tumour necrosis factor receptor-​associated 
periodic syndrome
Treg	
regulatory T (cell)
TROPHY	
Trial of Preventing Hypertension
TSH	
thyroid-​stimulating hormone
TTD	
thiazide-​type diuretic
tTG	
tissue transglutaminase
TTIP	
Transatlantic Trade and Investment Partnership
TTKG	
transtubular potassium concentration gradient
TTP	
thrombotic thrombocytopenic purpura
TURBT	
transurethral resection of bladder tumour
TV	
tricuspid valve
UAER	
urinary albumin excretion rate
UCB	
umbilical cord blood
UDCA	
ursodeoxycholic acid
UDP	
uridine diphosphate
UI	
urinary incontinence
UIP	
usual interstitial pneumonia
UKELD	
United Kingdom Model for End-​Stage Liver 
Disease
UKM	
urea kinetic modelling
UKMEC	
UK Medical Eligibility Criteria
UKPDS	
United Kingdom Prospective Diabetes Study
ULN	
upper limit of normal
UMN	
upper motor neuron
UPR	
unfolded protein response
URR	
urea reduction ratio
URTI	
upper respiratory tract infection
UTI	
urinary tract infection
UV	
ultraviolet
UVL	
ultraviolet light
UVR	
ultraviolet radiation
V/​Q	
ventilation/​perfusion
VARD	
video-​assisted retroperitoneal debridement
VATS	
video-​assisted thoracoscopic surgery
VC	
vital capacity
vCJD	
variant Creutzfeldt–​Jakob disease


﻿  Abbreviations
xliii
VDRL	
Venereal Diseases Research Laboratory
VEGF	
vascular endothelial growth factor
VEOIBD	
very early-​onset inflammatory bowel disease
VIP	
vasoactive intestinal peptide
VKA	
vitamin K antagonist
VLA	
vertical long axis
VLCFA	
very long-​chain fatty acid
VLDL	
very low-​density lipoprotein
VSD	
ventricular septal defect
VTE	
venous thromboembolism
VWD	
von Willebrand’s disease
VWF	
von Willebrand factor
VZV	
varicella zoster virus
WBC	
white blood cell
WCC	
white cell count
WGS	
whole genome sequencing
WHO	
World Health Organization
WM	
Waldenström’s macroglobulinaemia
X-​ALD	
X-​linked adrenoleukodystrophy
XLH	
X-​linked hypophosphataemia
YLDs	
years lived with disability
YLL	
years of life lost
ZASP	
Z-​line associated protein


Contributors
Peter Aaby Bandim Health Project, INDEPTH 
Network, Bissau, Guinea-​Bissau, West Africa
8.5.6: Measles
Emma Aarons Consultant Virologist and Infectious 
Disease Physician, Rare and Imported Pathogens 
Laboratory, Public Health England, Salisbury, 
Wiltshire, UK
8.5.27: Orf and Milker’s nodule
Tom Abbott William Harvey Research Institute, 
Queen Mary University of London, UK
17.4: Assessing and preparing patients with 
medical conditions for major surgery
Ade Adebajo Faculty of Medicine, Dentistry and 
Health, University of Sheffield, UK
19.12: Miscellaneous conditions presenting to the 
rheumatologist
Raymond Agius Occupational Medicine, University 
of Manchester, UK
10.2.1: Occupational and environmental health
S. Faisal Ahmed School of Medicine, University 
of Glasgow, Royal Hospital for Children, 
Glasgow, UK
13.7.3: Normal and abnormal sexual 
differentiation
Shahzada K. Ahmed Department of 
Otorhinolaryngology, Queen Elizabeth Hospital, 
Birmingham, UK
13.2.2: Disorders of the posterior pituitary gland
Vineet Ahuja Department of Gastroenterology and 
Human Nutrition, All India Institute of Medical 
Sciences, New Delhi, India
15.10.8: Malabsorption syndromes in the tropics
Guruprasad P. Aithal NIHR Nottingham Biomedical 
Research Centre, Nottingham University Hospitals 
NHS Trust and the University of Nottingham; 
Nottingham Digestive Diseases Centre, The 
University of Nottingham, Nottingham, UK
15.24.3: Drug-​induced liver disease
Sara Ajina Nuffield Department of Clinical 
Neurosciences, University of Oxford, Oxford, UK
24.6.1: Visual pathways
Tyler Albert VA Puget Sound Health Care System, 
Division of General Internal Medicine, University 
of Washington, Seattle, WA, USA
10.3.6: Diseases of high terrestrial altitudes
Maha Albur University of Bristol, Bristol, UK
8.2.5: Antimicrobial chemotherapy
Michael J. Aldape Veterans Affairs Medical Center, 
Infectious Diseases Section, Boise, ID, USA
8.6.25: Botulism, gas gangrene, and clostridial 
gastrointestinal infections
Graeme J.M. Alexander UCL Professor, UCL 
Institute for Liver and Digestive Health, Royal 
Free Hospital, London, UK
15.23.1: Hepatitis A to E; 15.24.6: Primary and 
secondary liver tumours
Michael E.D. Allison Liver Unit, Cambridge 
Biomedical Research Centre, Addenbrooke’s 
Hospital, Cambridge, UK
15.24.6: Primary and secondary liver tumours
Carlo Ammendolia Faculty of Medicine, 
University of Toronto, Toronto, Canada; 
Rebecca MacDonald Centre for Arthritis 
and Autoimmune Diseases, Division of 
Rheumatology, Mount Sinai Hospital, 
Toronto, Canada
19.4: Back pain and regional disorders
Chris Andrews Faculty of Medicine, University of 
Queensland, Herston, Qld 4029, Australia
10.3.5: Lightning and electrical injuries
Ross H. Andrews Professor, Cholangiocarcinoma 
Research Institute (CARI), Cholangiocarcinoma 
Screening and Care Program (CASCAP), Faculty 
of Medicine, Khon Kaen University, Khon Kaen, 
Thailand; Professor of Parasitology, Imperial 
College London, Faculty of Medicine, St Mary’s 
Campus, London, UK
8.11.2: Liver fluke infections
Jervoise Andreyev Consultant Gastroenterologist, 
United Lincolnshire Hospitals Trust; Honorary 
Professor, The School of Medicine, University of 
Nottingham, UK
15.3.4: Investigation of gastrointestinal  
function
Gregory M. Anstead Division of Infectious 
Diseases, Department of Medicine, University 
of Texas Health Science Center at San Antonio, 
San Antonio, TX, USA; Immunosuppression 
and Infectious Diseases Clinics, Department 
of Medicine, South Texas Veterans Health Care 
System, San Antonio, TX, USA
8.7.3: Coccidioidomycosis
Quentin M. Anstee Professor of Experimental 
Hepatology and Honorary Consultant 
Hepatologist, Faculty of Medical Sciences, 
Newcastle University and Freeman Hospital 
Liver Unit, Newcastle upon Tyne Hospitals NHS 
Foundation Trust, Newcastle upon Tyne, UK
15.24.2: Non​alcoholic fatty liver disease
Charles M.G. Archer Department of Dermatology, 
Oxford University Hospitals NHS Trust, 
Oxford, UK
23.15: Skin and systemic diseases
Clive B. Archer Consultant Dermatologist and 
Honorary Senior Clinical Lecturer, St John’s 
Institute of Dermatology, Guy’s and St Thomas’ 
NHS Foundation Trust & King’s College London, 
Guy’s Hospital, London, UK
23.15: Skin and systemic diseases
Michael J. Arden-​Jones  Consultant  
Dermatologist, University of Southampton, 
Southampton, UK
23.6: Dermatitis/​eczema
Mark J. Arends University of Edinburgh Division 
of Pathology, Cancer Research UK Edinburgh 
Centre, Institute of Genetics and Molecular 
Medicine, Western General Hospital, 
Edinburgh, UK
3.6: Apoptosis in health and disease
J. Arendt Emeritus Professor of  
Endocrinology, University of Surrey,  
Guildford, UK
13.11: The pineal gland and melatonin
James O. Armitage The Joe Shapiro Professor of 
Medicine, Division of Oncology/​Hematology, 
University of Nebraska Medical Center, Omaha, 
NE, USA
22.4.3: Hodgkin lymphoma; 22.4.4: Non-​Hodgkin 
lymphoma
Vicente Arroyo Professor of Medicine at the 
University of Barcelona Medical School; 
Chairman of the European Association  
for the Study of the Liver Chronic Liver  
Failure Consortium (EASL-​CLIF  
Consortium) and President of the European 
Foundation for the Study of Chronic Liver 
Failure (EF-​CLIF), Barcelona, Spain
15.22.2: Cirrhosis and ascites
Daniel Aruch Icahn School of Medicine at Mount 
Sinai, New York, NY, USA
22.3.5: The polycythaemias; 22.3.6: Thrombocytosis 
and essential thrombocythaemia
Frances Ashcroft Professor of Physiology, 
Department of Physiology, Anatomy and 
Genetics, University of Oxford, Oxford, UK
3.4: Ion channels and disease
Caroline Ashley Lead Specialist Pharmacist, 
Centre for Nephrology, Royal Free Hospital, 
London, UK
21.19: Drugs and the kidney
Shazad Q. Ashraf Consultant Colorectal Surgeon, 
Department of Colorectal Surgery, Queen 
Elizabeth Hospital, Birmingham University 
Hospitals, Birmingham, UK
15.14: Colonic diverticular disease


Contributors
xlvi
Paul Aveyard Nuffield Department of Primary Care 
Health Sciences, University of Oxford, Oxford, UK
26.6.2: Obesity and weight management; 
26.6.3: Smoking cessation
Tar-​Ching Aw† Abu Dhabi National Oil Company, 
United Arab Emirates
10.2.5: Noise; 10.2.6 Vibration
Jon G. Ayres Emeritus Professor of Environmental 
and Respiratory Medicine, Universty of 
Birmingham, Birmingham, UK
10.1: Environmental medicine, occupational 
medicine, and poisoning; 10.3.1: Air pollution 
and health
Juan Carlos Ayus Renal Consultants of Houston, 
Houston, TX, USA; University of California 
Irvine, Orange, CA, USA 
21.2.1: Disorders of water and sodium homeostasis
Qasim Aziz Centre for Neuroscience, 
Surgery and Trauma, Wingate Institute of 
Neurogastroenterology, Blizard Institute, Barts 
and the London School of Medicine and Dentistry, 
Queen Mary University of London, London, UK
15.13: Irritable bowel syndrome
Trevor Baglin Previously Cambridge Haemophilia 
and Thrombophilia Centre, Department of 
Haematology, Addenbrooke’s Hospital, Cambridge 
University Hospitals, Cambridge, UK
22.7.2: Evaluation of the patient with a bleeding 
tendency
Michael Bagshaw Aviation Medicine, King’s 
College, London, UK
10.2.3: Aviation medicine
Colin Baigent Clinical Trial Service Unit and 
Epidemiological Studies Unit (CTSU), University 
of Oxford, Oxford, UK
2.4: Large-​scale randomized evidence: Trials and 
meta-​analyses of trials
Kenneth F. Baker Faculty of Medical Sciences, 
Newcastle University and Musculoskeletal Unit, 
Newcastle upon Tyne Hospitals NHS Foundation 
Trust, Newcastle upon Tyne, UK
19.5: Rheumatoid arthritis
Bettina Balint Sobell Department of Motor 
Neuroscience and Movement Disorders, 
University College London Institute of 
Neurology, Queen Square, London, UK; 
Department of Neurology, University Hospital 
Heidelberg, University of Heidelberg, Germany
24.7.3: Movement disorders other than 
Parkinson’s disease
Jay Banerjee College of Life Sciences, University of 
Leicester, Leicester, UK
6.4: Older people and urgent care
Adrian P. Banning Oxford University Hospitals NHS 
Trust, Oxford, UK
16.3.2: Echocardiography;
16.14.1 Acute aortic syndromes
George Banting Medical Sciences Building, 
University of Bristol, Bristol, UK
3.1: The cell
Thomas M. Barber University of Warwick, University 
Hospitals Coventry and Warwickshire NHS Trust, 
Coventry, UK
13.10: Hormonal manifestations of non-​endocrine 
disease
E.J. Barnes Nuffield Department of Medicine, 
University of Oxford, Oxford, UK
8.5.22: Hepatitis C virus
Michael Barnes University of Newcastle, Newcastle 
upon Tyne, UK; Christchurch Group, Janet 
Barnes Unit, Birmingham, UK
24.13.2: Spinal cord injury and its management
Andrew J. Barr Leeds Institute of Rheumatic and 
Musculoskeletal Medicine, Leeds, UK
19.9: Osteoarthritis
Jonathan Barratt Professor of Renal Medicine, 
University of Leicester; Honorary Consultant 
Nephrologist, University Hospitals of Leicester, 
Leicester, UK
21.8.1: Immunoglobulin A nephropathy and 
IgA vasculitis (HSP)
Buddha Basnyat Oxford University Clinical 
Research Unit -​ Nepal; Patan Academy of Health 
Sciences, Nepal
8.6.9 Typhoid and paratyphoid fevers; 
10.3.6: Diseases of high terrestrial altitudes
D. Nicholas Bateman, Pharmacology, Toxicology 
and Therapeutics, University of Edinburgh, 
Edinburgh, UK
10.4.1: Poisoning by drugs and chemicals
David Bates Clinical Neurology, Newcastle 
University, Newcastle on Tyne, UK
24.5.5: The unconscious patient; 24.9: Brainstem 
syndromes
Robert P. Baughman University of Cincinnati 
Medical Center, Cincinnati, OH, USA
18.12: Sarcoidosis
Peter J. Baxter School of Clinical Medicine,  
Public Health and Primary Care, 
Institute of Public Health, University of 
Cambridge, Cambridge, UK
10.3.8: Disasters: Earthquakes, hurricanes, floods, 
and volcanic eruptions
Hannah Beckwith Specialist Registrar, Imperial 
College Healthcare NHS Trust Renal and 
Transplant Centre, Hammersmith Hospital, 
London, UK
21.10.3: The kidney in rheumatological  
disorders
Diederik van de Beek Academic Medical Center, 
University of Amsterdam, Amsterdam, the 
Netherlands
24.11.1: Bacterial infections
David A. Bender University College London, 
London, UK
11.2: Vitamins
D.A. Bente University of Texas Medical Branch, 
Galveston, TX, USA
8.5.16: Bunyaviridae
Anthony R. Berendt Oxford University Hospitals 
NHS Foundation Trust, Oxford, UK
20.3: Osteomyelitis
Stefan Berg Consultant in Pediatric Rheumatology 
and Immunology, Queen Silvia Children’s 
Hospital, Goteborg, Sweden
12.12.2 Hereditary periodic fever syndromes
David de Berker Bristol Dermatology  
Centre, University Hospitals Bristol,  
Bristol, UK
23.13: Hair and nail disorders
Nancy Berliner H. Franklin Bunn Professor of 
Medicine, Brigham and Women’s Hospital and 
Harvard Medical School, Boston, MA
22.3.1: Granulocytes in health and disease; 
22.4.1: Introduction to lymphopoiesis
Jessica Bertrand Experimental Orthopedics, 
University Hospital Magdeburg, Magdeburg, 
Germany
19.1: Joints and connective tissue—​structure  
and function
J.M. Best King’s College London, London, UK
8.5.13: Rubella
Delia B. Bethell Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
8.6.1: Diphtheria
Kailash Bhatia Sobell Department of Motor 
Neuroscience and Movement Disorders, 
University College London (UCL) Institute of 
Neurology, Queen Square, London, UK
24.7.3: Movement disorders other than  
Parkinson’s disease
Vijaya Raj Bhatt Assistant Professor, Division of 
Hematology-​Oncology, University of Nebraska 
Medical Center, Omaha, NE, USA
22.4.3: Hodgkin lymphoma; 22.4.4: Non-​Hodgkin 
lymphoma
Joya Bhattacharyya Division of Gastroenterology 
and Hepatology, Department of Medicine, 
University of Cambridge, Addenbrooke’s 
Hospital, Cambridge, UK
15.5: Immune disorders of the 
gastrointestinal tract
Paola Bianchi Oncohematology Unit—​
Pathophysiology of Anemias Unit, Foundation 
IRCCS Ca’ Granda Ospedale Maggiore, 
Milan, Italy
22.6.10: Erythrocyte enzymopathies
Rudolf Bilous Professor of Clinical Medicine, 
Newcastle University, Newcastle upon Tyne; 
Academic Centre, James Cook University 
Hospital, Middlesbrough, UK
21.10.1: Diabetes mellitus and the kidney
D. Bilton Faculty of Medicine, National Heart 
and Lung Institute, Imperial College London, 
London, UK
18.9: Bronchiectasis
Jonathan I. Bisson Division of Psychological 
Medicine and Clinical Neurosciences, University 
of Cardiff, Cardiff, UK
26.5.9: Acute stress disorder, adjustment disorders, 
and post-​traumatic stress disorder
Carol M. Black Newnham College, Cambridge, UK
19.11.3: Systemic sclerosis (scleroderma)
S.R. Bloom Head of Division of Diabetes, 
Endocrinology and Metabolism, 
Hammersmith Hospital, Imperial College 
London, London, UK
13.8: Pancreatic endocrine disorders and multiple 
endocrine neoplasia; 15.9.1: Hormones and the 
gastrointestinal tract;
15.9.2: Carcinoid syndrome
Johannes Blum Medical Services, Swiss  
Tropical and Public Health Institute, Basel, 
Switzerland
8.8.11: Human African trypanosomiasis
† It is with great regret that we report that Tar-Ching Aw died on 18 July, 2017.


Contributors
xlvii
Kristien Boelaert University of Birmingham, 
Birmingham, UK
13.3.1: The thyroid gland and disorders of thyroid 
function; 13.3.2: Thyroid cancer
Eva Boonen Clinical Division and Laboratory of 
Intensive Care Medicine, Department of Cellular 
and Molecular Medicine, KU Leuven University, 
B-​3000 Leuven, Belgium
17.9: Metabolic and endocrine changes in acute 
and chronic critical illness
Christopher Booth† Wellcome Institute for the 
History of Medicine, Wellcome Building, 
London, UK
1.1: On being a patient
Marina Botto Professor, Imperial College London, 
London, UK
4.2: The complement system
Ralph Bouhaidar Consultant Forensic Pathologist, 
NHS Lothian; Honorary Senior Lecturer, 
Edinburgh University, Edinburgh; Training 
Programme Director for Forensic Histopathology 
(Scotland), UK
27.1: Forensic and legal medicine
Henri-​Jean Boulouis Ecole Nationale Vétérinaire 
d’Alfort, Maisons-​Alfort, France
8.6.43: Bartonellas excluding B. bacilliformis
P.-​M.G. Bouloux Centre for Neuroendocrinology, 
University College London Medical School, 
London, UK
13.6.2: Disorders of male reproduction and male 
hypogonadism
S.J. Bourke Royal Victoria Infirmary, Newcastle 
upon Tyne, UK
18.14.1: Diffuse alveolar haemorrhage; 
18.14.2: Eosinophilic pneumonia; 
18.14.3: Lymphocytic infiltrations of the lung; 
18.14.4: Hypersensitivity pneumonitis; 
18.14.5: Pulmonary Langerhans’ cell 
histiocytosis; 18.14.6: Lymphangioleiomyomatosis; 
18.14.7: Pulmonary alveolar proteinosis; 
18.14.8: Pulmonary amyloidosis; 18.14.9: Lipoid 
(lipid) pneumonia; 18.14.10: Pulmonary 
alveolar microlithiasis; 18.14.12: Radiation 
pneumonitis; 18.14.13: Drug-​induced  
lung disease
Ian C.J.W. Bowler Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK; University of 
Oxford, Oxford, UK
8.2.3: Nosocomial infections
Louise Bowles Consultant Haematologist, Barts 
Health NHS Trust, London, UK
14.7: Thrombosis in pregnancy
Paul Bowness Oxford University Hospitals 
NHS Foundation Trust, Oxford, UK; Nuffield 
Department of Orthopaedics, Rheumatology and 
Musculoskeletal Science, University of Oxford, 
Oxford, UK
4.1: The innate immune system
Ray Boyapati Department of Gastroenterology, 
Monash Health, Victoria, Australia; Faculty of 
Medicine, Nursing and Health Sciences, Monash 
University, Vic, Australia
15.17: Vascular disorders of the 
gastrointestinal tract
Sally M. Bradberry NPIS (Birmingham Unit) and 
West Midlands Poisons Unit, City Hospital, 
Birmingham; School of Biosciences, University of 
Birmingham, Birmingham, UK
10.4.1: Poisoning by drugs and chemicals
Marcus Bradley North Bristol NHS Trust, 
Bristol, UK
24.3.3: Imaging in neurological diseases
Tasanee Braithwaite Locum Consultant, Moorfields 
Eye Hospital NHS Foundation Trust, London, UK
25.1: The eye in general medicine
Thomas Brandt Ludwig Maximilians University, 
Munich, Germany
24.6.2: Eye movements and balance
Petter Brandtzaeg Emeritus Professor, Department 
of Paediatrics, Oslo University Hospital, 
Oslo, Norway
8.6.5: Meningococcal infections
Philippe Brasseur Institut de Recherche pour le 
Développement, Dakar, Sénégal, West Africa
8.8.3: Babesiosis
Jürgen Braun Medical Director, Rheumazentrum 
Ruhrgebiet, Herne, Germany; Chair of 
Rheumatology, Ruhr University, Bochum, 
Germany
19.6: Spondyloarthritis and related  
conditions
Evan M. Braunstein Hematology Division, Johns 
Hopkins University School of Medicine, 
Baltimore, MD, USA
22.3.7: Primary myelofibrosis
James D. Brenton Cancer Research UK 
Cambridge Institute, University of Cambridge, 
Cambridge, UK
5.2: The nature and development of cancer: Cancer 
mutations and their implications
J.A. Bridgewater Professor and Consultant in 
Medical Oncology, UCL Cancer Institute, 
London, UK
15.16: Cancers of the gastrointestinal tract
Frank Bridoux Professor of Nephrology, 
Department of Nephrology, Hôpital Jean 
Bernard, Poitiers, France
21.10.5: Renal involvement in plasma cell 
dyscrasias, immunoglobulin-​based amyloidoses, 
and fibrillary glomerulopathies, lymphomas, and 
leukaemias
Charlotte K. Brierley Department of Haematology, 
Cancer and Haematology Centre, Churchill 
Hospital, Oxford University Hospitals NHS Trust, 
Oxford, UK
22.3.2: Myelodysplastic syndromes
Alice Brockington University of Sheffield, 
Sheffield, UK
24.15: The motor neuron diseases
Max Bronstein Advocacy and Science  
Policy, Every Life Foundation, Washington, 
DC, USA
2.9: Engaging patients in therapeutic 
development
Gary Brook London North West University 
Healthcare NHS Trust, London, UK
9.3: Sexual history and examination
Arthur E. Brown Research Consultant, Faculty 
of Medical Technology, Mahidol University, 
Nakhon Pathom, Thailand
8.6.21: Anthrax
Anthony F.T. Brown Department of Emergency 
Medicine, Royal Brisbane and Women’s Hospital, 
Brisbane, Qld, Australia
17.3: Anaphylaxis
Kevin E. Brown Virus Reference Department, Public 
Health England, London, UK
8.5.20: Parvovirus B19
Michael Brown Department of Infectious and 
Tropical Diseases, London School of Hygiene and 
Tropical Medicine, London, UK
8.9.4: Strongyloidiasis, hookworm, and other gut 
strongyloid nematodes
Morris J. Brown Professor of Endocrine 
Hypertension, Queen Mary University of London, 
William Harvey Heart Centre, London, UK
16.17.3: Secondary hypertension
Vanessa Brown Specialist Registrar, Royal Surrey 
County Hospital, Guildford, UK
15.4.2: Gastrointestinal bleeding
Reto Brun Parasite Chemotherapy Unit, Medical 
Parasitology and Infection Biology, Swiss Tropical 
and Public Health Institute, Basel, Switzerland
8.8.11: Human African trypanosomiasis
Marco J. Bruno Erasmus Medical Center, University 
Medical Center Rotterdam, Department of 
Gastroenterology and Hepatology, Rotterdam, 
the Netherlands
15.26.2: Chronic pancreatitis
Amy E. Bryant Research Professor, Department 
of Biomedical and Pharmaceutical Sciences, 
College of Pharmacy, Idaho State University, 
ID, USA
8.6.25: Botulism, gas gangrene, and clostridial 
gastrointestinal infections
Antony D.M. Bryceson London School of Hygiene 
and Tropical Medicine, London, UK
8.8.13: Leishmaniasis
Nicolas C. Buchs Consultant Colorectal Surgeon, 
Clinic for Visceral and Transplantation Surgery, 
Department of Surgery, University Hospitals of 
Geneva, Geneva, Switzerland
15.14: Colonic diverticular disease
Camilla Buckley MRC Clinician Scientist and 
Honorary Consultant, Department of Clinical 
Neurology, University of Oxford, Oxford, UK
24.24: Autoimmune encephalitis and Morvan’s 
syndrome
Simon J.A. Buczacki Honorary Consultant 
Colorectal Surgeon, Cambridge Colorectal Unit, 
Addenbrooke’s Hospital, Cambridge, UK
15.4.1: The acute abdomen
Enrico Bugiardini MRC Centre for Neuromuscular 
Disease, University College London, London, UK
24.19.1: Structure and function of muscle
Alan Burnett Former Professor of Haematology, 
Cardiff University, Cardiff, UK
22.3.3: Acute myeloid leukaemia
Gilbert Burnham John Hopkins Bloomberg School 
of Public Health, Baltimore, MD, USA
8.9.1: Cutaneous filariasis
Aine Burns Consultant Nephrologist and Director 
of Postgraduate Medical Education, Centre 
for Nephrology, Royal Free NHS Trust and 
University College Medical School, London, UK
21.19: Drugs and the kidney
† It is with great regret that we report that Christopher Booth died on 13 July, 2012.


Contributors
xlviii
Eileen Burns Leeds Centre for Older People’s 
Medicine, Leeds Teaching Hospitals NHS Trust, 
Leeds, UK
6.11: Promotion of dignity in the life and death of 
older patients
Harry Burns University of Strathclyde, UK
2.14: Deprivation and health
N.P. Burrows Consultant Dermatologist, Cambridge 
University Hospitals NHS Foundation Trust, 
Cambridge, UK
20.2: Inherited defects of connective tissue: 
Ehlers–​Danlos syndrome, Marfan syndrome, and 
pseudoxanthoma elasticum
Rosie Burton Khayelitsha District Hospital, 
Corner of Walter Sisulu and Streve Biko  
Roads, Khayelitsha, Cape Town, Africa; 
Department of Medicine, University of Cape 
Town, Cape Town, Africa
14.15: Maternal infection in pregnancy
Andrew Bush Imperial College London, London, 
UK; National Heart and Lung Institute, London, 
UK; Royal Brompton and Harefield NHS 
Foundation Trust, London, UK
18.10: Cystic fibrosis
Kate Bushby Newcastle University John Walton 
Centre for Muscular Dystrophy Research, MRC 
Centre for Neuromuscular Diseases, Institute of 
Genetic Medicine, International Centre for Life, 
Newcastle upon Tyne, UK
24.19.2: Muscular dystrophy
Gary Butler University College London Hospital 
and UCL Great Ormond Street Institute of Child 
Health, London, UK
13.7.1: Normal growth and its disorders
William F. Bynum Professor Emeritus, University 
College London, London, UK
2.1: Science in medicine: When, how,  
and what
Simone M. Cacciò European Union Reference 
Laboratory for Parasites, Department of 
Infectious, Parasitic and Immunomediated 
Diseases, Istituto Superiore di Sanità, 
Rome, Italy
8.8.5: Cryptosporidium and cryptosporidiosis
Djuna L. Cahen Erasmus Medical Center, University 
Medical Center Rotterdam, Department of 
Gastroenterology and Hepatology, Rotterdam, 
the Netherlands
15.26.2: Chronic pancreatitis
P.M.A. Calverley School of Clinical Sciences, 
University of Liverpool, Liverpool, UK
18.15: Chronic respiratory failure
Jason Caplan Dignity Health Medical Group; St. 
Joseph’s Hospital and Medical Center; Creighton 
University School of Medicine; Phoenix, 
AZ, USA
26.5.3: Organic psychoses
Jonathan R. Carapetis Telethon Kids Institute, 
University of Western Australia and Perth 
Children’s Hospital, Perth, Australia
16.9.1: Acute rheumatic fever
Jordi Carratalà Department of Infectious Diseases, 
Hospital Universitari de Bellvitge -​ IDIBELL, 
Division of Health Sciences, Faculty of Medicine, 
University of Barcelona, Barcelona, Spain 
8.6.39: Legionellosis and Legionnaires’ disease
R. Carter Consultant Pancreaticobiliary Surgeon, 
West of Scotland Pancreatic Unit, Glasgow Royal 
Infirmary, Glasgow, UK
15.26.1: Acute pancreatitis
Stuart Carter Sheffield Teaching Hospitals NHS 
Foundation Trust, Sheffield, UK
19.12: Miscellaneous conditions presenting to the 
rheumatologist
David Carty Department of Diabetes, 
Endocrinology and Clinical Pharmacology, 
Glasgow Royal Infirmary, Glasgow, UK
14.11: Endocrine disease in pregnancy
Jaimini Cegla Imperial College London, 
London, UK
12.6: Lipid disorders
Joseph Cerimele University of Washington, 
Washington, DC, USA
26.5.6: Depressive disorder
Joshua T. Chai Department of Cardiovascular 
Medicine, University of Oxford,  
Oxford, UK
16.13.1: Biology and pathology of  
atherosclerosis
Richard E. Chaisson Center for Tuberculosis 
Research, Johns Hopkins University School of 
Medicine, Baltimore, MD, USA
8.6.26: Tuberculosis
Romanee Chaiwarith Division of Infectious 
Diseases, Department of Medicine, Faculty of 
Medicine, Chiang Mai University, Chiang Mai, 
Thailand
8.7.6: Talaromyces (Penicillium) marneffei 
infection
Ben Challis University of Cambridge Medical 
School, Cambridge, UK
13.9.2: Hypoglycaemia
Siddharthan Chandran Euan MacDonald Centre 
for Clinical Brain Sciences (CCBS), University of 
Edinburgh, Edinburgh, UK
3.7: Stem cells and regenerative medicine; 
24.10.2: Demyelinating disorders of the central 
nervous system
Keith Channon John Radcliffe Hospital, 
Oxford, UK
16.1.1: Blood vessels and the endothelium
Roger W. Chapman Translational Gastroenterology 
Unit, John Radcliffe Hospital, Oxford; Nuffield 
Department of Medicine, University of Oxford, 
Oxford, UK
15.23.4: Primary sclerosing cholangitis
V. Krishna Chatterjee University of Cambridge 
Medical School, Cambridge, UK
13.1: Principles of hormone action
Afzal Chaudhry Chief Clinical Information 
Officer, Cambridge University Hospitals, 
Cambridge, UK
2.5: Bioinformatics
K. Ray Chaudhuri National Parkinson Foundation 
Centre of Excellence, King’s College, Denmark 
Hill Campus, London, UK
24.7.2: Parkinsonism and other extrapyramidal 
diseases
Patrick F. Chinnery University of Newcastle, 
Newcastle upon Tyne, UK
24.19.5: Mitochondrial disease
Hector Chinoy University of Manchester, 
Manchester, UK
19.11.5: Inflammatory myopathies
Peter L. Chiodini Hospital for Tropical Diseases, 
University College London Hospitals,  
London, UK
8.9.5: Gut and tissue nematode infections acquired 
by ingestion
Rossa W.K. Chiu Choh-​Ming Li Professor of 
Chemical Pathology, Department of Chemical 
Pathology, The Chinese University of Hong 
Kong, Hong Kong, China
3.9: Circulating DNA for molecular diagnostics
Bruno B. Chomel School of Veterinary Medicine, 
University of California, CA, USA
8.6.43: Bartonellas excluding B. bacilliformis
Robin P. Choudhury University of Oxford, 
Oxford, UK
16.13.1: Biology and pathology of atherosclerosis
Julia Choy National Health Service, London, UK
18.4.5: Pulmonary complications of HIV infection
Lydia Chwastiak Department of Psychiatry and 
Behavioral Sciences, University of Washington 
School of Medicine, Seattle, WA, USA
26.5.6: Depressive disorder
Andrew L. Clark Chair of Clinical Cardiology  
and Honorary Consultant Cardiologist,  
Hull York Medical School, Castle Hill Hospital, 
Hull, UK
16.5.2: Acute cardiac failure: Definitions, 
investigation, and management; 16.5.3: Chronic 
heart failure: Definitions, investigation, and 
management
Andrew Clegg Academic Unit of Elderly Care and 
Rehabilitation, University of Leeds, Bradford 
Teaching Hospitals NHS Foundation Trust, 
Bradford, UK
6.2: Frailty and sarcopenia
John G.F. Cleland National Heart and Lung Institute, 
Royal Brompton and Harefield Hospitals 
Trust London, UK; Hull York Medical School, 
University of Hull, Hull, UK
16.5.2: Acute cardiac failure: Definitions, 
investigation, and management; 16.5.3 Chronic 
heart failure: Definitions, investigation, and 
management
Gavin Clunie Cambridge University Hospitals NHS 
Foundation Trust, Cambridge, UK
20.5: Osteonecrosis, osteochondrosis, and 
osteochondritis dissecans
S.M. Cobbe Previously Consultant Cardiologist, 
Glasgow Royal Infirmary; former BHF Walton 
Professor of Medical Cardiology, University of 
Glasgow, Glasgow, UK
16.2.2: Syncope and palpitation
Fredric L. Coe The University of Chicago Medicine, 
Chicago, IL, US
21.1: Structure and function of the kidney
Sian Coggle Consultant Physician, Cambridge 
University Hospitals, Cambridge, UK
30.1: Acute medical presentations; 30.2: Practical 
procedures
Jon Cohen Brighton and Sussex Medical School, 
Brighton, UK
8.2.4: Infection in the immunocompromised host


Contributors
xlix
Alasdair Coles Cambridge School of Clinical 
Medicine, Cambridge, UK
24.10.2: Demyelinating disorders of the central 
nervous system
Jane Collier Consultant Hepatologist, John Radcliffe 
Hospital, Oxford, UK
8.5.22: Hepatitis C virus; 15.22.1: Investigation 
and management of jaundice
Rory Collins Clinical Trial Service Unit and 
Epidemiological Studies Unit (CTSU), University 
of Oxford, Oxford, UK
2.4: Large-​scale randomized evidence: Trials and 
meta-​analyses of trials
Juan D. Colmenero Infectious Diseases 
Service, Regional University Hospital, 
Málaga, Spain
8.6.22: Brucellosis
Alastair Compston Department of Clinical 
Neurosciences, University of Cambridge, 
Cambridge, UK
24.1: Introduction and approach to the patient 
with neurological disease
Juliet Compston University of Cambridge 
School of Clinical Medicine and Cambridge 
University Hospitals NHS Foundation Trust, 
Cambridge, UK
20.4: Osteoporosis
Philip G. Conaghan Leeds University,  
Leeds, UK
19.9: Osteoarthritis
Christopher P. Conlon Professor of Infectious 
Diseases, Nuffield Department of Medicine, 
University of Oxford, Oxford, UK
8.4: Travel and expedition medicine; 8.5.23: HIV/​
AIDS; 8.5.28: Molluscum contagiosum
Simon Conroy Department of Health Sciences, 
University of Leicester, Leicester, UK
6.4: Older people and urgent care
Cyrus Cooper MRC Lifecourse Epidemiology Unit, 
University of Southampton, Southampton, UK; 
NIHR Oxford Biomedical Research Centre, 
University of Oxford, Oxford, UK
20.4: Osteoporosis
John E. Cooper University of Cambridge, 
Cambridge, UK
8.8.8: Sarcocystosis (sarcosporidiosis)
Robert Cooper University of Liverpool, 
Liverpool, UK
19.11.5: Inflammatory myopathies
Mhairi Copland Professor of Translational 
Haematology, Section of Experimental 
Haematology, Paul O’Gorman Leukaemia 
Research Centre, Institute of Cancer Sciences, 
College of Medical, Veterinary and Life Sciences, 
University of Glasgow, Glasgow, UK
22.3.4: Chronic myeloid leukaemia
Susan J. Copley Imperial College Healthcare NHS 
Trust, London, UK
18.3.2: Thoracic imaging
Jeremy Cordingley Peri-​Operative Medicine, St 
Bartholomew’s Hospital, London, UK
17.5: Acute respiratory failure
Philip J. Cowen University of Oxford Department 
of Psychiatry, Warneford Hospital, Oxford, UK
26.4.1: Psychopharmacology in medical practice
Timothy M. Cox Professor of Medicine Emeritus, 
Director of Research, University of Cambridge; 
Honorary Consultant Physician, Addenbrooke’s 
Hospital, Cambridge, UK
1.1: An older patient’s story; 12.1: The inborn errors 
of metabolism: General aspects; 12.3.1: Glycogen 
storage diseases; 12.3.2: Inborn errors of fructose 
metabolism; 12.3.3: Disorders of galactose, pentose, 
and pyruvate metabolism; 12.5: The porphyrias;
12.7.1: Hereditary haemochromatosis; 
12.8: Lysosomal disease; 13.11: The pineal gland 
and melatonin; 15.10.5: Disaccharidase deficiency; 
22.6.4: Iron metabolism and its disorders
S.E. Craig Oxford Sleep Unit, Churchill Hospital, 
Oxford, UK
18.1.1: The upper respiratory tract
Matthew Cramp South West Liver Unit and 
Peninsula Schools of Medicine and Dentistry, 
Derriford Hospital, Plymouth, UK
8.5.21: Hepatitis viruses (excluding hepatitis 
C virus)
Robin A.F. Crawford Addenbrooke’s Hospital, 
Cambridge, UK
14.18: Malignant disease in pregnancy
Daniel Creamer King’s College Hospital, 
London, UK
23.16: Cutaneous reactions to drugs
Tim Crook North Middlesex Hospital,  
London, UK
5.7: Medical management of breast cancer
Paul Cullinan Faculty of Medicine, National Heart 
and Lung Institute, Imperial College London, 
London, UK
18.7: Asthma
Peter F. Currie Perth Royal Infirmary, Perth 
and Ninewells Hospital and Medical School, 
Dundee, UK
16.9.3: Cardiac disease in HIV infection
Nicola Curry Consultant Haematologist, Oxford 
University Hospitals NHS Foundation Trust, 
Oxford Haemophilia and Thrombosis Centre, 
Churchill Hospital, Oxford, UK
22.7.3: Thrombocytopenia and disorders of  
platelet function
Goodarz Danaei Department of Global Health 
and Population, Department of Epidemiology, 
Harvard T.H. Chan School of Public Health, 
Boston, MA, USA
16.13.2: Coronary heart disease: Epidemiology and 
prevention
Christopher J. Danpure Emeritus Professor of 
Molecular Cell Biology, University College 
London, London, UK
12.10: Hereditary disorders of oxalate 
metabolism: The primary hyperoxalurias
Bhaskar Dasgupta University of Essex, Essex, UK; 
Anglia Ruskin University, East Anglia, UK; 
Southend University Hospital NHS Foundation 
Trust, Essex, UK
19.11.11: Polymyalgia rheumatica
Pooja Dassan Consultant Neurologist, Imperial 
College Healthcare NHS Trust and London  
North West University Healthcare NHS Trust, 
London, UK
14.12: Neurological conditions in  
pregnancy
Andrew Davenport Professor of Dialysis and ICU 
Nephrology, UCL Department of Nephrology, 
Royal Free Hospital, University College London, 
London, UK
21.4: Clinical investigation of renal disease
Gail Davey Centre for Global Health Research, 
Brighton and Sussex Medical School,  
Brighton, UK
10.5: Podoconiosis
Alun Davies Imperial College School of Medicine, 
London, UK
16.14.2: Peripheral arterial disease
Helen E. Davies University Hospital of Wales, 
Cardiff, UK
18.19.4: Mediastinal tumours and cysts
R Justin Davies Consultant Colorectal Surgeon, 
Cambridge Colorectal Unit, Addenbrooke’s 
Hospital, Cambridge, UK
15.4.1: The acute abdomen
P.D.O. Davies Liverpool Heart and Chest Hospital 
NHS Foundation Trust, Liverpool, UK
8.6.27: Disease caused by environmental 
mycobacteria
R. Rhys Davies Cognitive Function Clinic, Walton 
Centre for Neurology and Neurosurgery, 
Liverpool, UK
24.3.1: Lumbar puncture
Simon Davies Professor of Nephrology and Dialysis 
Medicine, Institute for Science and Technology 
in Medicine, Keele University, Keele; Consultant 
Nephrologist, University Hospital of North 
Midlands, Stoke-​on-​Trent, UK
21.7.2: Peritoneal dialysis
Richard Dawkins New College, University of 
Oxford, Oxford, UK 
2.2: Evolution: Medicine’s most basic science
Christopher P. Day Vice-​Chancellor and 
President, Newcastle University and Freeman 
Hospital Liver Unit, Newcastle upon Tyne 
Hospitals NHS Foundation Trust, Newcastle 
upon Tyne, UK
15.24.2: Non​alcoholic fatty liver disease
Nicholas P.J. Day Mahidol-​Oxford Tropical 
Medicine Research Unit, Faculty of Tropical 
Medicine, Mahidol University, Bangkok, 
Thailand; Nuffield Department of Clinical 
Medicine, University of Oxford, Oxford, UK
8.6.35: Leptospirosis; 8.6.41: Scrub typhus
Colin Dayan University of Cardiff, Wales, UK
13.9.1: Diabetes
Marc E. De Broe Professor of Medicine, Laboratory 
of Pathophysiology, University of Antwerp, 
Antwerp, Belgium
21.9.2: Chronic tubulointerstitial nephritis
Kevin M. De Cock Center for Global Health, Atlanta, 
GA, USA
8.5.24: HIV in low-​ and middle-​income  
countries
An S. De Vriese Division of Nephrology, AZ Sint-​Jan 
Brugge-​Oostende AV, Brugge, Belgium
21.8.4: Membranous nephropathy
Patrick B. Deegan Consultant Metabolic Physician, 
Lysosomal Disorders Unit, Cambridge University 
Hospitals, Cambridge, UK
12.8 Lysosomal disease


Contributors
l
Christopher Deighton Royal Derby Hospital, 
Derby, UK
19.2 Clinical presentation and diagnosis of 
rheumatological disorders
David M. Denison Emeritus Professor of Clinical 
Physiology, Royal Brompton Hospital and 
Imperial College London, London, UK
10.2.4: Diving medicine
Christopher P. Denton Centre for Rheumatology, 
Division of Medicine, University College London 
(UCL) Medical School, Royal Free Hospital, 
London, UK
19.11.3: Systemic sclerosis (scleroderma)
Ulrich Desselberger University of Cambridge, 
Cambridge, UK
8.5.8: Enterovirus infections; 8.5.9: Virus  
infections causing diarrhoea and vomiting
Patrick C. D’Haese Head of Laboratory of 
Pathophysiology, University of Antwerp, Campus 
Drie Eiken, Wilrijk, Belgium
21.9.2: Chronic tubulointerstitial nephritis
Ashwin Dhanda Plymouth Hospitals NHS Trust, 
Plymouth, UK
8.5.21: Hepatitis viruses (excluding hepatitis 
C virus)
Jugdeep Dhesi Guys and St Thomas’ Hospitals, 
London, UK
6.6: Supporting older peoples’ care in surgical and 
oncological services
Euan J. Dickson Consultant Pancreaticobiliary 
Surgeon, West of Scotland Pancreatic Unit, 
Glasgow Royal Infirmary, Glasgow, UK
15.26.1: Acute pancreatitis
Michael Doherty University of Nottingham, 
Nottingham, UK
19.3: Clinical investigation; 19.10: Crystal-​related 
arthropathies
Inderjeet S. Dokal Barts and The London School 
of Medicine and Dentistry, Queen Mary 
University of London, Barts Health NHS Trust, 
London, UK
22.5.1: Inherited bone marrow failure  
syndromes
Jan Donck Department of Nephrology, AZ Sint-​
Lucas, Ghent, Belgium
21.10.4: The kidney in sarcoidosis
Arjen M. Dondorp Mahidol-​Oxford Tropical 
Medicine Research Unit, Bangkok,  
Thailand
8.8.2: Malaria
Basil Donovan University of New South Wales, 
NSW, Australia
8.6.37: Syphilis
Philip R. Dormitzer Pfizer Vaccine Research and 
Development, Pearl River, NY, USA
8.5.9: Virus infections causing diarrhoea and 
vomiting
Anne Dornhorst Imperial College Hospital, 
London, UK
14.10: Diabetes in pregnancy
Charles G. Drake New York Presbyterian 
and Columbia University Medical Center, 
New York, USA
5.4: Cancer immunity and immunotherapy
Hal Drakesmith MRC Human Immunology Unit, 
Weatherall Institute of Molecular Medicine, John 
Radcliffe Hospital and University of Oxford, 
Oxford, UK
22.6.5: Anaemia of inflammation
Christopher Dudley Consultant Nephrologist, The 
Richard Bright Renal Unit, Southmead Hospital, 
North Bristol NHS Trust, Bristol, UK
16.14.3: Cholesterol embolism
Susanna Dunachie Oxford University Hospitals 
NHS Trust, Oxford, UK
8.4: Travel and expedition medicine
Lisa Dunkley Sheffield Teaching Hospitals NHS 
Foundation Trust, Sheffield, UK
19.12: Miscellaneous conditions presenting to the 
rheumatologist
David Dunne University of Cambridge,  
Cambridge, UK; Wellcome Trust-​Cambridge, 
Centre for Global Health Research, UK; 
CAPREx, THRiVE-​Cambridge, and 
Cambridge-​Africa
8.11.1: Schistosomiasis
Stephen R. Durham National Heart and Lung 
Institute, Imperial College and Royal Brompton 
Hospital, London, UK
18.6: Allergic rhinitis
Jeremy Dwight John Radcliffe Hospital, Oxford, UK
16.2.1: Chest pain, breathlessness, and fatigue
Jessica K. Dyson Newcastle University and Liver Unit, 
Freeman Hospital, Newcastle upon Tyne, UK
15.23.3: Primary biliary cholangitis
Christopher P. Eades University College London, 
London, UK
8.7.5: Pneumocystis jirovecii
Ian Eardley St James’s Hospital, Leeds, UK
13.6.4: Sexual dysfunction
James E. East Consultant Gastroenterologist, 
Translational Gastroenterology Unit, John 
Radcliffe Hospital; Associate Professor of 
Gastroenterology and Endoscopy, Nuffield 
Department of Clinical Medicine, University of 
Oxford, Oxford, UK
15.3.1: Colonoscopy and flexible  
sigmoidoscopy; 15.3.2: Upper gastrointestinal 
endoscopy
Lars Eckmann Department of Medicine, School of 
Medicine, University of California, San Diego, La 
Jolla, CA, USA
8.8.9: Giardiasis and balantidiasis
Michael Eddleston Pharmacology, Toxicology and 
Therapeutics, Centre for Cardiovascular Science, 
University of Edinburgh, Edinburgh, UK
10.4.4: Poisonous plants
Mark J. Edwards St George’s University of London, 
London, UK
24.7.1: Subcortical structures: The cerebellum, 
basal ganglia, and thalamus
Richard Edwards School of Clinical Sciences, 
University of Bristol, Bristol, UK
24.19.4: Metabolic and endocrine disorders
Rosalind A. Eeles The Institute of Cancer Research 
and Royal Marsden NHS Foundation Trust, 
London, UK
5.3: The genetics of inherited cancers
Tim Eisen Department of Oncology, University 
of Cambridge, Cambridge, UK; Oncology 
Early Clinical Development, AstraZeneca, 
Cambridge, UK
5.2: The nature and development of cancer: Cancer 
mutations and their implications; 5.5: Clinical 
features and management; 21.18: Malignant 
diseases of the urinary tract
Wagih El Masri(y) Keele University, Newcastle-​
under-​Lyme, UK; The Robert Jones and Agnes 
Hunt Orthopaedic Hospital, Oswestry, UK
24.13.2: Spinal cord injury and its management
Carole Eldin University Hospital Institute 
Méditerranée Infection, Marseille, France 
8.6.40: Rickettsioses
Perry Elliott St Bartholomew’s Hospital, London, 
UK; Institute of Cardiovascular Science, 
University College London, London, UK
16.7.2: The cardiomyopathies: Hypertrophic, 
dilated, restrictive, and right ventricular; 
16.7.3: Specific heart muscle disorders
Christopher J. Ellis Heart of England Foundation 
Trust, Birmingham, UK; University of 
Birmingham, Birmingham, UK
8.2.1: Clinical approach
Graham Ellis Monklands Hospital, Airdrie, 
Lanarkshire, UK
6.5: Older people in hospital
Monique M. Elseviers Centre for Research and 
Innovation in Care (CRIC), University of 
Antwerp, Antwerp; Heymans Institute of 
Clinical Pharmacology, Ghent University, Ghent, 
Belgium
21.9.2: Chronic tubulointerstitial nephritis
Caroline Elston Respiratory Medicine and Adult Cystic 
Fibrosis, King’s College Hospital, London, UK
18.10: Cystic fibrosis
M.A. Epstein Nuffield Department of Clinical 
Medicine, John Radcliffe Hospital, Oxford, UK
8.5.3: Epstein–​Barr virus
Steve Epstein MedStar Georgetown University 
Hospital and Georgetown University School of 
Medicine, Washington, DC, USA
26.5.8: Anxiety disorders
Wendy N. Erber Medical School, Faculty of Health 
and Medical Sciences, The University of Western 
Australia, Perth, WA, Australia
22.2.2: Diagnostic techniques in the assessment of 
haematological malignancies
Ari Ercole Neurosciences Critical Care Unit, 
Cambridge University Hospitals NHS 
Foundation Trust, Cambridge, UK
24.5.6: Brainstem death and prolonged disorders of 
consciousness
Edzard Ernst Emeritus Professor, University of 
Exeter, Exeter, UK
2.22: Complementary and alternative medicine
Andrew P. Evan Indiana University School of 
Medicine, Indianapolis, IN, USA
21.14: Disorders of renal calcium handling, urinary 
stones, and nephrocalcinosis
Mark Evans University of Cambridge Medical 
School, Cambridge, UK
13.9.2: Hypoglycaemia


Contributors
li
Rhys D. Evans Department of Physiology, Anatomy 
and Genetics, University of Oxford, Oxford, UK
11.1 Nutrition: Macronutrient metabolism; 
16.1.2: Cardiac physiology
Pamela Ewan Allergy Department, Cambridge 
University Hospitals NHS Foundation Trust, 
Cambridge, UK
4.5: Allergy
David W. Eyre Nuffield Department of Clinical 
Medicine, University of Oxford, John Radcliffe 
Hospital, Oxford, UK
8.6.24 Clostridium difficile
Lynette D. Fairbanks Purine Research Laboratory, 
Viapath, St Thomas’ Hospital, London, UK
12.4 Disorders of purine and pyrimidine 
metabolism
Christopher G. Fairburn Oxford University 
Hospitals NHS Foundation Trust, Oxford, UK
26.5.10: Eating disorders
Carole Fakhry Johns Hopkins Medical Institution, 
Baltimore, MD, USA
8.5.19: Papillomaviruses and polyomaviruses
Marie Fallon St Columba’s Hospice Chair of 
Palliative Medicine, University of Edinburgh, 
Edinburgh, UK
7.2: Pain management
Sonia Fargue University of Alabama at Birmingham, 
Birmingham, AL, USA
12.10: Hereditary disorders of oxalate 
metabolism: The primary hyperoxalurias
Adam D. Farmer Wingate Institute of 
Neurogastroenterology, Blizard Institute, Barts 
and the London School of Medicine and Dentistry, 
Queen Mary University of London, London; 
Department of Gastroenterology, University 
Hospitals of North Midlands, Stoke-​on-​Trent, UK
15.13: Irritable bowel syndrome
I. Sadaf Farooqi Wellcome-​MRC Institute of 
Metabolic Science, University of Cambridge, UK
11.6: Obesity
Jeremy Farrar Wellcome Trust, London, UK
2.17: Research in the developed world;
24.11.2: Viral infections
Ken Farrington Lister Hospital, East and North 
Hertfordshire NHS Trust, Stevenage, UK
21.3: Clinical presentation of renal disease 
Hiva Fassihi King’s College London,  
London, UK
23.9: Photosensitivity
John Feehally Emeritus Consultant Nephrologist, 
University Hospitals of Leicester; Honorary 
Professor of Renal Medicine, University of 
Leicester, Leicester, UK
21.8.1: Immunoglobulin A nephropathy and 
IgA vasculitis (HSP); 21.8.2: Thin membrane 
nephropathy
Peter J. Fenner School of Public Health, Tropical 
Medicine and Rehabilitation Sciences, James 
Cook University, Townsville, Qld, Australia
10.3.4: Drowning
Florence Fenollar Aix-​Marseille Université, 
URMITE, UM63, CNRS 7278, IRD 198, 
INSERM 1095, IHU Méditerranée Infection, 
Marseille, France
15.10.6: Whipple’s disease
Javier Fernández Consultant Hepatologist, Head of 
Liver ICU, Liver Unit, Hospital Clinic Barcelona; 
Associate Professor, University of Barcelona 
Medical School, Barcelona, Spain; Member of the 
European Foundation for the Study of Chronic 
Liver Failure (EF-​CLIF)
15.22.2: Cirrhosis and ascites
Fernando C. Fervenza Professor of Medicine, 
Division of Nephrology and Hypertension, 
Mayo Clinic College of Medicine, Rochester, 
MN, USA
21.8.4: Membranous nephropathy
Sarah Fidler Professor of HIV Medicine, Imperial 
College London, London, UK
8.5.23: HIV/​AIDS
Richard E. Fielding Newcastle upon Tyne Hospitals 
NHS Foundation Trust, Newcastle upon  
Tyne, UK
21.3: Clinical presentation of renal disease
Roger G. Finch Nottingham University Hospitals, 
NHS Trust, Nottingham, UK
8.2.5: Antimicrobial chemotherapy
Simon Finney Peri-​Operative Medicine, St 
Bartholomew’s Hospital, London, UK
17.5: Acute respiratory failure
Helen V. Firth Addenbrookes Hospital Cambridge, 
Cambridge, UK
24.20: Developmental abnormalities of the central 
nervous system
John D. Firth Consultant Physician and 
Nephrologist, Cambridge University  
Hospitals, Cambridge, UK
16.16.1: Deep venous thrombosis and 
pulmonary embolism; 16.17.1: Essential 
hypertension: Definition, epidemiology, 
and pathophysiology; 16.17.2: Essential 
hypertension: Diagnosis, assessment, and 
treatment; 16.19: Idiopathic oedema of women; 
21.2.2: Disorders of potassium homeostasis; 
21.5: Acute kidney injury; 21.7.3: Renal 
transplantation; 30.1: Acute medical presentations; 
30.2: Practical procedures
A.J. Fisher Professor of Respiratory Transplant 
Medicine, Newcastle University Translational 
and Clinical Research Institute, Newcastle upon 
Tyne, UK
18.16: Lung transplantation
Edward A. Fisher Departments of Medicine, 
Pediatrics, and Cell Biology, Smilow Research 
Centre, New York, NY, USA
16.13.1: Biology and pathology of atherosclerosis
Rebecca C. Fitzgerald Professor of Cancer Prevention 
and MRC Programme Leader, MRC Cancer 
Unit, University of Cambridge, Hutchison/​MRC 
Research Centre, Cambridge, UK
15.7: Diseases of the oesophagus
Michael E.B. FitzPatrick Department of 
Gastroenterology, Oxford University 
Hospitals, Oxford; Senior Research Fellow, 
Translational Gastroenterology Unit, Nuffield 
Department of Medicine, University of 
Oxford, Oxford, UK
15.1: Structure and function of the 
gastrointestinal tract
R. Andres Floto Molecular Immunity Unit, 
Department of Medicine, University of Cambridge, 
UK; Cambridge Centre for Lung Infection, Royal 
Papworth Hospital, Cambridge, UK
3.5: Intracellular signalling
Edward D. Folland University of Massachusetts 
Medical School, MA, USA
16.3.4: Cardiac catheterization and angiography; 
16.13.5: Percutaneous interventional cardiac 
procedures
D. de Fonseka Academic Respiratory Unit, 
University of Bristol, Bristol, UK
18.17: Pleural diseases
Carole Foot Royal North Shore Hospital, NSW, 
Australia
17.1: The seriously ill or deteriorating patient
Alastair Forbes Norwich Medical School,  University 
of East Anglia, Norwich, UK
15.10.1: Differential diagnosis and investigation of 
malabsorption
Ewan Forrest Consultant Hepatologist and Honorary 
Clinical Associate Professor, Department of 
Gastroenterology, Glasgow Royal Infirmary and 
the University of Glasgow, Glasgow UK
15.24.1: Alcoholic liver disease
Rob Fowkes Royal Veterinary College,  
London, UK
13.1: Principles of hormone action
Keith A.A. Fox Centre for Cardiovascular Science, 
University of Edinburgh, Edinburgh, UK
16.13.4: Management of acute coronary  
syndrome
Stephen Franks Imperial College London, 
London, UK
13.6.1: Ovarian disorders
Keith N. Frayn Radcliffe Department of Medicine, 
University of Oxford, Oxford, UK
11.1: Nutrition: Macronutrient metabolism
Patrick French Mortimer Market Centre, 
Central and North West London NHS Trust, 
London, UK; University College London, 
London, UK
9.6: Genital ulceration
Izzet Fresko Division of Rheumatology, Department 
of Medicine, Cerrahpasa Medical Faculty, 
University of Istanbul, Istanbul, Turkey
19.11.10: Behçet’s syndrome
Peter S. Friedmann Emeritus Professor of 
Dermatology, University of Southampton, 
Southampton, UK
23.6: Dermatitis/​eczema
Charlotte Frise Obstetric Medicine and Acute 
General Medicine, Oxford University Hospitals 
NHS Foundation Trust, Oxford, UK
14.20: Prescribing in pregnancy
Susannah J.A. Froude Consultant Microbiology 
and Infectious Diseases, Public Health Wales, 
Cardiff, UK
8.5.29: Newly discovered viruses
Stephen J. Fuller Associate Professor, Medicine 
Sydney Medical School Nepean, The University of 
Sydney, Sydney, Australia
22.6.8: Anaemias resulting from defective 
maturation of red cells
David A. Gabbott Gloucestershire Hospitals NHS 
Foundation Trust, Gloucester, UK
17.2: Cardiac arrest


Contributors
lii
Simon M. Gabe Consultant Gastroenterologist, 
Intestinal Failure and Academic Unit, St Mark’s 
Hospital, London, UK
15.10.7: Effects of massive bowel resection
Patrick G. Gallagher Professor of Pediatrics, 
Genetics and Pathology, Yale University, New 
Haven, CT, USA
22.6.9: Disorders of the red cell membrane
Shreyans Gandhi King’s College Hospital/​King’s 
College London, London, UK
22.5.2: Acquired aplastic anaemia and pure red 
cell aplasia
Hector H. Garcia Center for Global Health, Tumbes 
and Department of Microbiology, Universidad 
Peruana Cayetano Heredia, and Cysticercosis 
Unit, Instituto Nacional de Ciencias Neurologicas, 
Lima, Peru
8.10.2: Cystic hydatid disease (Echinococcus 
granulosus); 8.10.3: Cysticercosis
Hill Gaston University of Cambridge, Cambridge, UK
19.8: Reactive arthritis
Rupert Gauntlett Critical Care Medicine and 
Obstetric Anaesthesia, Royal Victoria Infirmary, 
Newcastle upon Tyne NHS Foundation Trust, 
Newcastle upon Tyne, UK
14.19: Maternal critical care
John Geddes University of Oxford, Oxford, UK
26.5.7: Bipolar disorder
William Gelson Consultant Hepatologist, 
Hepatobiliary and Liver Transplant Unit, 
Addenbrooke’s Hospital, Cambridge, UK
15.20: Structure and function of the liver, biliary 
tract, and pancreas
Jacob George Department of Clinical 
Pharmacology and Therapeutics, University of 
Dundee, Dundee, UK
6.7: Drugs and prescribing in the older patient
G.J. Gibson Newcastle University, Newcastle upon 
Tyne, UK
18.3.1: Respiratory function tests
John Gibson Professor of Oral Medicine and Honorary 
Consultant in Oral Medicine, Institute of Dentistry, 
School of Medicine, Medical Sciences and Nutrition, 
University of Aberdeen, Aberdeen, UK
15.6: The mouth and salivary glands
J. van Gijn University Medical Center Utrecht, 
Utrecht, the Netherlands
24.10.1 Stroke: Cerebrovascular disease
Ian Giles Centre for Rheumatology, Department of 
Medicine, University College London, London, UK
19.11.1: Introduction
Robert H. Gilman Johns Hopkins University, 
Bloomberg School of Public Health, Baltimore, 
MD, USA
8.10.3: Cysticercosis
Alexander Gimson Consultant Hepatologist, 
Hepatobiliary and Liver Transplant Unit, 
Addenbrooke’s Hospital, Cambridge, UK
15.19: Miscellaneous disorders of the bowel; 
15.20: Structure and function of the liver, biliary 
tract, and pancreas;
15.24.4: Vascular disorders of the liver
Matthew R. Ginks Oxford University Hospitals NHS 
Trust, Oxford, UK
16.4: Cardiac arrhythmias
D.S. Giovanniello Medical Director, American Red 
Cross, Biomedical Services, Connecticut Blood 
Services Region, Farmington, CT, USA
22.8.1: Blood transfusion
Mark A. Glover Hyperbaric Medicine Unit, St 
Richard’s Hospital, Chichester, UK
10.2.4: Diving medicine
Peter J. Goadsby NIHR-​Wellcome Trust King’s 
Clinical Research Facility, King’s College London, 
London, UK
24.8: Headache
David Goldblatt University College London, 
London, UK
8.3: Immunization
Armando E. Gonzalez Center for Global Health, 
Tumbes, Universidad Peruana Cayetano Heredia, 
and Department of Veterinary Epidemiology 
and Economics, School of Veterinary Medicine, 
Universidad Nacional Mayor de San Marcos, 
Lima, Peru
8.10.2: Cystic hydatid disease (Echinococcus 
granulosus)
E.C. Gordon-​Smith Professor of Haematology, 
St George’s Hospital, University of London, 
London, UK
22.8.2: Haemopoietic stem cell transplantation
Martin Gore† The Royal Marsden, London, UK; 
The Institute of Cancer Research, University of 
London, London, UK
5.5: Clinical features and management
Eduardo Gotuzzo Universidad Peruana Cayetano 
Heredia, Lima, Peru
8.5.25: HTLV-​1, HTLV-​2, and associated 
diseases
Philip Goulder University of Oxford, Oxford, UK
8.5.23: HIV/​AIDS
Alison D. Grant Department of Clinical Research, 
London School of Hygiene and Tropical 
Medicine, London, UK
8.5.24: HIV in low-​ and middle-​income  
countries
Cameron C. Grant The University of Auckland, New 
Zealand; Starship Children’s Health, Auckland, 
New Zealand
8.6.15: Bordetella infection
David Gray Department of Cardiovascular 
Medicine, Nottingham University Hospitals NHS 
Trust, Nottingham, UK
16.3.1: Electrocardiography
Richard Gray Clinical Trial Service Unit and 
Epidemiological Studies Unit (CTSU), University 
of Oxford, Oxford, UK
2.4: Large-​scale randomized evidence: Trials and 
meta-​analyses of trials
John R. Graybill Department of Medicine, 
University of Texas Health Science Center at San 
Antonio, San Antonio, TX, USA
8.7.3: Coccidioidomycosis
Darren Green Division of Cardiovascular 
Sciences, University of Manchester, 
Manchester, UK
16.5.4: Cardiorenal syndrome
Manfred S. Green Hyperbaric Medicine Unit, St 
Richard’s Hospital, Chichester, UK
10.3.9: Bioterrorism
Christopher D. Gregory University of Edinburgh 
Centre for Inflammation Research, Queen’s 
Medical Research Institute, Edinburgh, UK
3.6: Apoptosis in health and disease
Christopher E.M. Griffiths Salford Royal NHS 
Foundation Trust, University of Manchester, 
Manchester, UK
23.5: Papulosquamous disease
Karolina Griffiths University Hospital 
Institute Méditerranée Infection, 
Marseille, France
8.6.40: Rickettsioses
Mark Griffiths Peri-​Operative Medicine, St 
Bartholomew’s Hospital, London, UK; Imperial 
College London, London, UK
17.5: Acute respiratory failure
William J.H. Griffiths Consultant Hepatologist, 
Department of Hepatology, Addenbrooke’s 
Hospital, Cambridge, UK
12.7.1: Hereditary haemochromatosis; 
15.24.6: Primary and secondary liver tumours
J.P. Grünfeld Hôpital Universitaire Necker, Paris, 
France
21.12: Renal involvement in genetic disease
D.J. Gubler Director, Program on Emerging 
Infectious Disease, Duke-NUS Graduate 
Medical School, Singapore; Asian Pacific 
Institute of Tropical Medicine and Infectious 
Diseases, University of Hawaii, Honolulu
8.5.12: Alphaviruses
Richard L. Guerrant Center for Global Health, 
School of Medicine, University of Virginia, 
VA, USA
8.6.12: Cholera
Kaushik Guha Portsmouth Hospitals NHS Trust, 
Portsmouth, UK
16.5.1: Epidemiology and general 
pathophysiological classification of  
heart failure
Nishan Guha Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
29.1: The use of biochemical analysis for diagnosis 
and management
Loïc Guillevin Department of Internal Medicine, 
National Referral Center for Rare Autoimmune 
and Systemic Diseases, INSERM U1060, 
Hôpital Cochin, Assistance Publique–​
Hôpitaux de Paris, University Paris Descartes, 
Paris, France
19.11.8: Polyarteritis nodosa
Mark Gurnell University of Cambridge Medical 
School, Cambridge, UK
13.1: Principles of hormone action;
13.5.1 Disorders of the adrenal cortex
Oliver P. Guttmann St Bartholomew’s Hospital, 
London, UK; Institute of Cardiovascular  
Science, University College London, 
London, UK
16.7.2: The cardiomyopathies: Hypertrophic, 
dilated, restrictive, and right ventricular; 
16.7.3: Specific heart muscle disorders
Robert D.M. Hadden Consultant Neurologist, 
King’s College Hospital, London, UK
24.12: Disorders of cranial nerves;
24.16: Diseases of the peripheral nerves
† It is with great regret that we report that Martin Gore died on 10 January, 2019.


Contributors
liii
Zara Haider Kingston Hospital NHS Trust, 
Surrey, UK
9.9: Principles of contraception
Sophie Hambleton Institute of Cellular Medicine, 
Newcastle University Medical School, Newcastle 
upon Tyne, UK; Paediatric Immunology and 
Infectious Diseases, Great North Children’s 
Hospital, Newcastle upon Tyne, UK
4.4: Immunodeficiency
Freddie C. Hamdy Nuffield Department of 
Surgical Sciences, University of Oxford, 
Oxford, UK
21.18: Malignant diseases of the  
urinary tract
Michael G. Hanna National Hospital for 
Neurology and Neurosurgery, Queen Square, 
London, UK
24.19.1: Structure and function of muscle
David M. Hansell Faculty of Medicine, National 
Heart and Lung Institute, Imperial College 
London, London, UK
18.3.2: Thoracic imaging
Danielle Harari Guy’s and St Thomas’ Hospitals and 
King’s College London, London, UK
6.9: Bladder and bowels
Kate Hardy Faculty of Medicine, Department of 
Surgery and Cancer, Imperial College London, 
London, UK
13.6.1: Ovarian disorders
Karen E. Harman Department of Dermatology, 
University Hospitals of Leicester NHS Trust, 
Leicester, UK
23.7: Cutaneous vasculitis, connective tissue 
diseases, and urticaria
Peter Harper London Oncology Centre, 
London, UK
5.6: Systemic treatment and radiotherapy; 
5.7: Medical management of breast cancer
Steve Harper Consultant Renal and Transplant 
Medicine, Southmead Hospital, Bristol; 
Honorary Professor, School of Physiology, 
Pharmacology and Neuroscience, University 
of Bristol, Bristol, UK; Honorary Professor, 
School of Medicine, University of Exeter, 
Exeter, UK
21.1: Structure and function of the kidney
James L. Harrison London Deanery, London, UK
16.9.2: Endocarditis
Tina Hartert Division of Pulmonary and Critical 
Care, Vanderbilt University Medical Center, 
Nashville, TN, USA
14.8: Chest diseases in pregnancy
Christine Hartmann Institute of Musculoskeletal 
Medicine, University of Münster, Münster, 
Germany
19.1: Joints and connective tissue—​structure and 
function
Nicholas C. Harvey MRC Lifecourse 
Epidemiology Unit, University of Southampton, 
Southampton, UK
20.4: Osteoporosis
Rowan Harwood Nottingham University Hospitals 
NHS Trust and University of Nottingham, 
Queens Medical Centre, Nottingham, UK
6.5: Older people in hospital
Helen Hatcher Consultant Medical Oncologist, 
Cambridge University Hospitals, Cambridge, UK
20.6: Bone cancer
Chris Hatton Cancer and Haematology Centre, 
Churchill Hospital, Oxford, UK
22.1: Introduction to 
haematology; 22.3.9: Histiocytosis; 
22.6.2: Anaemia: Pathophysiology, classification, 
and clinical features
Philip N. Hawkins Professor of Medicine, National 
Amyloidosis Centre, Centre for Amyloidosis and 
Acute Phase Proteins, University College London, 
London, UK
12.12.2 Hereditary periodic fever syndromes; 
12.12.3 Amyloidosis
Keith Hawton Centre for Suicide Research, 
University of Oxford Department of Psychiatry, 
Warneford Hospital, Oxford, UK
26.3.2: Self-​harm
Deborah Hay Honorary Consultant Haematologist, 
Nuffield Department of Medicine, University of 
Oxford, Oxford, UK
22.6.7: Disorders of the synthesis or function of 
haemoglobin; 22.6.9: Disorders of the red cell 
membrane
Roderick J. Hay King’s College London,  
London, UK
8.6.31: Nocardiosis; 8.7.1: Fungal infections; 
23.6: Dermatitis/​eczema; 23.10: Infections of 
the skin; 23.12: Blood and lymphatic vessel 
disorders
Peter Hayes Professor of Hepatology, Liver Unit, 
University of Edinburgh; and Royal Infirmary of 
Edinburgh, Edinburgh, UK
15.22.3: Portal hypertension and variceal  
bleeding
Catherine E.G. Head Consultant Cardiologist, 
Guy’s and St Thomas’ NHS Foundation Trust, 
London, UK
14.6: Heart disease in pregnancy
Eugene Healy Dermatopharmacology, 
Southampton General Hospital, University 
of Southampton, UK
23.8: Disorders of pigmentation
Nick Heather Department of Psychology, Faculty 
of Health and Life Sciences, Northumbria 
University, Newcastle upon Tyne, UK
26.6.1: Brief interventions for excessive alcohol 
consumption
David W. Hecht Loyola University Health System, 
IL, USA
8.6.11: Anaerobic bacteria
Thomas Hellmark Department of Clinical Sciences, 
Lund University, Lund, Sweden
21.8.7: Antiglomerular basement membrane  
disease
Michael Heneghan Professor of Hepatology and 
Consultant Hepatologist, Institute of Liver 
Studies, King’s College Hospital, London, UK
14.9: Liver and gastrointestinal diseases of 
pregnancy
Michael Henein Umeå University, Sweden; Canterbury 
Christ Church University, Canterbury, UK
16.6: Valvular heart disease; 16.8: Pericardial 
disease
Martin F. Heyworth Department of Medicine, 
Perelman School of Medicine, University of 
Pennsylvania, Philadelphia, PA, USA
8.8.9: Giardiasis and balantidiasis
Liz Hickson Royal North Shore Hospital, NSW, 
Australia
17.1: The seriously ill or deteriorating  
patient
Tran Tinh Hien Oxford University Clinical Research 
Unit, Hospital for Tropical Diseases, Ho Chi 
Minh City, Vietnam
8.6.1: Diphtheria
Katherine A. High Professor of Pediatrics Emerita, 
Perelman School of Medicine, University 
of Pennsylvania, Children’s Hospital of 
Philadelphia, Philadelphia, PA, USA; President 
and Head of R&D, Spark Therapeutics, 
Philadelphia, PA, USA
22.7.4: Genetic disorders of coagulation
Ingeborg Hilderson Department of Medical 
Oncology, University Hospital Ghent, Ghent, 
Belgium
21.10.4: The kidney in sarcoidosis
Tom R. Hill Population Health Sciences  
Institute, Newcastle University, Newcastle  
upon Tyne, UK 
11.2: Vitamins
David Hilton-​Jones Muscular Dystrophy 
Campaign, Muscle and Nerve Centre, 
Department of Clinical Neurology, John 
Radcliffe Hospital, Oxford, UK
24.18: Disorders of the neuromuscular junction; 
24.19.3: Myotonia; 24.19.4 Metabolic and 
endocrine disorders
Matthew Hind Royal Brompton Hospital  
and National Heart and Lung Institute,  
Imperial College School of Medicine, 
London, UK
18.5.1: Upper airway obstruction; 18.5.2: Sleep-​
related breathing disorders
John Hindle Betsi Cadwaladr University Health 
Board, Llandudno Hospital; School of 
Psychology, Bangor University, Bangor, UK
6.10: Neurodegenerative disorders in  
older people
N. Hirani Royal Infirmary, Edinburgh, UK
18.11.2: Idiopathic pulmonary fibrosis
Gideon M. Hirschfield Lily and Terry Horner  
Chair in Autoimmune Liver Disease Research,  
Toronto Centre for Liver Disease,  
Department of Medicine, University of  
Toronto, Toronto General Hospital, 
Toronto, Canada
15.23.2: Autoimmune hepatitis
Sarah Hobdey Veterans Medical Hospital, Boise, 
ID, USA
8.6.2: Streptococci and enterococci
Herbert Hof MVZ Labor Limbach, Heidelberg, 
Germany
8.6.38: Listeriosis
A.V. Hoffbrand Emeritus Professor of Haematology, 
University College, London, UK
22.6.6: Megaloblastic anaemia and miscellaneous 
deficiency anaemias


Contributors
liv
Ronald Hoffman Albert A. and Vera G. List, 
Professor of Medicine, Division of Hematology/​
Oncology; Director, Myeloproliferative Disorders 
Program, Tisch Cancer Institute, Department of 
Medicine, Icahn School of Medicine at Mount 
Sinai, New York, NY, USA
22.3.5: The polycythaemias; 22.3.6: Thrombocytosis 
and essential thrombocythaemia
Georg F. Hoffmann Department of General Pediatrics, 
University of Heidelberg, Heidelberg, Germany
12.2 Protein-​dependent inborn errors of metabolism
Tessa L. Holyoake† Professor of Experimental 
Haematology, Section of Experimental 
Haematology, Paul O’Gorman Leukaemia 
Research Centre, Institute of Cancer Sciences, 
College of Medical, Veterinary and Life Sciences, 
University of Glasgow, Glasgow, UK
22.3.4: Chronic myeloid leukaemia
Roel Hompes Consultant Colorectal Surgeon, 
Academic Medical Centre Amsterdam, 
University of Amsterdam, the Netherlands 
15.14: Colonic diverticular disease
Tony Hope St Cross College, University of Oxford, 
Oxford, UK
1.5: Medical ethics
Julian Hopkin Medicine and Health, School of 
Medicine, Swansea University, Swansea, UK
18.2: The clinical presentation of respiratory 
disease
P. Hopkins Medical Director, Queensland Lung 
Transplant Service, Chermside, Qld, Australia
18.16: Lung transplantation
Nicholas S. Hopkinson National Heart and Lung 
Institute, Imperial College, London, UK
18.8: Chronic obstructive pulmonary disease
Patrick Horner Population Health Sciences, 
University of Bristol, Bristol, UK
8.6.45: Chlamydial infections; 9.5: Urethritis
Bala Hota Rush University, Chicago, IL USA
8.6.4: Staphylococci
Andrew R. Houghton Grantham and District 
Hospital, Grantham, UK; University of Lincoln, 
Lincoln, UK
16.3.1: Electrocardiography
Robert A. Huddart The Institute of Cancer Research, 
London, UK
21.18: Malignant diseases of the urinary tract
Harriet C. Hughes Consultant Microbiology 
and Infectious Diseases, Public Health Wales, 
Cardiff, UK
8.5.29: Newly discovered viruses
Ieuan A. Hughes University of Cambridge, 
Cambridge, UK
13.5.2: Congenital adrenal hyperplasia
James H. Hull The Royal Brompton Hospital, 
London, UK
18.5.1: Upper airway obstruction
Adam Hurlow Leeds Teaching Hospitals NHS Trust, 
Leeds, UK
7.4: Care of the dying person
Jane A. Hurst Great Ormond Street Hospital, 
London, UK
24.20: Developmental abnormalities of the central 
nervous system
Alastair Hutchison Medical Director and Professor 
of Renal Medicine, Dorset County Hospital, 
Dorchester, UK
21.6: Chronic kidney disease
Peter J. Hutchinson University of Cambridge, 
Cambridge, UK
24.5.6: Brainstem death and prolonged disorders of 
consciousness
Steve Iliffe Research Department of Primary Care 
and Population Health, University College 
London, London, UK
6.3: Optimizing well-​being into old age
Lawrence Impey Obstetrics and Fetal Medicine, 
The Women’s Centre, John Radcliffe Hospital, 
Oxford, UK
14.16: Fetal effects of maternal infection
Jakko van Ingen Radboud University Medical 
Centre, Nijmegen, the Netherlands
8.6.27: Disease caused by environmental 
mycobacteria
Peter Irving Department of Gastroenterology, 
Guy’s and St Thomas’ NHS Foundation Trust, 
London, UK
15.12: Ulcerative colitis
John D. Isaacs Faculty of Medical Sciences, 
Newcastle University and Musculoskeletal Unit, 
Newcastle upon Tyne Hospitals NHS Foundation 
Trust, Newcastle upon Tyne, UK
2.7 Biological therapies for immune, 
inflammatory, and allergic diseases; 
19.5: Rheumatoid arthritis
David A. Isenberg Centre for Rheumatology, 
Department of Medicine, University College 
London, London, UK
19.11.1: Introduction; 19.11.2: Systemic lupus 
erythematosus and related disorders
Theodore J. Iwashyna Department of Internal 
Medicine, University of Michigan, Ann Arbor, 
MI, USA; Center for Clinical Management 
Research, Department of Veterans Affairs,  
Ann Arbor, MI, USA; Australian and New 
Zealand Intensive Care Research Centre, 
Department of Epidemiology and Preventive 
Medicine, Monash University, Melbourne, Vic, 
Australia
17.12: Persistent problems and recovery after 
critical illness
Arnaud Jaccard Service d’hématologie clinique et 
de thérapie cellulaire, CHU de Limoges—​Hôpital 
Dupuytren, Limoges, France
21.10.5: Renal involvement in plasma cell 
dyscrasias, immunoglobulin-​based amyloidoses, 
and fibrillary glomerulopathies, lymphomas, and 
leukaemias
Alan A. Jackson Southampton General Hospital, 
Southampton, UK
11.4: Severe malnutrition
Thomas Jackson Queen Elizabeth Hospital, 
Birmingham, UK
26.3.1: Confusion
Anu Jacob National Neuromyelitis Optica Service, 
Walton Centre for Neurology and Neurosurgery, 
Liverpool, UK
24.13.1: Diseases of the spinal cord
Caron A. Jacobson Division of Hematologic 
Malignancies, Dana-​Farber Cancer Institute, 
Boston, MA, USA
22.4.1: Introduction to lymphopoiesis
N. Asger Jakobsen Clinical Research Fellow, MRC 
Molecular Haematology Unit, Weatherall Institute 
of Molecular Medicine, Radcliffe Department of 
Medicine, University of Oxford, Oxford, UK
22.2.1: Cellular and molecular basis of 
haematopoiesis
Rajiv Jalan Liver Failure Group, Institute for Liver 
and Digestive Health, University College London, 
Royal Free Campus, London, UK
15.22.5: Liver failure
Hannah Jarvis Respiratory Medicine, St Mary’s 
Hospital, Imperial College Healthcare NHS Trust, 
London, UK
18.4.4: Mycobacteria
M.K. Javaid Nuffield Department of Orthopaedics, 
Rheumatology and Musculoskeletal Sciences, 
Botnar Research Centre, Nuffield Orthopaedic 
Centre, Oxford, UK
20.1: Skeletal disorders—​general approach and 
clinical conditions
David Jayne Professor of Clinical Autoimmunity, 
Department of Medicine, School of Clinical 
Medicine, University of Cambridge, Cambridge, UK
19.11.7: ANCA-​associated vasculitis; 21.10.2: The 
kidney in systemic vasculitis
Susan Jebb Nuffield Department of Primary 
Care Health Sciences, University of Oxford, 
Oxford, UK
26.6.2: Obesity and weight management
Katie J.M. Jeffery Oxford University Hospitals NHS 
Foundation Trust, Department of Microbiology, 
John Radcliffe Hospital, Oxford, UK
8.5.22: Hepatitis C virus
Rajesh Jena Cambridge University Hospitals, 
Cambridge, UK
5.6: Systemic treatment and radiotherapy
Tom Jenkins University of Sheffield, Sheffield, UK
24.15: The motor neuron diseases
Jørgen Skov Jensen Microbiology and Infection 
Control, Statens Serum Institut, Copenhagen, 
Denmark
8.6.46: Mycoplasmas
Vivekanand Jha Executive Director, The George 
Institute for Global Health, New Delhi, India; 
Professor of Nephrology, University of Oxford, 
Oxford, UK
21.11: Renal diseases in the tropics
Tingliang Jiang Professor, Department of 
Pharmacology, Institute of Chinese Materia 
Medica, China Academy of Chinese Medical 
Sciences, Beijing, China
2.8: Traditional medicine exemplified by 
traditional Chinese medicine
Alexis J. Joannides University of Cambridge, 
Cambridge, UK
3.7: Stem cells and regenerative medicine
Anne M. Johnson Centre for Molecular Epidemiology 
and Translational Research, Institute for Global 
Health, University College London, London, UK
9.2: Sexual behaviour
† It is with great regret that we report that Tessa L. Holyoake died on 30 August, 2017.


Contributors
lv
Colin Johnson Emeritus Professor of Surgical Sciences, 
University of Southampton, Southampton, UK
15.15: Diseases of the gallbladder and biliary tree
M.R. Johnson Professor of Neurology and Genomic 
Medicine, Faculty of Medicine, Department of 
Brain Sciences, Imperial College, London, UK
24.5.1: Epilepsy in later childhood and adulthood
Elaine Jolly University of Cambridge, Cambridge, UK
30.1: Acute medical presentations; 30.2: Practical 
procedures
D. Joly Necker-​Enfants Malades Hospital, Paris, France
21.12: Renal involvement in genetic disease
Bryony Jones Imperial College Hospital, London, UK
14.10: Diabetes in pregnancy
David E.J. Jones Institute of Cellular Medicine, 
Newcastle University and Liver Unit, Freeman 
Hospital, Newcastle upon Tyne, UK
15.23.3: Primary biliary cholangitis
Bouke de Jong Institute of Tropical Medicine, 
Antwerp, Belgium
8.6.29: Buruli ulcer: Mycobacterium ulcerans infection
Menno De Jong Department of Medical Microbiology, 
Academic Medical Center, University of 
Amsterdam, Amsterdam, the Netherlands
24.11.2: Viral infections
Iain Jordan Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
26.5.13: Personality disorders
Emil Kakkis Ultragenyx Pharmaceutical Inc., 
Novato, CA, USA
2.9: Engaging patients in therapeutic development
Philip A. Kalra Consultant and Honorary Professor 
of Nephrology, Department of Renal Medicine, 
Salford Royal NHS Foundation Trust, Salford, UK
16.5.4 Cardiorenal syndrome; 
21.10.10: Atherosclerotic renovascular disease
Eileen Kaner Institute of Health and Society, 
Newcastle University, Newcastle upon Tyne, UK
26.6.1: Brief interventions for excessive alcohol 
consumption
Theodoros Karamitos Division of Cardiovascular 
Medicine, Radcliffe Department of Medicine, 
University of Oxford, John Radcliffe Hospital, 
Oxford, UK
16.3.3: Cardiac investigations: Nuclear, 
MRI, and CT
Niki Karavitaki Queen Elizabeth Hospital, 
Birmingham, UK
13.2.1: Disorders of the anterior pituitary 
gland; 13.2.2: Disorders of the posterior 
pituitary gland
Steven B. Karch Consultant in Cardiac Pathology 
and Toxicology, Berkeley, CA, USA
27.1: Forensic and legal medicine
Fiona E. Karet Cambridge University Hospitals NHS 
Foundation Trust, Cambridge, UK
21.15: The renal tubular acidoses
Arthur Kaser Division of Gastroenterology and 
Hepatology, Department of Medicine, University 
of Cambridge, Addenbrooke’s Hospital, 
Cambridge, UK
15.5: Immune disorders of the  
gastrointestinal tract
David Kavanagh Institute of Genetic Medicine, 
Newcastle University, Newcastle upon Tyne, UK
21.10.6: Haemolytic uraemic syndrome
Fiona Kearney Nottingham University Hospitals 
Trust, Nottingham, UK
6.8: Falls, faints, and fragility fractures
David Keeling Oxford Haemophilia and Thrombosis 
Centre, Churchill Hospital, Oxford, UK
16.16.2: Therapeutic anticoagulation
Andrew Kelion Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
16.3.3: Cardiac investigations: Nuclear, 
MRI, and CT
Julia Kelly Royal Brompton and Harefield NHS 
Trust, London, UK
18.5.2: Sleep-​related breathing disorders
Paul Kelly Professor of Tropical Gastroenterology, 
Blizard Institute, Barts and The London School 
of Medicine, Queen Mary University of London, 
London, UK; TROPGAN Group, Department of 
Internal Medicine, University of Zambia School 
of Medicine, Lusaka, Zambia
8.8.6: Cyclospora and cyclosporiasis
David P. Kelsell London Medical School, 
London, UK
23.3: Inherited skin disease
Samuel Kemp Royal Brompton Hospital, 
London, UK
18.2: The clinical presentation of respiratory 
disease
Christopher Kennard Nuffield Department of 
Clinical Neurosciences, University of Oxford, 
Oxford, UK
24.1: Introduction and approach to the patient 
with neurological disease; 24.6.1: Visual pathways
Richard S.C. Kerr Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
24.11.3: Intracranial abscesses
Satish Keshav† Department of Gastroenterology, 
Oxford University Hospitals NHS Foundation 
Trust, Oxford; Professor of Gastroenterology, 
Translational Gastroenterology Unit, Nuffield 
Department of Medicine, University of Oxford, 
Oxford, UK
15.1: Structure and function of the 
gastrointestinal tract
Nigel S. Key Harold R. Roberts Professor of Medicine, 
Division of Hematology-​Oncology, University of 
North Carolina, Chapel Hill, NC, USA
22.7.1: The biology of haemostasis and thrombosis
Rajesh K. Kharbanda John Radcliffe Hospital, 
Oxford, UK
16.13.4: Management of acute coronary syndrome
Elham Khatamzas Regional Infectious Diseases 
Unit, NHS Lothian, Edinburgh, UK
8.2.4: Infection in the immunocompromised host
Peng T. Khaw Professor and Consultant Ophthalmic 
Surgeon; Director of Research, Development 
and Innovation; Director, NIHR Biomedical 
Research Centre at Moorfields Eye Hospital 
NHS Foundation Trust and UCL Institute of 
Ophthalmology, London, UK
25.1: The eye in general medicine
B. Khoo University College London, London, UK
13.8: Pancreatic endocrine disorders and multiple 
endocrine neoplasia;
15.9.2: Carcinoid syndrome
Nine V.A.M. Knoers Professor in Clinical Genetics, 
Department of Genetics, University Medical 
Centre Utrecht, Utrecht, the Netherlands
21.16: Disorders of tubular electrolyte handling
Stefan Kölker Consultant, Pediatric Metabolic 
Medicine, University Children’s Hospital, 
Heidelberg; Department of General Pediatrics, 
Division of Inborn Metabolic Diseases, 
Heidelberg, Germany
12.2 Protein-​dependent inborn errors of 
metabolism
Nils P. Krone University of Sheffield,  
Sheffield, UK
13.5.2: Congenital adrenal hyperplasia
Narong Khuntikeo Director, Cholangiocarcinoma 
Research Institute (CARI), Director, 
Cholangiocarcinoma Screening and Care 
Program (CASCAP), Faculty of Medicine, Khon 
Kaen University, Thailand; Faculty of Medicine, 
Khon Kaen University, Thailand; Associate 
Professor, Department of Surgery, Faculty of 
Medicine, Khon Kaen University, Thailand
8.11.2: Liver fluke infections
Gudula Kirtschig Tübingen, Germany
14.13: The skin in pregnancy
Suzanne Kite Leeds Teaching Hospitals NHS Trust, 
Leeds, UK
7.4: Care of the dying person
John L. Klein Guy’s and St Thomas’ NHS Foundation 
Trust, London, UK
16.9.2: Endocarditis
Paul Klenerman Nuffield Department of Medicine, 
University of Oxford, Oxford, UK
4.3: Adaptive immunity; 8.5.22: Hepatitis  
C virus
Richard Knight Department of Microbiology, 
University of Nairobi, Nairobi, Kenya
8.8.1: Amoebic infections; 8.8.10: Blastocystis 
infection; 8.9.2: Lymphatic filariasis; 
8.9.3: Guinea worm disease (dracunculiasis); 
8.9.6: Angiostrongyliasis; 8.10.1: Cestodes 
(tapeworms)
David Koh PAPRSB Institute of Health Sciences, 
Universiti Brunei Darussalam, SSH School of 
Public Health, National University of Singapore, 
Singapore
10.2.5: Noise
G.C.K.W. Koh Diseases of the Developing 
World, Alternative Drug Development, 
GlaxoSmithKline, UK
8.6.8: Pseudomonas aeruginosa
M.A. Kokosi Royal Brompton and Harefield NHS 
Trust, London, UK
18.11.4: The lung in autoimmune rheumatic 
disorders
Onn Min Kon Respiratory Medicine, St Mary’s 
Hospital, Imperial College Healthcare NHS Trust, 
London, UK; National Heart and Lung Institute, 
Imperial College London, London, UK
18.4.4: Mycobacteria
† It is with great regret that we report that Satish Keshav died on 23 January, 2019.


Contributors
lvi
Adelheid Korb-​Pap Institute of Experimental 
Musculoskeletal Medicine, University Hospital 
Münster, Münster, Germany
19.1: Joints and connective tissue—​structure and 
function
Vasilis Kouranos Royal Brompton and Harefield 
NHS Trust, London, UK
18.11.3: Bronchiolitis obliterans and cryptogenic 
organizing pneumonia
Christian Krarup Region Hovedstaden, Denmark
24.3.2: Electrophysiology of the central and 
peripheral nervous systems
Amy S. Kravitz United States Agency for 
International Development (USAID), 
Washington DC, USA
2.21: Humanitarian medicine
Dinakantha S. Kumararatne Depatment of Clinical 
Immunology, Cambridge University Hospitals 
NHS Foundation Trust, Cambridge, UK
4.4: Immunodeficiency
Om P. Kurmi Hyperbaric Medicine Unit,  
St Richard’s Hospital, Chichester, UK
10.3.1: Air pollution and health
Robert A. Kyle Professor of Medicine, Division of 
Hematology, Mayo Clinic, Rochester, MN, USA
22.4.6: Plasma cell myeloma and related 
monoclonal gammopathies
Peter L. Labib Clinical Research Fellow, Institute 
for Liver and Digestive Health, Royal 
Free Campus, University College London, 
London, UK
15.16: Cancers of the gastrointestinal tract
Charles J.N. Lacey Hull York Medical School, 
University of York, York, UK
9.7: Anogenital lumps and bumps
Helen J. Lachmann Senior Lecturer, National 
Amyloidosis Centre and Centre for Acute Phase 
Proteins, University College London Medical 
School, London, UK
12.12.2: Hereditary periodic fever syndromes
Robin H. Lachmann Consultant in Inherited 
Metabolic Disease, Charles Dent Metabolic 
Unit, National Hospital for Neurology and 
Neurosurgery, London, UK
12.3.1: Glycogen storage diseases
Ralph Lainson† Ex Director, the Wellcome Parisitology 
Unit, and research-worker, Department of 
Parasitology, Instiuto Evandro Chagas, Rodovia, 
Barro Levilầndia, Ananindeua, Pará, Brazil
8.8.6: Cyclospora and cyclosporiasis
Kin Bong Hubert Lam University of Oxford, 
Oxford, UK
10.3.1: Air pollution and health
D.A. Lane Faculty of Medicine, Department of 
Medicine, Imperial College London,  
London, UK
16.4: Cardiac arrhythmias
Peter C. Lanyon Nottingham University Hospitals 
Trust, Nottingham, UK
19.3: Clinical investigation
Andrew J. Larner Cognitive Function Clinic, 
Walton Centre for Neurology and Neurosurgery, 
Liverpool, UK
24.3.1: Lumbar puncture; 24.5.4: Syncope; 
24.13.1: Diseases of the spinal cord
Malcolm Law Wolfson Institute of Preventive 
Medicine, St Bartholomew’s and the Royal 
London School of Medicine and Dentistry, Queen 
Mary University of London, London, UK
2.12 Medical screening
Tim Lawrence Nuffield Department of Clinical 
Neurosciences, University of Oxford, Oxford, UK
24.10.3: Traumatic brain injury; 
24.11.3: Intracranial abscesses
Stephen M. Lawrie Division of Psychiatry, 
University of Edinburgh, Edinburgh, UK
26.5.11: Schizophrenia
Alison M. Layton Harrogate and District NHS 
Foundation Trust, Harrogate, UK
23.11: Sebaceous and sweat gland disorders
James W. Le Duc Galveston National Laboratory, 
University of Texas Medical Branch, Galveston, 
TX, USA
8.5.16: Bunyaviridae
Susannah Leaver St George’s NHS Foundation 
Trust, London, UK
17.5: Acute respiratory failure
Y.C. Gary Lee Faculty of Health and Medical 
Sciences, UWA Medical School, University of 
Western Australia, Perth, WA, Australia
18.17: Pleural diseases; 18.19.3 Pleural tumours; 
18.19.4 Mediastinal tumours and cysts
Haur Yueh Lee National Heart Centre Singapore, 
Singapore, China; Kings Drugs Reaction Group, 
King’s College London, London, UK
23.16: Cutaneous reactions to drugs
Richard W.J. Lee Director, Uveitis and Scleritis Service, 
National Institute for Health Research Biomedical 
Research Centre at Moorfields Eye Hospital NHS 
Foundation Trust and University College London 
Institute of Ophthalmology, London, UK
25.1: The eye in general medicine
Evelyne de Leeuw Centre for Health Equity 
Training, Research and Evaluation, UNSW 
Sydney, South Western Sydney Local Health 
District, Ingham Institute, Australia
2.13: Health promotion
Yee-​Sin Leo National Centre for Infectious Disease, 
Tan Tock Seng Hospital, Singapore; Yong Loo Lin 
School of Medicine and Saw Swee Hock School of 
Public Health, National University of Singapore, 
Singapore; Lee Kong Chian School of Medicine, 
Singapore
8.5.15: Dengue
Phillip D. Levin Intensive Care Unit, Shaare Zedek 
Medical Center, Jerusalem, Hebrew University of 
Jerusalem, Faculty of Medicine, Jerusalem, Israel
17.10: Palliative and end-​of-​life care in the ICU
Elena N. Levtchenko Professor in Pediatric Nephrology, 
Catholic University Leuven, Leuven, the Netherlands
21.16: Disorders of tubular electrolyte handling
Su Li Department of Epidemiology, Guangxi 
Medical University, Nanning, Guangxi, China
5.7: Medical management of breast cancer
Fulong Liao Professor, Biomechanopharmacology, 
Institute of Chinese Materia Medica, China 
Academy of Chinese Medical Sciences, 
Beijing, China
2.8: Traditional medicine exemplified by 
traditional Chinese medicine
Ted Liao MedStar Georgetown University Hospital 
and Georgetown University School of Medicine, 
Washington DC, USA
26.5.8: Anxiety disorders
Oliver Liesenfeld Roche Molecular Systems, 
Pleasanton, CA, USA
8.8.4: Toxoplasmosis
Liz Lightstone, Professor of Renal Medicine, 
Centre for Inflammatory Disease, Faculty 
of Medicine, Imperial College London, 
London, UK
21.10.3: The kidney in rheumatological disorders
Wei Shen Lim Consultant Respiratory Physician and 
Honorary Professor of Medicine, Nottingham 
University Hospitals NHS Trust and University of 
Nottingham, Nottingham, UK
18.4.2: Pneumonia in the normal host; 
18.4.3: Nosocomial pneumonia
Aldo A.M. Lima Biomedicine Center and 
Department of Physiology and Pharmacology, 
School of Medicine, Federal University of Ceará, 
Fortaleza, Ceará, Brazil
8.6.12: Cholera
Gregory Y.H. Lip Liverpool Centre for 
Cardiovascular Science, University of Liverpool 
and Liverpool Heart and Chest Hospital, 
Liverpool, UK; Aalborg Thrombosis Research 
Unit, Department of Clinical Medicine, Aalborg 
University, Aalborg, Denmark
16.4: Cardiac arrhythmias; 16.17.5: Hypertensive 
urgencies and emergencies
Mark A. Little Professor of Nephrology and 
Consultant Nephrologist, Trinity Health Kidney 
Centre, Trinity College Dublin; Tallaght and 
Beaumont Hospitals, Dublin, Ireland
21.8.5: Proliferative glomerulonephritis; 
21.8.6: Membranoproliferative 
glomerulonephritis
P. Little University of Southampton, 
Southampton, UK
18.4.1: Upper respiratory tract infections
William A. Littler The Priory Hospital, 
Birmingham, UK
16.9.2: Endocarditis
A. Llanos-​Cuentas School of Public Health and 
Administration, Universidad Peruana Cayetano 
Heredia, Lima, Peru
8.6.44: Bartonella bacilliformis infection
Y.M. Dennis Lo Li Ka Shing Professor of Medicine, 
Department of Chemical Pathology, The Chinese 
University of Hong Kong, China
3.9: Circulating DNA for molecular diagnostics
Diana N.J. Lockwood London School of Hygiene 
and Tropical Medicine, London, UK
8.6.28: Leprosy (Hansen’s disease); 
8.8.13: Leishmaniasis
David A. Lomas Vice Provost (Health) and Head of 
UCL Medical School, University College London, 
London, UK
12.13: α1-​Antitrypsin deficiency and the 
serpinopathies; 15.24.6 Primary and secondary 
liver tumours
Alan Lopez University of Melbourne, Melbourne, 
Vic, Australia
2.3: The Global Burden of Disease: Measuring the 
health of populations
† It is with great regret that we report that Ralph Lainson died on 5 May, 2015.


Contributors
lvii
Constantino López-Macias Mexican Society of 
Immunology, Mexico; University of Oxford, 
Oxford, UK
4.3: Adaptive immunity
David A. Low Liverpool John Moores University, 
Liverpool, UK
24.14: Diseases of the autonomic nervous system
Elyse E. Lower University of Cincinnati Medical 
Center, Cincinnati, OH, USA
18.12: Sarcoidosis
Katharine Lowndes Department of Haematology, 
Royal Hampshire County Hospital, Winchester UK
14.17: Blood disorders in pregnancy
Angela K. Lucas-​Herald School of Medicine, 
University of Glasgow, Royal Hospital for 
Children, Glasgow, UK
13.7.3: Normal and abnormal sexual differentiation
Ingrid E. Lundberg Rheumatology Unit, Department 
of Medicine, Sloan, Karolinska Institute, 
Karolinska Hospital, Stockholm, Sweden
19.11.5: Inflammatory myopathies
James R. Lupski Department of Molecular and 
Human Genetics, Department of Pediatrics, 
Human Genome Sequencing Center, Baylor 
College of Medicine, Texas Children’s Hospital, 
Houston, TX, USA
3.2: The genomic basis of medicine
Raashid Luqmani Nuffield Department 
of Orthopaedics, Rheumatology and 
Musculoskeletal Science, University of 
Oxford Rheumatology Department, Nuffield 
Orthopaedic Centre, Oxford, UK
19.11.6: Large vessel vasculitis
Linda Luxon National Hospital for Neurology 
and Neurosurgery, University College London 
Hospitals NHS Foundation Trust, Queen Square, 
London, UK
24.6.3: Hearing loss
Jean Paul Luzio Cambridge Institute for Medical 
Research, Cambridge, UK
3.1: The cell
Lucio Luzzatto Department of Haematology, 
Muhimbili University of Health and Allied 
Sciences Dar es Salaam, Tanzania
22.5.3: Paroxysmal nocturnal haemoglobinuria; 
22.6.11: Glucose-​6-​phosphate dehydrogenase deficiency
Graz A. Luzzi Wycombe General Hospital, High 
Wycombe, UK
9.3: Sexual history and examination
Kate D. Lynch Translational Gastroenterology 
Unit, John Radcliffe Hospital, Oxford; Nuffield 
Department of Medicine, University of Oxford, 
Oxford, UK
15.23.4: Primary sclerosing cholangitis
David Mabey Department of Clinical Research, 
London School of Hygiene and Tropical 
Medicine, London, UK
8.6.36: Non-​venereal endemic treponematoses: 
Yaws, endemic syphilis (bejel), and pinta; 
8.6.45: Chlamydial infections; 9.1: Epidemiology of 
sexually transmitted infections
Peter K. MacCallum Senior Lecturer in Haematology, 
Barts and The London School of Medicine and 
Dentistry, Queen Mary University of London, UK
14.7: Thrombosis in pregnancy
Alasdair MacGowan Department of Medical 
Microbiology, North Bristol NHS Trust, Bristol, UK
8.2.5: Antimicrobial chemotherapy
Lucy Mackillop Obstetric Medicine, Oxford 
University Hospitals NHS Foundation Trust, 
Oxford, UK
14.20 Prescribing in pregnancy
Gael M. MacLean Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
13.6.3: Benign breast disease
Kenneth T. MacLeod National Heart and Lung 
Institute (NHLI) Division, Faculty of Medicine, 
Imperial College London, London, UK
16.1.2: Cardiac physiology
Alasdair MacLullich Edinburgh University, 
Edinburgh, UK
6.5: Older people in hospital
Jane Macnaughtan Liver Failure Group, Institute 
for Liver and Digestive Health, University 
College London, Royal Free Campus, 
London, UK
15.22.5: Liver failure
Robert Mactier Consultant Nephrologist, 
Glasgow Renal and Transplant Unit, South 
Glasgow University Hospital, NHS Greater 
Glasgow and Clyde, Glasgow, UK
21.7.1: Haemodialysis
C. Maguiña-​Vargas School of Medicine, 
Universidad Peruana Cayetano Heredia, 
Lima, Peru
8.6.44: Bartonella bacilliformis infection
Michael Maher Professor of Radiology, University 
College Cork and Consultant Radiologist, 
Cork University Hospital and Mercy University 
Hospital, Cork, Ireland
15.3.3: Radiology of the gastrointestinal tract
Malegapuru W. Makgoba National Health Ombud, 
Pretoria, South Africa; College of Health Science, 
University of KwaZulu-​Natal, Durban, South 
Africa; National Planning Commission of South 
Africa; Universities of Natal and KwaZulu-​Natal, 
Durban, South Africa; MRC (SA), Cape Town, 
South Africa
2.18: Fostering medical and health research in 
resource-​constrained countries
Govind K. Makharia Department of 
Gastroenterology and Human Nutrition, 
All India Institute of Medical Sciences, New 
Delhi, India
15.10.8: Malabsorption syndromes in  
the tropics
Hadi Manji The National Hospital for Neurology 
and Neurosurgery, Queen Square, London, UK
24.11.4: Neurosyphilis and neuro-​AIDS
J.I. Mann Edgar Diabetes and Obesity Research 
Centre (EDOR), Department of Human 
Nutrition, University of Otago, Dunedin, New 
Zealand
11.5: Diseases of affluent societies and the need for 
dietary change
David Mant University of Oxford, Oxford, UK
2.11: Preventive medicine
G.A. Margaritopoulos Royal Brompton and 
Harefield NHS Trust, London, UK
18.11.5: The lung in vasculitis
Anthony M. Marinaki Purine Research Laboratory, 
Viapath, St Thomas’ Hospital, London, UK
12.4: Disorders of purine and pyrimidine 
metabolism
Chiara Marini-​Bettolo Newcastle University  
John Walton Centre for Muscular Dystrophy 
Research, Newcastle upon Tyne Hospital NHS 
Foundation Trust, Institute of Genetic Medicine, 
International Centre for Life, Newcastle upon 
Tyne, UK
24.19.2: Muscular dystrophy
Michael Marks Department of Clinical Research, 
London School of Hygiene and Tropical 
Medicine, London, UK
8.6.36: Non-​venereal endemic treponematoses: 
Yaws, endemic syphilis (bejel), and pinta
Paul Marks Honorary Consultant Neurosurgeon, 
Harrogate District Hospital, Harrogate;  
Her Majesty’s Senior Coroner for the City  
of Kingston upon Hull and the County of  
the East Riding of Yorkshire; Vice President, 
Faculty of Forensic and Legal Medicine,  
London, UK; Honorary Professor of 
Neurosurgery, College of Medicine,  
University of Malawi, Malawi
27.1: Forensic and legal medicine
Thomas J. Marrie Department of Medicine, 
Dalhousie University, Nova Scotia, Canada
8.6.42: Coxiella burnetii infections (Q fever)
Judith C.W. Marsh King’s College Hospital, King’s 
College London, London, UK
22.5.2: Acquired aplastic anaemia and pure red 
cell aplasia
Sara Marshall Wellcome Trust, London, UK
4.4: Immunodeficiency
Steven B. Marston National Heart and Lung 
Institute (NHLI) Division, Faculty of Medicine, 
Imperial College London, UK
16.1.2: Cardiac physiology
Maria do Rosario O. Martins University Nova de 
Lisboa, Lisbon, Portugal
2.16: Financing healthcare in low-​income 
developing countries: A challenge for equity 
in health
Thiviyani Maruthappu Kelsell Group, Cell Biology 
and Cutaneous Research, Blizard Institute, Barts 
and The London, Queen Mary University of 
London, London, UK
23.3: Inherited skin disease
Duncan J. Maskell University of Cambridge, 
Cambridge, UK
8.1.1: Biology of pathogenic microorganisms
N.A. Maskell Academic Respiratory Unit,  
University of Bristol, UK
18.17: Pleural diseases
Jay W. Mason Cardiology Division, University  
of Utah College of Medicine, Salt Lake City, 
UT, USA
16.7.1: Myocarditis
Tahir Masud Nottingham University Hospitals 
Trust, Nottingham, UK
6.8: Falls, faints, and fragility fractures
Christopher J. Mathias Stoke Poges, UK
24.14: Diseases of the autonomic nervous  
system


Contributors
lviii
Fadi Matta Associate Professor, Department of 
Osteopathic Medical Specialties, Collage of 
Osteopathic Medicine, Michigan State University, 
East Lansing, MI, USA
16.16.1: Deep venous thrombosis and pulmonary 
embolism
Eric L. Matteson Division of Rheumatology, 
Divisions of Rheumatology and Epidemiology, 
Mayo Clinic College of Medicine, Rochester, 
MN, USA
19.11.11: Polymyalgia rheumatica
Kieran McCafferty Consultant Nephrologist, Barts 
Health NHS Trust, London, UK
21.17: Urinary tract obstruction
Fergus McCarthy Division of Women’s Health, 
Women’s Health Academic Centre KHP, St. 
Thomas’ Hospital, London, UK
14.4: Hypertension in pregnancy
Brian W. McCrindle University of Toronto, Toronto, 
Canada; The Hospital for Sick Children, Toronto, 
ON, Canada
19.11.12: Kawasaki disease
Theresa A. McDonagh King’s College Hospital, 
Denmark Hill, London, UK
16.5.1: Epidemiology and general 
pathophysiological classification of heart failure
A.D. McGavigan Flinders University,  
SA, Australia
16.2.2: Syncope and palpitation; 16.4: Cardiac 
arrhythmias
Fiona McGill Institute of Infection and Global 
Health, University of Liverpool, Liverpool, UK
24.11.2: Viral infections
John A. McGrath Genetic Skin Disease Group, St 
John’s Institute of Dermatology, King’s College 
London (Guy’s Campus), London, UK
23.1: Structure and function of skin
Alastair McGregor Department of Tropical 
Medicine and Infectious Diseases, London 
Northwest Hospitals NHS Trust, London, UK; 
Department of Medicine, Imperial College 
London, London, UK
8.11.4: Intestinal trematode infections
Jane McGregor Clinical Senior Lecturer and 
Honorary Consultant Dermatologist, Blizard 
Institute, Barts and the London School Medicine 
and Dentistry, London, UK
23.9: Photosensitivity
Iain B. McInnes University of Glasgow, 
Glasgow, UK
3.3: Cytokines
C.J. McKay Consultant Pancreaticobiliary Surgeon, 
West of Scotland Pancreatic Unit, Glasgow Royal 
Infirmary, Glasgow, UK
15.26.1: Acute pancreatitis
William J. McKenna The Heart Hospital, University 
College London, London, UK
16.7.2: The cardiomyopathies: Hypertrophic, 
dilated, restrictive, and right ventricular
Curtis McKnight Dignity Health Medical Group;  
St. Joseph’s Hospital and Medical Center; 
Creighton University School of Medicine,  
Phoenix, AZ, USA
26.5.3: Organic psychoses
Alison McMillan East and North Hertfordshire NHS 
Trust, Stevenage, UK
18.5.2: Sleep-​related breathing disorders
Martin A. McNally The Bone Infection Unit, 
Nuffield Orthopaedic Centre, Oxford University 
Hospitals, Oxford, UK
20.3: Osteomyelitis
Regina McQuillan St Francis Hospice and Beaumont 
Hospital, Dublin, Ireland
7.3: Symptoms other than pain
Simon Mead MRC Prion Unit, University College 
London, Institute of Prion Diseases; NHS National 
Prion Clinic, National Hospital for Neurology and 
Neurosurgery, UCL Hospitals NHS Foundation 
Trust, Queen Square, London, UK
24.11.5: Human prion diseases
Jill Meara Hyperbaric Medicine Unit, St Richard’s 
Hospital, Chichester, UK
10.3.7: Radiation
Wajahat Z. Mehal Section of Digestive Diseases Yale 
University, New Haven, CT, USA
15.21: Pathobiology of chronic liver disease
Tobias F. Menne Consultant Haematologist, The 
Newcastle upon Tyne Hospitals NHS Foundation 
Trust, Freeman Hospital, Newcastle upon 
Tyne, UK
22.4.2: Acute lymphoblastic leukaemia
David K. Menon Division of Anaesthesia, University 
of Cambridge, UK; Neurosciences Critical Care 
Unit, Royal College of Anaesthetists, London, 
UK; Queens’ College, Cambridge, UK; National 
Institute for Health Research, UK
17.7: Management of raised intracranial 
pressure
Andrew Menzies-​Gow Royal Brompton Hospital, 
London, UK
18.7: Asthma
Catherine H. Mercer Professor of Sexual  
Health Science, Centre for Population 
Research in Sexual Health and HIV, Institute 
for Global Health, University College London, 
London, UK
9.2: Sexual behaviour
Vinod K. Metta Neurology, National Hospital for 
Neurology and Neurosurgery, University College 
London, London, UK
24.7.2: Parkinsonism and other extrapyramidal 
diseases
Jan H. ter Meulen Philipps University Marburg, 
35043 Marburg, Germany
8.5.17: Arenaviruses; 8.5.18: Filoviruses
Wayne M. Meyers Department of Environmental 
and Infectious Disease Sciences, Armed  
Forces Institute of Pathology, Washington 
DC, USA
8.6.29: Buruli ulcer: Mycobacterium ulcerans 
infection
Paul K. Middleton Clinical Research Fellow, 
Institute of Liver Studies, Inflammation Biology, 
School of Immunology and Microbial Sciences, 
Faculty of Life Sciences and Medicine, King’s 
College London, King’s College Hospital, 
London, UK
15.22.4: Hepatic encephalopathy
Stephen J. Middleton Consultant 
Gastroenterologist, Addenbrooke’s Hospital, 
Cambridge University Hospitals, Cambridge; 
Consultant Gastroenterologist (Hon.) St Mark’s 
Hospital, Harrow, London; Associate Professor 
(Hon.) Plymouth University Peninsula Schools of 
Medicine and Dentistry, Plymouth, UK
15.10.2: Bacterial overgrowth of the small intestine; 
15.10.7: Effects of massive bowel resection
Mark E. Mikkelsen Department of Medicine, 
Perelman School of Medicine, University of 
Pennsylvania, Philadelphia, PA, USA
17.12: Persistent problems and recovery after 
critical illness
Michael A. Miles Faculty of Infectious and Tropical 
Diseases, London School of Hygiene and Tropical 
Medicine, London, UK
8.8.12: Chagas disease
Robert F. Miller University College London, 
London, UK
8.7.5: Pneumocystis jirovecii
Dawn S. Milliner Emeritus Professor of Medicine 
and Pediatrics at the Mayo Clinic Alix School of 
Medicine, Rochester, MN, USA
12.10 Hereditary disorders of oxalate 
metabolism: The primary hyperoxalurias
K.R. Mills King’s College London, London, UK
24.3.4: Investigation of central motor 
pathways: Magnetic brain stimulation
Philip Minor National Institute for Biological 
Standards and Control (NIBSC), Ridge, UK
8.5.8: Enterovirus infections
Fraz A. Mir Department of Medicine, Cambridge 
University Hospitals NHS Foundation Trust, 
Addenbrooke’s Hospital, Cambridge, UK
16.17.3: Secondary hypertension
Pramod K. Mistry Professor of Pediatrics and 
Medicine, Chief, Pediatric Gastroenterology 
and Hepatology, Yale School of Medicine, New 
Haven, CT, USA
12.7.2 Inherited diseases of copper 
metabolism: Wilson’s disease and Menkes’ disease
Andrew R.J. Mitchell Jersey General Hospital, 
Jersey, UK
16.3.2: Echocardiography; 16.14.1: Acute aortic 
syndromes
Oriol Mitjà Barcelona Institute for Global Health, 
University of Barcelona, Spain; Lihir Medical 
Centre, InternationalSOS, Lihir Island, Papua 
New Guinea
8.6.36: Non-​venereal endemic treponematoses: 
Yaws, endemic syphilis (bejel), and pinta
Aarthi R. Mohan Obstetrics and Maternal Medicine, 
University Hospitals Bristol NHS Foundation 
Trust, Bristol, UK
14.21: Contraception for women with medical 
diseases
Fiachra Moloney Consultant Radiologist, 
Department of Radiology, Cork University 
Hospital, Cork, Ireland
15.3.3: Radiology of the gastrointestinal tract
P.L. Molyneaux Royal Brompton and Harefield NHS 
Trust, London, UK
18.11.2: Idiopathic pulmonary fibrosis


Contributors
lix
Andrew J. Molyneux The Manor Hospital, Oxford, UK
24.3.3: Imaging in neurological diseases
Peter D. Mooney Royal Hallamshire Hospital and 
University of Sheffield, Sheffield, UK
15.10.3: Coeliac disease
Anthony V. Moorman Professor of Genetic 
Epidemiology, Leukaemia Research Cytogenetics 
Group, Northern Institute for Cancer Research, 
Newcastle University, Newcastle upon Tyne, UK
22.4.2: Acute lymphoblastic leukaemia
Pilar Morata Department of Biochemistry 
and Molecular Biology, School of Medicine, 
University of Málaga, Málaga, Spain
8.6.22: Brucellosis
Marina S. Morgan Royal Devon and Exeter NHS 
Foundation Trust, Exeter, UK
8.6.19: Pasteurella
Michael L. Moritz Professor of Pediatrics, University 
of Pittsburgh School of Medicine, Clinical Director, 
Division of Nephrology, UPMC Children’s Hospital 
of Pittsburgh, Pittsburgh, PA, USA
21.2.1: Disorders of water and sodium homeostasis
Pedro L. Moro Immunization Safety Office, Division 
of Healthcare Quality Promotion, NCEZID, 
Centers for Disease Control and Prevention, 
Atlanta, GA, USA
8.10.2: Cystic hydatid disease (Echinococcus 
granulosus)
Mary J. Morrell Imperial College London, London, UK
18.5.2: Sleep-​related breathing disorders
Nicholas W. Morrell British Heart Foundation 
Professor of Cardiopulmonary Medicine, 
University of Cambridge School of Clinical 
Medicine, Addenbrooke’s and Papworth 
Hospitals, Cambridge, UK
16.15.1: Structure and function of the pulmonary 
circulation; 16.15.2: Pulmonary hypertension
Emma C. Morris Professor, Division of Infection 
and Immunity, UCL Institute of Immunity and 
Transplantation, Royal Free Campus, Royal Free 
Hospital, London, UK and Honorary Consultant, 
University College London Medical School, 
London, UK
22.8.2: Haemopoietic stem cell transplantation
Neil J.McC. Mortensen Professor of Colorectal 
Surgery, Nuffield Department of Surgery, 
University of Oxford; Honorary Consultant 
Colorectal Surgeon, Oxford University Hospitals 
NHS Foundation Trust, Oxford, UK
15.14: Colonic diverticular disease
Peter S. Mortimer St George’s University of London; 
St George’s Hospital, London; Royal Marsden 
Hospital, London, UK
16.18: Chronic peripheral oedema and 
lymphoedema; 23.12: Blood and lymphatic vessel 
disorders
Ghulam J. Mufti King’s College Hospital/​King’s 
College London, London, UK
22.5.2: Acquired aplastic anaemia and pure red 
cell aplasia
Victoria Mulcahy Norwich Medical School, 
University of East Anglia, Norwich, UK
15.10.1: Differential diagnosis and investigation of 
malabsorption
David R. Murdoch Professor and Head of 
Pathology, University of Otago, Christchurch, 
New Zealand
10.3.6: Diseases of high terrestrial altitudes
Paul Murphy NHS Blood and Transplant, 
Bristol, UK
17.11: Diagnosis of death and organ donation
Christopher Murray University of Washington, 
WA, USA
2.3: The Global Burden of Disease: Measuring the 
health of populations
Jean B. Nachega Departments of Epidemiology,  
Infectious Diseases and Microbiology,  
Graduate School of Public Health, University of 
Pittsburgh, Pittsburgh, PA USA; Department of 
Medicine, Centre for Infectious Diseases,  
Stellenbosch University, Tygerberg, Cape Town, 
South Africa
8.6.26: Tuberculosis
Robert B. Nadelman Division of Infectious 
Diseases, Department of Medicine, New York 
Medical College, Valhalla, NY, USA
8.6.33: Lyme borreliosis
Alexandra Nanzer-​Kelly Guys and St Thomas’ 
Hospital, London, UK
18.7: Asthma
Nikolai V. Naoumov Novartis Pharma, Basel, 
Switzerland
8.5.21: Hepatitis viruses (excluding hepatitis 
C virus)
Kikkeri N. Naresh Department of Histopathology, 
Imperial College Healthcare NHS Trust and 
Imperial College, London, UK
15.10.4: Gastrointestinal lymphomas
Kate Nash University Hospital Southampton NHS 
Foundation Trust, Southampton, UK
15.23.1: Hepatitis A to E
N. Navani University College Hospital,  
London, UK
18.19.1: Lung cancer
Catherine Nelson-​Piercy Obstetric Medicine, 
Women’s Health Academic Centre, King’s 
Health Partners, King’s College London, 
London, UK
14.14: Autoimmune rheumatic disorders and 
vasculitis in pregnancy
Randolph M. Nesse Center for Evolution and 
Medicine, Arizona State University, AZ, USA
2.2: Evolution: Medicine’s most basic science
Peter J. Nestor German Center for 
Neurodegenerative Diseases (DZNE), 
Magdeburg, Germany
24.4.1: Disturbances of higher cerebral function
Stefan Neubauer Oxford Centre for Clinical 
Magnetic Resonance Research (OCMR), 
Division of Cardiovascular Medicine, Radcliffe 
Department of Medicine, University of Oxford, 
John Radcliffe Hospital, Oxford, UK
16.3.3: Cardiac investigations: Nuclear, 
MRI, and CT
James Neuberger Hon Consultant Physician, 
Liver Unit, Queen Elizabeth Hospital, 
Birmingham, UK
15.24.5: The liver in systemic disease
James D. Newton Oxford University Hospitals NHS 
Trust, Oxford, UK
16.3.2: Echocardiography; 16.14.1: Acute aortic 
syndromes
Paul N. Newton Lao-​Oxford-​Mahosot Hospital-​
Wellcome Trust Research Unit (LOMWRU), 
Microbiology Laboratory, Mahosot Hospital, 
Vientiane, Lao PDR; Nuffield Department 
of Medicine, University of Oxford, Oxford; 
Infectious Diseases Data Observatory (IDDO), 
University of Oxford, Oxford, UK
2.10: Medicine quality, physicians,  
and patients
Wan-​Fai Ng Newcastle University and NIHR 
Newcastle Biomedical, Research Centre for  
Ageing and Chronic Diseases, Newcastle upon 
Tyne, UK
19.11.4: Sjögren’s syndrome
A.G. Nicholson Royal Brompton and Harefield 
NHS Trust; Professor of Respiratory Pathology, 
National Heart and Lung Institute, Imperial 
College School of Medicine, London, UK
18.11.2: Idiopathic pulmonary fibrosis
Jerry P. Nolan Warwick Medical School, Coventry; 
Royal United Hospital, Bath, UK
17.2: Cardiac arrest
John Nowakowski New York Medical College,  
NY, USA
8.6.33: Lyme borreliosis
Paul Nyirjesy Drexel University College of 
Medicine, Philadelphia, PA, USA
9.4: Vaginal discharge
Sarah O’Brien Modelling, Evidence and Policy  
Group, School of Natural and Environmental 
Sciences, Newcastle University, Newcastle upon 
Tyne, UK 
15.18: Gastrointestinal infections
Amy O’Donnell Institute of Health and Society, 
Newcastle University, Newcastle upon Tyne, UK
26.6.1: Brief interventions for excessive alcohol 
consumption
Nigel O’Farrell Ealing Hospital, London North West 
University Healthcare NHS Trust, London, UK
8.6.14: Haemophilus ducreyi and chancroid
John G. O’Grady Institute of Liver Studies, King’s 
College Hospital, London, UK
15.22.6: Liver transplantation
Denis O’Mahony Department of Medicine, 
University College Cork and Department of 
Geriatric Medicine, Cork University Hospital, 
Cork, Ireland
6.7: Drugs and prescribing in the older patient
E.E. Ooi Programme in Emerging Infectious 
Diseases, Duke-NUS Medical School, Singapore
8.5.12: Alphaviruses
Susie Orme Barnsley Hospital NHS Foundation 
Trust, Barnsley, UK
6.9: Bladder and bowels
Kevin O’Shaughnessy Division of Experimental 
Medicine and Immunotherapeutics,  
Department of Medicine, University of Cambridge, 
Cambridge, UK
2.6: Principles of clinical pharmacology and drug 
therapy


Contributors
lx
Edel O’Toole Centre for Cutaneous Research, 
Blizard Institute of Cell and Molecular Science, 
Barts and the London School of Medicine and 
Dentistry; and Department of Dermatology, 
Barts and the London NHS Trust, London, UK
23.14: Tumours of the skin
Petra C.F. Oyston Biomedical Sciences, DSTL 
Porton Down, Salisbury, UK
8.6.20: Francisella tularensis infection
Jacqueline Palace Nuffield Department of 
Clinical Neurosciences, University of Oxford, 
Oxford, UK
24.18: Disorders of the neuromuscular junction
Thomas Pap Institute of Experimental 
Musculoskeletal Medicine, University Hospital 
Münster, Münster, Germany
19.1: Joints and connective tissue—​structure and 
function
Jayan Parameshwar Consultant Cardiologist, Royal 
Papworth Hospital, Cambridge, UK
16.5.5: Cardiac transplantation and mechanical 
circulatory support
Daniel H. Paris University of Oxford, Oxford, UK; 
Rickettsial Research (Oxford Tropical Network); 
Mahidol-​Oxford Tropical Medicine Research 
Unit (MORU), Faculty of Tropical Medicine, 
Mahidol University, Bangkok, Thailand
8.6.41: Scrub typhus
Sarah Parish Clinical Trial Service Unit and 
Epidemiological Studies Unit (CTSU), University 
of Oxford, Oxford, UK
2.4: Large-​scale randomized evidence: Trials and 
meta-​analyses of trials
Mike Parker Ethox Centre, Oxford, UK
1.5: Medical ethics
Miles Parkes Consultant Gastroenterologist, 
Cambridge University Hospitals,  
Cambridge, UK
15.11: Crohn’s disease
Philippe Parola University Hospital Institute 
Méditerranée Infection, Marseille, France
8.6.40: Rickettsioses
Christopher M. Parry Clinical Sciences, Liverpool 
School of Tropical Medicine, and Institute of 
Infection and Global Health, University of 
Liverpool, UK; School of Tropical Medicine and 
Global Health, Nagasaki University, Nagasaki, Japan
8.6.9: Typhoid and paratyphoid fevers
Judith Partridge Guys and St Thomas’ Hospitals 
London, UK
6.6: Supporting older peoples’ care in surgical and 
oncological services
Sant-​Rayn Pasricha MRC Human Immunology 
Unit, Weatherall Institute of Molecular Medicine, 
John Radcliffe Hospital and University of Oxford, 
Oxford, UK
22.6.5: Anaemia of inflammation
Harnish Patel Academic Geriatric Medicine, 
University of Southampton, Southampton, UK
6.2: Frailty and sarcopenia
Raj Patel Solent NHS Trust, Southampton, UK
9.6: Genital ulceration
Sejal Patel Oxford Childrens Hospital, Oxford 
University Hospitals NHS Trust, Oxford, UK
13.7.2: Normal puberty and its disorders
John Paul SE region, National Infection Service, 
Public Health England, UK
8.6.47: A checklist of bacteria associated with 
infection in humans;
8.12: Non​venomous arthropods
Jason Payne-​James Specialist in Forensic and Legal 
Medicine and Consultant Forensic Physician; 
Lead Medical Examiner, Norfolk and Norwich 
University Hospital, Norfolk, UK; Honorary 
Clinical Professor, William Harvey Research 
Institute, Queen Mary University of London, 
UK; Consultant Editor-​in-​Chief, Journal of 
Forensic and Legal Medicine; Director, Forensic 
Healthcare Services Ltd, Southminster, UK
27.1: Forensic and legal medicine
Sharon J. Peacock University of Cambridge, 
Cambridge, UK
8.6.8: Pseudomonas aeruginosa; 
8.6.16: Melioidosis and glanders
Fiona Pearce Clinical Lecturer, Faculty of Medicine 
and Health Sciences, University of Nottingham, 
Nottingham City Hospital, Nottingham, UK
19.2: Clinical presentation and diagnosis of 
rheumatological disorders
Rupert Pearse Queen Mary University of London, 
London, UK
17.4: Assessing and preparing patients with 
medical conditions for major surgery
Malik Peiris School of Public Health, The 
University of Hong Kong, Hong Kong, Special 
Administrative Region of China
8.5.1: Respiratory tract viruses
Neil Pendleton School of Biological Sciences, 
Faculty Biology Medicine and Health and 
Manchester Institute for Collaborative 
Research in Ageing, University of Manchester, 
Manchester, UK
6.1: Ageing and clinical medicine
Hugh Pennington University of Aberdeen, 
Aberdeen, UK
8.6.7: Enterobacteria and bacterial food 
poisoning
Mark B. Pepys Director, Wolfson Drug Discovery 
Unit, and Honorary Consultant Physician, 
National Amyloidosis Centre, Centre for 
Amyloidosis and Acute Phase Proteins, 
University College London, London, UK
12.12.1 The acute phase response and C-​reactive 
protein; 12.12.3 Amyloidosis
Stephen P. Pereira Professor of Hepatology 
and Gastroenterology, Institute for Liver and 
Digestive Health, University College London; 
Consultant Hepatologist and Gastroenterologist, 
University College Hospital and Royal Free 
Hospital, London, UK
15.16: Cancers of the gastrointestinal tract; 
15.26.3: Tumours of the pancreas
Gavin D. Perkins Warwick Medical School, 
Coventry; Intensive Care Unit, Heartlands 
Hospital, University Hospitals Birmingham NHS 
Foundation Trust, Birmingham, UK
17.2: Cardiac arrest
David J. Perry Previously Department of 
Haematology, Addenbrooke’s Hospital, 
Cambridge, UK
14.17: Blood disorders in pregnancy
Hans Persson Swedish Poisons Centre, 
Stockholm, Sweden
10.4.3: Poisonous fungi; 10.4.4: Poisonous plants
Eskild Petersen Department of Infectious Diseases 
and Clinical Microbiology, Aarhus University 
Hospital Skejby, Aarhus, Denmark
8.8.4: Toxoplasmosis
L.R. Petersen Director, Division of Vector-borne 
Infectious Diseases, Centers for Disease  
Control and Prevention, Fort Collins,  
Colorado, USA
8.5.12: Alphaviruses
Trevor N. Petney Professor, Cholangiocarcinoma 
Research Institute (CARI), Cholangiocarcinoma 
Screening and Care Program (CASCAP),  
Faculty of Medicine, Khon Kaen University,  
Khon Kaen, Thailand; Department of 
Paleontology and Evolution, Organization/​
University State Museum of Natural History, 
Karlsruhe, Germany
8.11.2: Liver fluke infections
Philippa Peto Consultant in Renal and Acute 
Medicine, Queen Elizabeth Hospital, Lewisham 
and Greenwich NHS Trust, London, UK
1.6: Clinical decision-​making
Richard Peto Nuffield Department of Population 
Health, University of Oxford, Oxford, UK
2.4: Large-​scale randomized evidence: Trials  
and meta-​analyses of trials; 5.1: Epidemiology 
of cancer
Timothy E.A. Peto Nuffield Department of Clinical 
Medicine, University of Oxford; John Radcliffe 
Hospital, Oxford, UK
1.6: Clinical decision-​making; 8.5.23: HIV/​AIDS
John D. Pickard University of Cambridge, 
Cambridge, UK
24.5.6: Brainstem death and prolonged disorders of 
consciousness
Matthew C. Pickering Imperial College London, 
London, UK
4.2: The complement system
Massimiliano di Pietro Senior Clinical Investigator 
Scientist and Consultant Gastroenterologist,  
MRC Cancer Unit, University of Cambridge, 
Hutchison/​MRC Research Centre,  
Cambridge, UK
15.7: Diseases of the oesophagus
Michael R. Pinsky Professor Critical Care Medicine, 
Bio­engineering, Cardiovascular Disease and 
Anesthesiology, Department of Critical Care 
Medicine, University of Pittsburgh, Pittsburgh, 
PA, USA
17.6: Circulation and circulatory support in the 
critically ill
Julia Platts University of Cardiff, Cardiff, UK
13.9.1: Diabetes
Raymond J. Playford, Professor of Medicine, 
University of Plymouth, Plymouth, UK; Vice 
President Research Strategy, Pantheryx Inc., 
Boulder, CO, USA
15.10.2: Bacterial overgrowth of the small intestine; 
15.10.7: Effects of massive bowel resection
Michael I. Polkey Royal Brompton and Harefield 
NHS Trust, London, UK
18.15: Chronic respiratory failure; 18.18 Disorders 
of the thoracic cage and diaphragm


Contributors
lxi
Eleanor S. Pollak Associate Professor of Pathology 
and Laboratory Medicine (retired), Perelman 
School of Medicine of the University of 
Pennsylvania, Philadelphia, PA, USA
22.7.4: Genetic disorders of coagulation
Andrew J. Pollard Professor of Paediatric Infection 
and Immunity at the University of Oxford,  
Director of the Oxford Vaccine Group, Fellow 
of St Cross College and Honorary Consultant 
Paediatrician at the Children’s Hospital,  
Oxford, UK
10.3.6: Diseases of high terrestrial altitudes
Aaron Polliack Emeritus Professor, Hadassah 
University Hospital and Hebrew University 
Medical School, Jerusalem, Israel
22.4.5: Chronic lymphocytic leukaemia
Allyson M. Pollock Queen Mary University of 
London, London, UK
2.15: How much should rich countries’ 
governments spend on healthcare?
Cristina Ponte Department of Rheumatology, 
Hospital de Santa Maria -​ CHLN, Lisbon 
Academic Medical Centre, Lisbon, Portugal; 
Nuffield Department of Orthopaedics, 
Rheumatology and Musculoskeletal Sciences, 
University of Oxford, Oxford, UK
19.11.6: Large vessel vasculitis
Kyle J. Popovich Rush University, Chicago,  
IL, USA
8.6.4: Staphylococci
Françoise Portaels Institute of Tropical Medicine, 
Antwerp, Belgium
8.6.29: Buruli ulcer: Mycobacterium ulcerans 
infection
John B. Porter Professor of Haematology and 
Consultant Haematologist, University College 
London Hospitals, London, UK
22.6.4: Iron metabolism and its disorders
Stephen Potts Department of Psychological 
Medicine, Edinburgh Royal Infirmary, 
Edinburgh, UK
26.5.5: Substance misuse
William G. Powderly Division of Infectious Diseases 
and Institute for Public Health, Washington 
University in St. Louis, MO, USA
8.7.2: Cryptococcosis
Janet Powell Department of Surgery and Cancer, 
Imperial College, London, UK
16.14.2: Peripheral arterial disease
Amy Powers Associate Professor of Pathology, 
John A Burns School of Medicine, University 
of Hawaii, Department of Pathology, Honolulu, 
HI, USA
22.6.12: Acquired haemolytic anaemia
Ann M. Powers Centers for Disease Control and 
Prevention, Atlanta, GA, USA
8.5.12: Alphaviruses
Anton Pozniak Department of HIV and GUM, 
Chelsea and Westminster Hospital NHS 
Foundation Trust, London, UK
18.4.5: Pulmonary complications of  
HIV infection
Bernard D. Prendergast John Radcliffe Hospital, 
Oxford, UK
16.9.2: Endocarditis
Michael Prentice School of Microbiology, 
University College Cork, Cork, Ireland
8.6.17: Plague: Yersinia pestis; 8.6.18: Other 
Yersinia infections: Yersiniosis
David Price Queen Mary University of London, 
London, UK
2.15: How much should rich countries’ 
governments spend on healthcare?
Christopher Pugh Nuffield Department of 
Medicine, University of Oxford, Oxford, UK
21.14: Disorders of renal calcium handling, 
urinary stones, and nephrocalcinosis
Meredith Pugh Division of Pulmonary and Critical 
Care, Vanderbilt University Medical Center, 
Nashville, TN, USA
14.8: Chest diseases in pregnancy
Graham Raftery South Tyneside and Sunderland 
NHS Foundation Trust, Sunderland, UK
19.7: Infection and arthritis
Kazem Rahimi The George Institute for 
Global Health, University of Oxford,  
Oxford, UK
16.13.2: Coronary heart disease: Epidemiology 
and prevention
Anisur Rahman Centre for Rheumatology, 
University College London, London, UK
19.11.2: Systemic lupus erythematosus and related 
disorders
Tim Raine IBD Lead and Consultant 
Gastroenterologist, Cambridge University 
Hospital, Cambridge, UK
15.11: Crohn’s disease
K. Rajappan Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
16.2.2: Syncope and palpitation
S. Vincent Rajkumar Edward W. and Betty Knight 
Scripps Professor of Medicine, Division of 
Hematology, Mayo Clinic, Rochester, MN, USA
22.4.6: Plasma cell myeloma and related 
monoclonal gammopathies
Mary Ramsay Health Protection Agency,  
London, UK
8.3: Immunization
A.C. Rankin Glasgow Royal Infirmary, Glasgow, UK
16.2.2: Syncope and palpitation
Didier Raoult University Hospital Institute  
Méditerranée Infection, Marseille, France
8.6.40: Rickettsioses; 15.10.6: Whipple’s disease
Michael Rawlins Medicines and Healthcare 
Products Regulatory Agency, London, UK
2.19: Regulation versus innovation in medicine
Phillip Read University of New South Wales, 
Kensington, NSW, Australia
8.6.37: Syphilis
Michael C. Reade Burns, Trauma and Critical 
Care Research Centre, Royal Brisbane and 
Women’s Hospital, University of Queensland, 
Brisbane, Qld, Australia; Joint Health Command, 
Australian Defence Force, Canberra, ACT, 
Australia
17.8: Sedation and analgesia in the ICU
Paul J. Reading Department of Sleep Medicine, 
The James Cook University Hospital, 
Middlesbrough, UK
24.5.3: Sleep disorders
Jeremy Rees National Hospital for Neurology and 
Neurosurgery, London, UK; UCL Institute of 
Neurology, London, UK
24.23: Paraneoplastic neurological syndromes; 
24.10.4: Intracranial tumours
P.T. Reid Respiratory Unit, Western General 
Hospital, Edinburgh, UK
18.13: Pneumoconioses
Shelley Renowden North Bristol NHS Trust, 
Bristol, UK
24.3.3: Imaging in neurological diseases
John Richens Research Department of Infection and 
Population Health, University College London, 
London, UK
8.6.10: Intracellular klebsiella infections 
(donovanosis and rhinoscleroma)
Alan B. Rickinson Institute for Cancer Studies, 
University of Birmingham, Birmingham, UK
8.5.3: Epstein–​Barr virus
B.K. Rima Wellcome-​Wolfson Institute for 
Experimental Medicine, Queen’s University 
Belfast, Belfast, UK
8.5.5: Mumps: Epidemic parotitis
David J. Roberts Radcliffe Department of Medicine, 
University of Oxford; Department of  
Haematology, Oxford University Hospitals  
NHS Trust and NHS Blood and Transplant,  
Oxford, UK
22.6.3: Anaemia as a challenge to world health
Harold R. Roberts Sarah Graham Kenan Professor 
of Medicine, Division of Hematology-​Oncology, 
University of North Carolina, Chapel Hill, 
NC, USA
22.7.1: The biology of haemostasis and thrombosis
Irene Roberts Department of Paediatrics and 
MRC Molecular Haematology Unit, Weatherall 
Institute of Molecular Medicine, University of 
Oxford, Oxford, UK
22.5.1: Inherited bone marrow failure syndromes
Douglas Robertson Senior Lecturer and Honorary 
Consultant in Restorative Dentistry, University of 
Glasgow, Glasgow, UK
15.6: The mouth and salivary glands
Marcus Robertson Gastroenterologist and 
Hepatologist, Monash Health, Vic, Australia; 
Monash University Department of Medicine,  
Vic, Australia
15.22.3: Portal hypertension and variceal  
bleeding
Esther Robinson Public Health England, 
Birmingham, UK
8.6.13: Haemophilus influenzae
T.A. Rockall Professor of Colorectal Surgery, 
University of Surrey; Consultant Colorectal 
Surgeon, Royal Surrey County Hospital 
Guildford, UK
15.4.2: Gastrointestinal bleeding
Edward Roddy Keele University, Keele, UK
19.10: Crystal-​related arthropathies
Simon D. Roger Renal Physician, Conjoint 
Professor, School of Medicine and Public Health, 
University of Newcastle, Newcastle; Director, 
Department of Renal Medicine, Central Coast 
Local Health District, Gosford, NSW, Australia
21.9.1: Acute interstitial nephritis


Contributors
lxii
Jean-​Marc Rolain IHU Méditerranée Infection, 
Marseille, France
8.6.43: Bartonellas excluding B. bacilliformis
Pierre Ronco Professor of Renal Medicine, 
University Pierre et Marie Curie, and Inserm Unit 
UMR_​S1155, Tenon Hospital, Paris, France
21.10.5: Renal involvement in plasma cell 
dyscrasias, immunoglobulin-​based amyloidoses, 
and fibrillary glomerulopathies, lymphomas, and 
leukaemias
Antony Rosen Division of Rheumatology, Johns 
Hopkins University School of Medicine, 
Baltimore, MD, USA
4.6: Autoimmunity
Jonathan D.C. Ross University Hospitals 
Birmingham NHS Trust, Birmingham, UK
9.8: Pelvic inflammatory disease
Shannan Lee Rossi Department of Pathology, Center 
for Biodefense and Emerging Infectious Diseases; 
Member, Center for Tropical Diseases, Institute 
for Human Infections and Immunity, University 
of Texas Medical Branch, Galveston, TX, USA
8.5.14: Flaviviruses excluding dengue
Peter M. Rothwell Nuffield Department of Clinical 
Neurosciences, University of Oxford, Oxford, UK
24.10.1 Stroke: Cerebrovascular disease
Simon M. Rushbrook Department of Hepatology, 
Norfolk and Norwich University Hospitals NHS 
Trust, Norwich, UK
15.24.6: Primary and secondary liver tumours
Nigel Russell Professor of Haematology, 
Nottingham University, Nottingham, UK
22.3.3: Acute myeloid leukaemia
Fiona Ryan Oxford Childrens Hospital, Oxford 
University Hospitals NHS Foundation Trust, 
Oxford, UK
13.7.2: Normal puberty and its disorders
Nikant Sabharwal Department of Cardiology, John 
Radcliffe Hospital, Oxford, UK
16.3.3: Cardiac investigations: Nuclear, MRI, and CT
Alan D. Salama University College London, 
London, UK
21.8.5: Proliferative glomerulonephritis
Moin Saleem Professor of Paediatric Renal Medicine, 
University of Bristol Children’s Renal Unit, Bristol 
Royal Hospital for Children, Bristol, UK
21.8.3: Minimal change nephropathy and focal 
segmental glomerulosclerosis
Hesham A. Saleh Charing Cross Hospital and Royal 
Brompton Hospital, London; Imperial College 
London, London, UK
18.6: Allergic rhinitis
Susan Salt Trinity Hospice, Blackpool, UK
7.1: Introduction to palliative care
Nilesh J. Samani Department of Cardiovascular 
Sciences, University of Leicester, Leicester, UK
16.17.4: Mendelian disorders causing hypertension
Luis G. Sambo University Nova de Lisboa, Lisbon, 
Portugal
2.16: Financing healthcare in low-​income 
developing countries: A challenge for equity 
in health
David S. Sanders Royal Hallamshire Hospital and 
University of Sheffield, Sheffield, UK
15.10.3: Coeliac disease
Jeremy Sanderson Department of Gastroenterology, 
Guy’s and St Thomas’ NHS Foundation Trust, 
London, UK
15.12: Ulcerative colitis
Vijay G. Sankaran Associate Professor of 
Pediatrics, Harvard Medical School, Division 
of Hematology/​Oncology, Boston Children’s 
Hospital, Dana-​Farber/​Boston Children’s Cancer 
and Blood Disorders Center, Boston, MA, USA
22.6.1: Erythropoiesis
Swati Sathe Rutgers New Jersey Medical School, 
Newark, NJ, USA
24.17: Inherited neurodegenerative diseases
Brian P. Saunders Consultant Gastroenterologist, St 
Mark’s Hospital, North West London Hospitals 
Trust; Adjunct Professor of Endoscopy, Imperial 
College London, London, UK
15.3.1: Colonoscopy and flexible sigmoidoscopy
Kate E.A. Saunders University of Oxford 
Department of Psychiatry, Warneford Hospital, 
Oxford, UK
26.3.2: Self-​harm; 26.5.7: Bipolar disorder
Rana Sayeed Oxford Heart Centre, Oxford 
University Hospitals NHS Trust, Oxford, UK
16.13.6: Coronary artery bypass and valve surgery
John A. Sayer Institute Of Genetic Medicine, 
Newcastle University, Central Parkway, Newcastle 
upon Tyne, UK
21.15: The renal tubular acidoses
Claire Scampion Bradford Teaching Hospitals NHS 
Foundation Trust, Bradford, UK
6.11: Promotion of dignity in the life and death of 
older patients
Matthew Scarborough Oxford University Hospitals 
NHS Foundation Trust, Oxford, UK; University 
of Oxford, Oxford, UK
8.2.3: Nosocomial infections
Klaus P. Schaal Institute for Medical Microbiology, 
Immunology and Parasitology, University 
Hospital of Bonn, Bonn, Germany
8.6.30: Actinomycoses
Michael L. Schilsky Associate Professor of 
Medicine, Medical Director, Adult Liver 
Transplant, Yale-​New Haven Transplantation 
Center, Department of Internal Medicine, Yale 
School of Medicine, New Haven, CT, USA
12.7.2: Inherited diseases of copper metabolism: 
Wilson’s disease and Menkes’ disease
Jonathan M. Schott Dementia Research Centre, 
UCL Institute of Neurology, Queen Square, 
London, UK
24.4.2: Alzheimer’s disease and other dementias
Heinz-​Peter Schultheiss Institut Kardiale 
Diagnostik und Therapie (IKDT), Berlin, 
Germany
16.7.1: Myocarditis
Jane Schwebke University of Alabama at 
Birmingham, AL, USA
8.8.14: Trichomoniasis
Neil Scolding University of Bristol Institute of 
Clinical Neurosciences, Southmead Hospital, 
Bristol, UK
24.21: Acquired metabolic disorders and the 
nervous system; 24.22: Neurological complications 
of systemic disease
Anthony Scott KEMRI-​Wellcome Trust Research 
Programme, Kilifi, Kenya; London School of 
Hygiene and Tropical Medicine,  
London, UK
8.6.3: Pneumococcal infections
James Scott Imperial College London, 
London, UK
12.6: Lipid disorders
Rebecca Scott Department of Metabolism, 
Digestion and Reproduction, Imperial College 
London, London, UK
15.9.1: Hormones and the gastrointestinal tract
Mårten Segelmark Professor of Nephrology, 
Department of Clinical Sciences, Lund  
University and Department of Nephrology  
Skane University Hospital, Lund, Sweden
21.8.7: Antiglomerular basement membrane 
disease
Julian Seifter Associate Professor of Medicine, 
Department of Medicine, Brigham and Women’s 
Hospital, Boston, USA
12.11: A physiological approach to acid–base 
disorders: The roles of ion transport and body fluid 
compartments
Bhuvaneish T. Selvaraj University of Edinburgh, 
Edinburgh, UK
3.7: Stem cells and regenerative medicine
Amartya Sen Harvard University, Cambridge, 
MA, USA
2.20: Human disasters
Arjune Sen Oxford Epilepsy Research Group, 
NIHR Oxford Biomedical Research Centre,  
John Radcliffe Hospital, Oxford, UK
24.5.1: Epilepsy in later childhood and 
adulthood
Debasish Sen Occupational Medicine, University of 
Manchester, UK
10.2.1: Occupational and environmental health
Nicholas J. Severs National Heart and Lung 
Institute (NHLI) Division, Faculty of Medicine, 
Imperial College London, London, UK
16.1.2: Cardiac physiology
Pallav L. Shah Imperial College London, 
London, UK
18.1.1: The upper respiratory tract; 18.1.2: Airways 
and alveoli; 18.3.3: Bronchoscopy, thoracoscopy, 
and tissue biopsy
Muddassir Shaikh James Cook University Hospital, 
Middlesbrough, UK
19.7: Infection and arthritis
Alena Shantsila University of Liverpool, 
Liverpool, UK
16.17.5: Hypertensive urgencies and  
emergencies
Susie Shapiro Consultant Haematologist,  
Oxford University Hospitals NHS Foundation 
Trust, Oxford Haemophilia and  
Thrombosis Centre, Churchill Hospital,  
Oxford, UK
22.7.3: Thrombocytopenia and disorders of 
platelet function
Claire C. Sharpe Professor of Renal Medicine, 
Faculty of Life Sciences and Medicine, King’s 
College London, London, UK
21.10.7: Sickle cell disease and the kidney


Contributors
lxiii
Michael Sharpe Psychological Medicine Research, 
University of Oxford Department of Psychiatry, 
Warneford Hospital, Oxford, UK
26.1: General introduction; 26.2: The psychiatric 
assessment of the medical patient; 26.3.3: Medically 
unexplained symptoms; 26.4.2: Psychological 
treatments; 26.5.12: Somatic symptom and related 
disorders; 26.7: Psychiatry, liaison psychiatry, and 
psychological medicine 
Pamela J. Shaw Sheffield Institute for Translational 
Neuroscience (SITraN), University of Sheffield, 
Sheffield; Sheffield Teaching Hospitals NHS 
Foundation Trust, Sheffield, UK
24.15: The motor neuron diseases
Debbie L. Shawcross Professor of Hepatology and 
Chronic Liver Failure, Institute of Liver Studies, 
Inflammation Biology, School of Immunology 
and Microbial Sciences, Faculty of Life Sciences 
and Medicine, King’s College London, King’s 
College Hospital, London, UK
15.22.4: Hepatic encephalopathy
Bart Sheehan Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
26.3.1: Confusion; 26.5.1: Delirium; 
26.5.2: Dementia
Neil Sheerin Professor of Nephrology, Institute 
of Cellular Medicine, Newcastle University, 
Newcastle upon Tyne, UK
21.13: Urinary tract infection
Mark Sherlock General Medicine and Emergency 
Medicine, NHS, UK; Médecins Sans Frontières 
(MSF), Paris, France
13.5.1: Disorders of the adrenal cortex
Jackie Sherrard Wycombe General Hospital, High 
Wycombe, UK
8.6.6: Neisseria gonorrhoeae; 9.3: Sexual history 
and examination
M.A. Shikanai-​Yasuda Faculdade Medicina, 
University of São Paulo (FMUSP), Brazil
8.7.4: Paracoccidioidomycosis
Brian Shine Oxford University Hospitals NHS 
Foundation Trust, Oxford, UK
29.1: The use of biochemical analysis for diagnosis 
and management
John M. Shneerson Papworth Hospital, Papworth 
Everard, UK
18.18: Disorders of the thoracic cage and diaphragm
Volha Shpadaruk Department of Dermatology, 
University Hospitals of Leicester NHS Trust, 
Leicester, UK
23.7: Cutaneous vasculitis, connective tissue 
diseases, and urticaria
Joachim Sieper Free University, Berlin, Germany
19.6: Spondyloarthritis and related conditions
Udomsak Silachamroon Department of Clinical 
Tropical Medicine, Faculty of Tropical Medicine, 
Mahidol University, Bangkok, Thailand
8.11.3: Lung flukes (paragonimiasis)
Leslie Silberstein Director, Transfusion Medicine, 
Boston Children’s Hospital, Boston, MA, USA
22.6.12: Acquired haemolytic anaemia
Jorge Simões University Nova de Lisboa, Lisbon, 
Portugal
2.16: Financing healthcare in low-​income developing 
countries: A challenge for equity in health
Alexandra Sinclair Institute of Metabolism and 
Systems Research, School of Clinical and 
Experimental Medicine, College of Medical and 
Dental Sciences, The Medical School, University 
of Birmingham, Birmingham, UK
24.10.5: Idiopathic intracranial hypertension
Rod Sinclair Department of Dermatology, University 
of Melbourne, Melbourne, Vic, Australia; Epworth 
Healthcare, Sinclair Dermatology Investigational 
Research, Education and Clinical Trials, East 
Melbourne, Vic, Australia
23.17: Management of skin disease
Joseph Sinning Regional Cancer Care Associates, 
Hartford, CT, USA
22.3.1: Granulocytes in health and disease
Thira Sirisanthana Research Institute for Health 
Sciences, Chiang Mai University, Chiang Mai, 
Thailand
8.7.6: Talaromyces (Penicillium) marneffei infection
J.G.P. Sissons† University of Cambridge School of 
Clinical Medicine, Cambridge, UK
8.5.2: Herpesviruses (excluding 
Epstein–​Barr virus)
Paiboon Sithithaworn Professor, 
Cholangiocarcinoma Research Institute (CARI), 
Cholangiocarcinoma Screening and Care 
Program (CASCAP), Faculty of Medicine, Khon 
Kaen University, Thailand; Professor Parasitology, 
Department of Parasitology, Faculty of Medicine, 
Khon Kaen University, Thailand
8.11.2: Liver fluke infections
James R.A. Skipworth Consultant HPB and General 
Surgeon, Bristol Royal Infirmary, University 
Hospitals Bristol NHS Trust, Bristol, UK
15.26.3: Tumours of the pancreas
Geoffrey L. Smith University of Cambridge, 
Cambridge, UK
8.5.4: Poxviruses
Roger Smyth Department of Psychological 
Medicine, Edinburgh Royal Infirmary, 
Edinburgh, UK
26.2: The psychiatric assessment of the medical 
patient
Rosamund Snow† BMJ, Tavistock Square, 
London, UK
1.3: What patients wish you understood
E.L. Snyder Professor, Laboratory Medicine, Yale 
University Medical School; Director, Transfusion/​
Apheresis/​Tissue/​Cell Processing Services,  
Yale-​New Haven Hospital, New Haven, CT, USA
22.8.1: Blood transfusion
Jasmeet Soar Intensive Care Unit, Southmead 
Hospital, North Bristol NHS Trust, Bristol, UK
17.2: Cardiac arrest
May Ching Soh Silver Star Unit, Women’s Centre, 
John Radcliffe Hospital, Oxford University 
Hospitals NHS Trust, Oxford, UK
14.14: Autoimmune rheumatic disorders and 
vasculitis in pregnancy
Elisaveta Sokolov Kings College Hospital, London, UK
24.7.2: Parkinsonism and other extrapyramidal 
diseases
Tom Solomon Institute of Infection and Global 
Health, University of Liverpool, Liverpool, UK
24.11.2: Viral infections
Krishna Somers Royal Perth Hospital, Perth, WA, 
Australia
16.9.4: Cardiovascular syphilis
Danielle Southerst NYU Langone Health, 
New York, NY, USA
19.4: Back pain and regional disorders
Cathy Speed Consultant in Rheumatology, Sport 
and Exercise Medicine, Senior Physician, English 
Institute of Sport, Cambridge Centre for Health 
and Performance, Cambridge, UK
28.1: Sport and exercise medicine
Des Spence Barclay Medical Centre, Maryhill 
Health Centre, Glasgow, UK
1.4: Why do patients attend and what do they want 
from the consultation?
G.P. Spickett Regional Department of Immunology, 
Royal Victoria Infirmary, Newcastle upon 
Tyne, UK
18.14.1: Diffuse alveolar haemorrhage; 
18.14.2: Eosinophilic pneumonia; 
18.14.4: Hypersensitivity pneumonitis
S.G. Spiro University College Hospital,  
London, UK
18.19.1: Lung cancer; 18.19.2: Pulmonary 
metastases
David P. Steensma Institute Physician, Division 
of Hematologic Malignancies, Department of 
Medical Oncology, Dana-​Farber Cancer Institute; 
Associate Professor of Medicine, Harvard 
Medical School, Boston, MA, USA
22.3.2: Myelodysplastic syndromes
Jerry L. Spivak Hematology Division,  
Johns Hopkins University School of Medicine, 
Baltimore, MD, USA
22.3.7: Primary myelofibrosis
Charles L. Sprung Department of Anesthesiology, 
Critical Care Medicine and Pain Medicine, 
Hadassah Medical Center, Hebrew  
University of Jerusalem, Faculty of Medicine, 
Jerusalem, Israel
17.10: Palliative and end-​of-​life care in the ICU
Paweł Stankiewicz Department of Molecular and 
Human Genetics, Baylor College of Medicine, 
Houston, TX, USA
3.2: The genomic basis of medicine
Natalie Staplin Clinical Trial Service Unit, 
University of Oxford, Oxford, UK
2.4: Large-​scale randomized evidence: Trials and 
meta-​analyses of trials
Paul D. Stein Professor, Department of Osteopathic 
Medical Specialties, College of Osteopathic 
Medicine, Michigan State University, East 
Lansing, MI, USA 
16.16.1: Deep venous thrombosis and pulmonary 
embolism
Chris Stenton Newcastle upon Tyne Hospitals NHS 
Trust, Newcastle upon Tyne, UK
18.14.11: Toxic gases and aerosols
Dennis L. Stevens Infectious Diseases Section, VA 
Medical Center, Boise, ID, USA
8.6.2: Streptococci and enterococci; 
8.6.25: Botulism, gas gangrene, and clostridial 
gastrointestinal infections
Claire Steves King’s College London, London, UK
6.1: Ageing and clinical medicine
† It is with great regret that we report that J.G.P. Sissons died on 25 September, 2016 and Rosamund Snow died on 2 February, 2017.


Contributors
lxiv
Carmel B. Stober University of Cambridge, 
Cambridge, UK
19.8: Reactive arthritis
Nicole Stoesser Nuffield Department of Medicine 
Medical Sciences Division, University of Oxford, 
Oxford, UK
8.6.10: Intracellular klebsiella infections 
(donovanosis and rhinoscleroma)
John R. Stradling Oxford Centre for 
Respiratory Medicine, John Radcliffe Hospital, 
Oxford, UK
18.1.1: The upper respiratory tract
Michael A. Stroud Department of Medicine, 
University of Southampton, Southampton, UK
10.3.2: Heat; 10.3.3: Cold
Michael Strupp Ludwig Maximilians University, 
Munich, Germany
24.6.2: Eye movements and balance
Matthew J. Stuckey School of Veterinary Medicine, 
University of California, CA, USA
8.6.43: Bartonellas excluding B. bacilliformis
Peter H. Sugden National Heart and Lung Institute 
(NHLI) Division, Faculty of Medicine, Imperial 
College London, UK
16.1.2: Cardiac physiology
Mehrunisha Suleman Ethox Centre,  
Oxford, UK
1.5: Medical ethics
Joseph Sung Professor of Medicine, lately President 
and Vice Chancellor, The Chinese University of 
Hong Kong, Shatin, Hong Kong, China
15.8: Peptic ulcer disease
Khuanchai Supparatpinyo Division of Infectious 
Diseases, Department of Medicine, Faculty 
of Medicine, Chiang Mai University, Chiang 
Mai, Thailand; Research Institute for Health 
Sciences, Chiang Mai University, Chiang Mai, 
Thailand
8.7.6: Talaromyces (Penicillium) marneffei 
infection
Erik R. Swenson VA Puget Sound Health Care 
System, Division of Pulmonary and Critical Care 
Medicine, University of Washington, Seattle, 
WA, USA
10.3.6: Diseases of high terrestrial altitudes
Anthony Swerdlow The Institute of Cancer 
Research, University of London, London, UK
5.1: Epidemiology of cancer
David Taggart University of Oxford, Oxford, UK
16.13.6: Coronary artery bypass and valve 
surgery
Kathy Taghipour The Whittington Health NHS 
Trust, London, UK
23.4: Autoimmune bullous diseases
Penelope Talelli Homerton University Hospitals 
NHS Trust, UK
24.7.1: Subcortical structures: The cerebellum, basal 
ganglia, and thalamus
Paolo Tammaro Associate Professor, Department 
of Pharmacology, University of Oxford, 
Oxford, UK 
3.4: Ion channels and disease
C.T. Tan University of Malaya, Kuala Lumpur, 
Malaysia
8.5.7: Nipah and Hendra virus encephalitides
Chen Sabrina Tan Harvard Medical School, Boston, 
MA, USA
8.5.19: Papillomaviruses and polyomaviruses
T.M. Tan Consultant in Diabetes, Endocrinology, 
and Metabolic Medicine, Imperial College 
London, London, UK
13.8: Pancreatic endocrine disorders and multiple 
endocrine neoplasia; 15.9.1: Hormones and the 
gastrointestinal tract; 15.9.2: Carcinoid syndrome
David Taylor-​Robinson Section of Retrovirology 
and GU Medicine, Department of Infectious 
Diseases, Wright-​Fleming Institute, Faculty of 
Medicine, Imperial College London, London, UK
8.6.45: Chlamydial infections; 8.6.46: Mycoplasmas
F. Teo National University Hospital, National 
University Health System, Singapore, China
18.11.1: Diffuse parenchymal lung disease: An 
introduction
R.V. Thakker Academic Endocrine Unit, University 
of Oxford, OCDEM, Churchill Hospital, 
Oxford, UK
13.4: Parathyroid disorders and diseases altering 
calcium metabolism
Nishanthi Thalayasingam Faculty of Medical Sciences, 
Newcastle University and Musculoskeletal Unit, 
Newcastle upon Tyne Hospitals NHS Foundation 
Trust, Newcastle upon Tyne, UK
2.7: Biological therapies for immune, 
inflammatory, and allergic diseases
Richard J. Thompson Professor of Molecular 
Hepatology, Institute of Liver Studies, King’s 
College London, London, UK
15.24.7: Liver and biliary diseases in infancy and 
childhood
S.A. Thorne University Hospital, Birmingham, UK
16.12: Congenital heart disease in the adult
Guy E. Thwaites Oxford University Clinical Research 
Unit (OUCRU), Ho Chi Minh City, Vietnam
24.11.1: Bacterial infections
C. Louise Thwaites Oxford University Clinical 
Research Unit, Hospital for Tropical Diseases, 
Ho Chi Minh City, Vietnam; Centre for 
Tropical Medicine and Global Health, Nuffield 
Department of Medicine, University of Oxford, 
Oxford, UK
8.6.23: Tetanus
Adam D. Timmis Barts Heart Centre, Queen Mary 
University London, London, UK
16.13.3: Management of stable angina
Stephen M. Tollman University of the 
Witwatersrand, Johannesburg, South Africa; 
MRC/​Wits Rural Public Health and Health 
Transitions Research Unit, School of Public 
Health, Faculty of Health Sciences; INDEPTH 
Network (International Network for the 
Demographic Evaluation of Populations and 
Their Health), Accra, Ghana, South Africa; 
Centre for Global Health Research, Umeå 
University, Sweden
2.18: Fostering medical and health research in 
resource-​constrained countries
Maciej Tomaszewski Division of Cardiovascular 
Sciences, University of Manchester, 
Manchester, UK
16.17.4: Mendelian disorders causing 
hypertension
Charles Tomson Consultant Nephrologist,  
Freeman Hospital, Newcastle upon  
Tyne, UK
21.13: Urinary tract infection
Pat Tookey Honorary Associate Professor, 
Population, Policy and Practice Research  
and Teaching Department, University College 
London Institute of Child Health,  
London, UK
8.5.13: Rubella
Peter Topham Consultant Nephrologist,  
John Walls Renal Unit, University Hospitals  
of Leicester NHS Trust, Leicester, UK
21.8.2: Thin membrane nephropathy
Nicholas Torpey Consultant Physician and 
Nephrologist, Cambridge University Hospitals, 
Cambridge, UK 
21.7.3: Renal transplantation
Thomas A. Traill Division of Cardiology, Johns 
Hopkins Hospital, Baltimore, MD, USA
16.10: Tumours of the heart; 16.11: Cardiac 
involvement in genetic disease
A.S. Truswell University of Sydney, Sydney, NSW, 
Australia
11.5: Diseases of affluent societies and the need for 
dietary change
Steven Tsui Consultant Cardiac Surgeon, Royal 
Papworth Hospital, Cambridge, UK
16.5.5: Cardiac transplantation and mechanical 
circulatory support
Youyou Tu Professor, Department of Chemistry, 
Institute of Chinese Materia Medica, China 
Academy of Chinese Medical Sciences, 
Beijing, China
2.8: Traditional medicine exemplified by 
traditional Chinese medicine
D.M. Turnbull Wellcome Trust Centre for 
Mitochondrial Research, Newcastle University, 
Newcastle upon Tyne, UK
24.19.5: Mitochondrial disease
A. Neil Turner Professor of Nephrology,  
University of Edinburgh, Queen’s Medical 
Research Institute (CIR), Edinburgh, UK
21.10.8: Infection-​associated nephropathies; 
21.10.9: Malignancy-​associated renal disease
Tabitha Turner-​Stokes MRC Clinical Research 
Fellow, Centre for Inflammatory Disease, 
Department of Medicine, Imperial College 
London, London, UK
21.8.6: Membranoproliferative 
glomerulonephritis
Holm H. Uhlig Translational Gastroenterology 
Unit and Department of Paediatrics, 
University of Oxford, John Radcliffe Hospital, 
Oxford, UK
15.15: Congenital abnormalities of the 
gastrointestinal tract
Magnus Unemo WHO Collaborating Centre for 
Gonorrhoea and other STIs, Örebro University 
Hospital, Örebro, Sweden
8.6.6: Neisseria gonorrhoeae; 8.6.45 Chlamydial 
infections
Robert Unwin Department of Renal Medicine, 
University College London, London, UK
21.1: Structure and function of the kidney


Contributors
lxv
John A. Vale National Poisons Information Service 
(Birmingham Unit) and West Midlands Poisons 
Unit; City Hospital, Birmingham; School 
of Biosciences, University of Birmingham, 
Birmingham, UK
10.4.1: Poisoning by drugs and chemicals
Patrick Vallance GlaxoSmithKline, London, UK
16.1.1: Blood vessels and the endothelium
Greet Van den Berghe Clinical Division and 
Laboratory of Intensive Care Medicine, 
Department of Cellular and Molecular 
Medicine, KU Leuven University, B-​3000 Leuven, 
Belgium
17.9: Metabolic and endocrine changes in acute 
and chronic critical illness
Steven Vanderschueren Leuven Research 
Department of Microbiology, Immunology 
and Transplantation, Laboratory for Clinical 
Infectious and Inflammatory Disorders, Clinical 
Department of General Internal Medicine, 
University Hospital Leuven, B-​3000 Leuven, 
Belgium
8.2.2: Fever of unknown origin
Sirivan Vanijanonta Department of Clinical  
Tropical Medicine, Faculty of Tropical  
Medicine, Mahidol University,  
Bangkok, Thailand
8.11.3: Lung flukes (paragonimiasis)
Anita Vas-​Falcao London School of Hygiene and 
Tropical Medicine, London, UK
9.1: Epidemiology of sexually transmitted 
infections
Nikos Vasilakis Department of Pathology,  
Center for Biodefense and Emerging Infectious 
Diseases, Center for Tropical Diseases,  
Institute for Human Infections and Immunity, 
University of Texas Medical Branch, Galveston, 
TX, USA
8.5.14: Flaviviruses excluding dengue
Diana Vassallo Specialist Registrar, Department of 
Renal Medicine, Salford Royal NHS Foundation 
Trust, Salford, UK
21.10.10: Atherosclerotic renovascular disease
Birgitte Vennervald Section for Parasitology 
and Aquatic Diseases, Faculty of Health and 
Medical Sciences, University of Copenhagen, 
Copenhagen, Denmark
8.11.1: Schistosomiasis
Vanessa Venning Department of Dermatology, 
Churchill Hospital, Oxford, UK
23.2: Clinical approach to the diagnosis of skin 
disease
Anilrudh A. Venugopal Los Angeles, CA, USA
8.6.11: Anaerobic bacteria
Kristien Verdonck Institute of Tropical Medicine, 
Antwerp, Belgium
8.5.25: HTLV-​1, HTLV-​2, and associated  
diseases
Christopher M. Verity Addenbrookes Hospital, 
Cambridge, UK
24.20: Developmental abnormalities of the central 
nervous system
Benjamin A. Vervaet Laboratory of 
Pathophysiology, University of Antwerp, 
Antwerp, Belgium
21.9.2: Chronic tubulointerstitial nephritis
Diego Viasus Division of Health Sciences, Faculty of 
Medicine, Universidad del Norte, Barranquilla, 
Colombia
8.6.39: Legionellosis and Legionnaires’ disease
Angela Vincent Hon Cons Immunology, Nuffield 
Department of Clinical Neurosciences, John 
Radcliffe Hospital, Oxford, UK
24.24: Autoimmune encephalitis and Morvan’s 
syndrome
Raphael P. Viscidi Johns Hopkins Medical 
Institution, Baltimore, MD, USA
8.5.19: Papillomaviruses and polyomaviruses
H. Josef Vormoor Clinical Director,  
Department of Hemato-​oncology, Princess 
Máxima Center for Pediatric Oncology,  
Utrecht, the Netherlands 
22.4.2: Acute lymphoblastic leukaemia
Theo Vos University of Washington, WA, USA
2.3: The Global Burden of Disease: Measuring the 
health of populations
Henry J.C. de Vries Academic Medical Centre,  
University of Amsterdam, Amsterdam, the 
Netherlands
9.7: Anogenital lumps and bumps
Paresh Vyas Professor of Haematology, MRC 
Molecular Haematology Unit, Weatherall 
Institute of Molecular Medicine, Radcliffe  
Department of Medicine, University of Oxford; 
Consultant Haematologist, Department of  
Haematology, Cancer and Haematology  
Centre, Churchill Hospital, Oxford  
University Hospitals NHS Foundation Trust,  
Oxford, UK
22.2.1: Cellular and molecular basis of 
haematopoiesis
Peter D. Wagner Division of Physiology at the 
Department of Medicine, University of California 
San Diego, CA, USA
18.1.2: Airways and alveoli
Nicholas Wald Institute of Health Informatics, 
University College London, London; Population 
Health Research Institute, St George’s University of 
London, London; Division of Medical Screening 
and Special Testing, Department of Pathology and 
Laboratory Medicine, The Warren Alpert Medical 
School of Brown University, Rhode Island, USA
2.12: Medical screening
Herman Waldmann Sir William Dunn School of 
Pathology, University of Oxford, Oxford, UK
3.8: The evolution of therapeutic antibodies
Jane Walker Psychological Medicine Research, 
University of Oxford Department of Psychiatry, 
Warneford Hospital, Oxford, UK
26.2: The psychiatric assessment of the medical patient;
26.3.4: Low mood
Matthew C. Walker National Hospital of Neurology 
and Neurosurgery and UCL Institute of 
Neurology, Queen Square, London, UK
24.5.2: Narcolepsy
Elizabeth Wallin Transplant Research Immunology 
Group, Nuffield Department of Surgical Sciences, 
University of Oxford, Oxford, UK
4.7: Principles of transplantation immunology
Sarah Walsh King’s College Hospital,  
London, UK
23.16: Cutaneous reactions to drugs
T.E. Warkentin Professor, Department of Pathology and 
Molecular Medicine and Department of Medicine, 
Michael G. DeGroote School of Medicine, McMaster 
University, Hamilton, ON, Canada
22.7.5: Acquired coagulation disorders
David A. Warrell Nuffield Department of Clinical 
Medicine, University of Oxford, Oxford, UK
8.5.10: Rhabdoviruses: Rabies and rabies-​related 
lyssaviruses; 8.5.11: Colorado tick fever and other 
arthropod-​borne reoviruses; 8.5.27: Orf and 
Milker’s nodule; 8.5.28: Molluscum contagiosum; 
8.6.34: Relapsing fevers; 8.13: Pentastomiasis 
(porocephalosis, linguatulosis/​linguatuliasis, 
or tongue worm infection); 10.4.2: Injuries, 
envenoming, poisoning, and allergic reactions 
caused by animals; 10.4.3: Poisonous fungi; 
24.11.2: Viral infections
Mary J. Warrell Oxford Vaccine Group, University of 
Oxford, Oxford, UK
8.5.10: Rhabdoviruses: Rabies and rabies-​related 
lyssaviruses; 8.5.11: Colorado tick fever and other 
arthropod-​borne reoviruses
John A.H. Wass University of Oxford, Oxford, UK
13.2.1: Disorders of the anterior pituitary gland; 
13.2.2: Disorders of the posterior pituitary gland;
13.10: Hormonal manifestations of non-​endocrine 
disease
Lawrence Waterman Loughborough University, 
Loughborough, UK; Park Health and Safety 
Partnership, Aylesbury, UK
10.2.2: Occupational safety
Laurence Watkins The National Hospital for 
Neurology and Neurosurgery, London, UK
24.10.3: Traumatic brain injury
Peter Watkinson Nuffield Department of Clinical 
Neurosciences, University of Oxford, Oxford, UK
8.1.2: Clinical features and general management of 
patients with severe infections
Richard A. Watts Department of Rheumatology, 
Ipswich Hospital, Ipswich; Norwich Medical 
School, University of East Anglia, Norwich, UK
19.11.9: Small vessel vasculitis
Richard W.E. Watts† Division of Inherited Metabolic 
Diseases, Northwick Park Hospital, London, UK
12.1: The inborn errors of metabolism: general 
aspects; 12.4: Disorders of purine and pyrimidine 
metabolism
David J. Weatherall† Weatherall Institute of 
Molecular Medicine, Radcliffe Department of 
Medicine, University of Oxford, Oxford, UK
22.6.2: Anaemia: Pathophysiology, classification, 
and clinical features; 22.6.3: Anaemia as a 
challenge to world health; 22.6.7: Disorders of the 
synthesis or function of haemoglobin
G.J. Webb Centre for Liver and Gastrointestinal 
Research, Institute of Immunology and 
Immunotherapy, University of Birmingham, 
Birmingham, UK
15.23.2: Autoimmune hepatitis
Lisa J. Webber St Mary’s Hospital, Imperial College 
Healthcare NHS Trust, London, UK
13.6.1: Ovarian disorders
George J. Webster Consultant Hepatologist and 
Gastroenterologist, University College Hospital 
and Royal Free Hospital, London, UK
15.3.2: Upper gastrointestinal endoscopy
† It is with great regret that we report that Richard W.E. Watts died on 11 February, 2018 and David J. Weatherall died on 8 December, 2018.


Contributors
lxvi
Anthony P. Weetman University of Sheffield, 
Sheffield, UK
13.3.1: The thyroid gland and disorders of thyroid 
function; 13.3.2: Thyroid cancer
Robert A. Weinstein Rush University, Chicago, 
IL, USA
8.6.4: Staphylococci
Louis M. Weiss Department of Pathology, 
Division of Parasitology and Tropical Medicine; 
Department of Medicine, Division of Infectious 
Diseases, Albert Einstein College of Medicine, 
Bronx, NY, USA
8.7.7: Microsporidiosis; 8.8.7: Cystoisosporiasis
Robin A. Weiss University College London, London, UK
8.5.26: Viruses and cancer
Peter F. Weller William Bosworth Castle Professor 
of Medicine, Harvard Medical School, Boston; 
Chief of the Infectious Diseases and the Allergy 
and Inflammation Divisions, Beth Israel 
Deaconess Medical Center, Boston, MD, USA
22.3.8: Eosinophilia
A.U. Wells Interstitial Lung Disease Unit, Royal 
Brompton Hospital, London, UK
18.11.1: Diffuse parenchymal lung disease: An 
introduction; 18.11.2: Idiopathic pulmonary 
fibrosis; 18.11.3: Bronchiolitis obliterans and 
cryptogenic organizing pneumonia; 18.11.4: The 
lung in autoimmune rheumatic disorders; 
18.11.5: The lung in vasculitis
Simon Wessely Department of Psychological 
Medicine, King’s College London, London, UK
26.4.2: Psychological treatments
Gilbert C. White, II Aster Chair for Medical 
Research, Executive Vice President for Research, 
Director, Blood Research Institute, Versiti; 
Professor of Medicine, Biochemistry, and 
Pharmacology, Associate Dean for Research, 
Medical College of Wisconsin, Milwaukee, 
WI, USA
22.7.1: The biology of haemostasis and thrombosis
Nicholas J. White Centre for Tropical Medicine and 
Global Health, Nuffield Department of Medicine, 
University of Oxford, Oxford, UK
8.8.2: Malaria
Hilton C. Whittle Faculty of Infectious and Tropical 
Diseases, London School of Hygiene and Tropical 
Medicine, London, UK
8.5.6: Measles
Anthony S. Wierzbicki Department of Metabolic 
Medicine/​Chemical Pathology, Guy’s and St 
Thomas’ Hospitals, London, UK
12.9: Disorders of peroxisomal metabolism 
in adults
Mark H. Wilcox Professor of Medical 
Microbiology, Microbiology, Old Medical 
School, Leeds General Infirmary, and University 
of Leeds, Leeds, UK
8.6.24: Clostridium difficile
Kate Wiles Department of Women and Children’s 
Health, King’s College London, London, UK
14.5: Renal disease in pregnancy
James S. Wiley Principal Research Fellow, Florey 
Institute of Neuroscience, and Mental Health 
Honorary Professor, University of Melbourne, 
Melbourne, Vic, Australia
22.6.8: Anaemias resulting from defective 
maturation of red cells
R.G. Will Professor of Clinical Neurology, 
Department of Clinical Neurosciences, 
University of Edinburgh, Edinburgh, UK
24.11.5: Human prion diseases
Lisa Willcocks Consultant Physician and 
Nephrologist, Cambridge University Hospitals, 
Cambridge, UK
21.8.3: Minimal change nephropathy and focal 
segmental glomerulosclerosis
Bryan Williams University College London, 
London, UK
16.17.1: Essential hypertension: Definition, 
epidemiology, and pathophysiology; 
16.17.2: Essential hypertension: Diagnosis, 
assessment, and treatment
David J. Williams Obstetric Physician, Institute for 
Women’s Health, University College London 
Hospital, London, UK
14.1: Physiological changes of normal pregnancy; 
14.2: Nutrition in pregnancy; 14.3: Medical 
management of normal pregnancy
Catherine Williamson Professor of Women’s 
Health, King’s College London and Honorary 
Consultant in Obstetric Medicine, St Thomas’ 
and King’s College Hospitals, London, UK
14.9: Liver and gastrointestinal diseases of 
pregnancy
Bridget Wills Centre for Tropical Medicine  
and Global Health, Nuffield Department of 
Medicine, University of Oxford, Oxford, UK; 
Oxford University Clinical Research Unit, 
Hospital for Tropical Diseases, Ho Chi Minh 
City, Vietnam
8.5.15: Dengue; 24.11.2: Viral infections
R. Wilson Royal Brompton and Harefield NHS 
Trust, London, UK
18.9: Bronchiectasis
Greg Winter MRC Laboratory of Molecular Biology, 
Cambridge, UK
3.8: The evolution of therapeutic antibodies
Miles Witham AGE Research Group, NIHR 
Newcastle Biomedical Research Centre, 
Newcastle University and Newcastle upon Tyne 
Hospitals Trust, Newcastle upon Tyne, UK
6.7: Drugs and prescribing in the older patient
Fenella Wojnarowska Nuffield Department of 
Medicine, University of Oxford, Oxford, UK
14.13: The skin in pregnancy; 23.4: Autoimmune 
bullous diseases
Edwin K.S. Wong Institute of Genetic Medicine, 
Newcastle University, Newcastle upon 
Tyne, UK
21.10.6: Haemolytic uraemic syndrome
James L.N. Wood University of Cambridge, 
Cambridge, UK
8.1.1: Biology of pathogenic microorganisms
Jonathan Wood Substance Misuse Psychiatry, 
Cambridgeshire and Peterborough NHS 
Foundation Trust, Cambridge, UK
26.5.4: Alcohol misuse
Kathryn J. Wood Transplant Research Immunology 
Group, Nuffield Department of Surgical Sciences, 
University of Oxford, Oxford, UK
4.7: Principles of transplantation immunology
Nicholas Wood University College London, 
London, UK
24.7.4: Ataxic disorders
Andrew F. Woodhouse Department of Infection 
and Tropical Medicine, Birmingham Heartlands 
Hospital, Birmingham, UK
8.6.32: Rat bite fevers (Streptobacillus moniliformis 
and Spirillum minus infection)
Jeremy Woodward Cambridge Intestinal Failure 
and Transplant Unit, Addenbrooke’s Hospital, 
Cambridge, UK
11.7: Artificial nutrition support; 15.2: Symptoms 
of gastrointestinal disease
Elaine M. Worcester Professor of Medicine, 
Nephrology Section, Department of Medicine, 
University of Chicago, Chicago, USA
21.14: Disorders of renal calcium handling, urinary 
stones, and nephrocalcinosis
B. Paul Wordsworth Emeritus Professor of 
Clinical Rheumatology, Nuffield Department 
of Orthopaedics, Rheumatology and 
Musculoskeletal Sciences, Botnar Research 
Centre, Nuffield Orthopaedic Centre, 
Headington, Oxford, UK
20.1: Skeletal disorders—​general approach and 
clinical conditions
Gary P. Wormser New York Medical College, NY, USA
8.6.33: Lyme borreliosis
Mark Wright Consultant Gastroenterologist, University 
Hospital Southampton, Southampton, UK
15.25: Diseases of the gallbladder and biliary tree
Channa Jayasumana Faculty of Medicine, Rajatrata 
University of Sri Lanka, Anuradhapura, Sri Lanka
21.9.2: Chronic tubulointerstitial nephritis
Muhammad M. Yaqoob Barts Health NHS Trust, 
Renal Unit, Royal London Hospital, London, UK
21.17: Urinary tract obstruction
Hasan Yazici Department of Medicine 
(Rheumatology), Academic Hospital, 
Istanbul, Turkey
19.11.10: Behçet’s syndrome
Lam Minh Yen Oxford University Clinical Research 
Unit, Hospital for Tropical Diseases, Ho Chi 
Minh City, Vietnam
8.6.23: Tetanus
Duncan Young Nuffield Department of Clinical 
Neurosciences, University of Oxford, 
Oxford, UK
8.1.2: Clinical features and general management of 
patients with severe infections
Katherine Younger School of Biological and Health 
Sciences, Technological University Dublin, 
Dublin, Ireland
11.3: Minerals and trace elements
Sebahattin Yurdakul Division of Rheumatology, 
Department of Medicine, Cerrahpasa Medical 
Faculty, University of Istanbul, Istanbul, Turkey
19.11.10: Behçet’s syndrome
Alberto Zanella Oncohematology Unit—​
Pathophysiology of Anemias Unit, Foundation 
IRCCS Ca’ Granda Ospedale Maggiore, Milan, Italy
22.6.10: Erythrocyte enzymopathies
Adam Zeman Professor of Cognitive and 
Behavioural Neurology, University of Exeter 
Medical School, Exeter, UK
24.2: Mind and brain: Building bridges between 
neurology, psychiatry, and psychology
Clive S. Zent University of Rochester Medical 
Center, Rochester, NY, USA 
22.4.5: Chronic lymphocytic leukaemia


SECTION 10
Environmental medicine, 
occupational medicine, and 
poisoning
Section editor: Jon G. Ayres
	10.1	 Environmental medicine, occupational 
medicine, and poisoning—Introduction   1637
Jon G. Ayres
	10.2	 Occupational health   1638
10.2.1	 Occupational and environmental health  1638
Raymond Agius and Debasish Sen
10.2.2	 Occupational safety  1652
Lawrence Waterman and Michelle Twigg
10.2.3	 Aviation medicine  1656
Michael Bagshaw
10.2.4	 Diving medicine  1664
David M. Denison and Mark A. Glover
10.2.5	 Noise  1671
David Koh and Tar-Ching Aw
10.2.6	 Vibration  1673
Tar-Ching Aw
	10.3 	Environment and health   1677
10.3.1	 Air pollution and health  1677
Om P. Kurmi, Kin Bong Hubert Lam,  
and Jon G. Ayres
10.3.2	 Heat  1687
Michael A. Stroud
10.3.3	 Cold  1689
Michael A. Stroud
10.3.4	 Drowning  1691
Peter J. Fenner
10.3.5	 Lightning and electrical injuries  1696
Chris Andrews
10.3.6 	Diseases of high terrestrial altitudes  1701
Tyler Albert, Erik R. Swenson, Andrew J. Pollard, 
Buddha Basnyat, and David R. Murdoch
10.3.7	 Radiation  1709
Jill Meara
10.3.8	 Disasters: Earthquakes, hurricanes, floods, and 
volcanic eruptions  1713
Peter J. Baxter
10.3.9	 Bioterrorism  1718
Manfred S. Green
	10.4 	Poisoning   1725
10.4.1	 Poisoning by drugs and chemicals  1725
John A. Vale, Sally M. Bradberry, and D. Nicholas 
Bateman
10.4.2	 Injuries, envenoming, poisoning, and  
allergic reactions caused by animals  1778
David A. Warrell
10.4.3	 Poisonous fungi  1817
Hans Persson and David A. Warrell
10.4.4 	Poisonous plants  1828
Michael Eddleston and Hans Persson
	10.5	 Podoconiosis (nonfilarial elephantiasis)   1833
Gail Davey