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NEWSLETTER JOURNAL A u t u m n / W i n t e r 2 0 1 4 I s s u e 4 8 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Vasculitis UK Shop Winston the V-UK bear invites you to view the goods available from the charity. We have a wide range of quality items which we are selling to raise awareness of vasculitis and to boost the Trust’s funds. All profits will go towards meeting the Aims of the charity. . Below are some of the items we have for sale. There are many other items and you can find details on the V-UK website: www.asculitis.org.uk/shop You can pay for goods from the shop by cheque or by PayPal. To order please visit the shop or e-mail: [email protected] Logo T-shirt - £11.25 + £2 p&p Running Vest - £11.99 + £2 p&p Zipped Hoody - £20.99 + £3 p&p Waterproof coat with hood - £20.99 + £3 p&p Winston bear - £12.75 + £3 p&p Wristbands - 99p + 75p p&p Victor rabbit - £12.75 + £3 p&p Set of 4 Pens - £1.99 +£1 p&p Introducing the new range of “V” Jewellery Made exclusively for Vasculitis UK by Lucy Riveiros Silver plated jewellery with blue, green and white diamantes Pendant + 16” chain £14.99 + £1 p&p Ring, sizeable - £7.99 + £1 p&p Stud Earrings - £9.99 + £1 p&p Cufflinks - £19.99 + £2 p&p To order by post send a note of your order, including the item name, size, colour and number required. Don’t forget your name and address + phone number in case of query. For the full range see: www.vasculitis.org.uk/shop Cheques should be made payable to Vasculitis UK. Please sent to V-UK Shop, c/o 37 Pinfold close, Swinton, South Yorkshire, S64 8JE, and allow up to 14 days for some items which are not kept in stock. Thank you 2 Lucy - V-UK Shop coordinator Vasculitis UK - Autumn /Winter 2014 www.vasculitis.org.uk A letter from the Chairman Our biannual Newsletter is the main showcase for Vasculitis UK, and is our most widely circulated publication. We are greatly indebted to former editor, Pat Fearnside, who has developed it into a very professional and informative newsletter. Starting with this edition, Pat has handed over to a new editor, Veronica Brunwin, who is also the mum of Danielle, one of our trustees. We are justly proud of the Vasculitis UK website. It attracts “hits” from all around the world. In the past year there were about 220,000 hits: 150,000 from the UK, 50,000 from the US, Canada, Australia, South. Africa and India . There were also a further 20,000 from the non English-speaking part of the world - places as remote as Iran, Korea, Azerbaijan, Chile and even Kyrgyzstan. But we are not complacent. The website is not static; the content is reviewed, revised. amended and added to on a daily basis by our webmistress Pat Fearnside. All the clinical content is written for us by world-leading specialists and is the best to be found anywhere on the Internet. We strive to be the best! We are sorry that this issue of the Newsletter is rather late, this was due to unforeseen technical difficulties. Hopefully the Spring one will be back on track. John Mills Chairman MAIN CONTENTS From the Editor Chairman’s report 2014 4 Creating a research strategy 5 Updates from V-UK funded research 6 100,000 Genomes project 7 Low mood and depression 9 UKIVas research 10 What is medical research? 11 Potential effects of Corticosteroid treatment 12 Young Vasculitis UK 13 Roving Reporter - Interview with 14 Chief cooks and bottle washers 16 Meeting the professionals 21 Postgraduate education afternoon 23 YOU CAN HELP – Please help us contribute to the Research strategy by completing the Questionnaire which will be posted to members shortly with a return paid envelope. Thank you in advance for your contribution. Vasculitis Symposium 2015 24 Veronica Brunwin Welcome to the Autumn/Winter Newsletter from Vasculitis UK. We hope you find it interesting and enjoyable. As you will see from the Chairman’s report and the Fundraising pages, our small charity is growing very fast indeed, and we hope that this bi-annual report to members and supporters reflects the diversity of activities in which the charity has been involved. As the charity’s level of activity grows, our ability to support and fund medical research is also growing. Within this newsletter are a number of articles which describe the projects currently being supported, but we could do more. The Trustees have been working on a Medical Research strategy, which will ensure that the Trust’s funds are properly used, and that we support the most worthy research projects. You can fund out more about the Research Strategy in the article on page 5, written by new Trustee, Mike Patnick. An important part of this work is a consultation exercise to find out the views of the charity’s members and supporters. 3 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Chairman’s Report 2014 - by John Mills at the AGM A Roundup of activities in the year to March 2014 It is just four years since Vasculitis UK arose like a phoenix from the ashes of the old Stuart Strange Vasculitis Trust. At that point there were under 500 members, an annual income of £40,000, mainly in the form of donations from people with vasculitis. Professor Lorraine Harper was the only link between Vasculitis UK and the medical professions and Birmingham QE the only hospital with which we had any link. In May 2014, Vasculitis UK had over 800 active members, with another 3000 followers in the online discussion groups on Facebook and Health Unlocked. Income at the end of the 2013-14 financial year was £167,000, a 60% increase on the previous year – with thanks due mainly to the efforts of all those wonderful fundraisers. We now have links with almost all the key vasculitis professionals and with most of the large hospitals – and we’re working on the rest. Support. SSVT was set up initially because the family of Stuart Strange could not find any information about Wegener’s Granulomatosis. In 1993 there was no internet, no leaflets, nothing. Our philosophy is that the patient who is wellinformed and educated about their illness and understands it is better able to manage it, cope with it and live with it. In contrast to1993, we now provide a one-to-one telephone and internet support, offering information and advice on health matters and other aspects such as welfare benefits. We also have the comprehensive and highly popular Vasculitis Route Map, which has just been republished in a more compact form as two separate books. Newsletter The biannual printed newsletter is the main showcase for Vasculitis UK. Thanks to former editor, Pat Fearnside, we now have a very professional newsletter. Pat has now retired as editor and we have a new editor, Veronica Brunwin, who is also the mum of Danielle, one of our trustees. Website The new Vasculitis UK website went “live” two years ago. It attracts ‘hits’ from all around the world and is excellently managed by Pat Fearnside. In the past year there were about 220,000 ‘hits’ from people worldwide, 150,000 from the UK, 50,000 from the USA, Canada, Australia, South Africa and India. There were another 20,000 from the non-Englishspeaking parts of the word; places as remote as Iran, Korea, Azerbaijan, Chile and even Kyrgyzstan. Online and Local Support The online discussion groups are also incredibly valuable sources of mutual support and mean that people suffering from a rare disease no longer need to feel alone and isolated. Then there are the growing number of local support groups all of which are independent and autonomous; but Vasculitis UK offers them encouragement and support . Patient/ Professional Partnership. This year we worked closely with the medical professionals in getting NICE to approve Rituximab. This involved a lot of writing of submissions and attending meetings. Trustee Lisa Ranyell attended three NICE meetings and I attended two on behalf of Vasculitis UK. We were able to share many members’ experiences of Rituximab with the NICE committee and I’m sure these were very influential. This was an excellent example of the power of patient power and the benefits of patients and professionals working together. Research. There are several ongoing research projects, the most important of which is probably the UK Vasculitis Registry. Clinical data is the key to clinical research. The UKIVAS database now contains the clinical records of over 1000 vasculitis patients in the UK and Ireland, which makes it the largest vasculitis clinical database in the world – and it’s growing fast. You will read elsewhere in this issue about many aspects of research and how you can help by personally taking part in research studies. Raising Awareness of Vasculitis Public awareness is not easy to raise, but over the past year the charity had a few exposures on television, several newspaper and magazine articles and, of course, all of those amazing fundraisers in the Vasculitis t-shirts. 4 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Creating a Research Strategy for Vasculitis UK - report by Mike Patnick As I am sure you are all aware, one of the main aims of Vasculitis UK is to fund research into vasculitis and to-date this has been on the basis of examining ad hoc requests to the charity to fund particular activities. As the charity has grown and the amount of money generously given to it has increased, it was clear to the Trustees that a more comprehensive and open approach was needed to ensure that the research it funds is the best available and gives the best “value for money”. To date the research strategy had been fairly broad so it was agreed by the Trustees that a more detailed and meaningful strategy should be developed and that formal methods agreed to ensure that the best available research is funded. In order to assist with this a Scientific Advisory Board has been formed under the Chairmanship of Professor David G.I. Scott - one of the foremost authorities on vasculitis,. Also on the Board are Dr David Jayne and Dr Richard Watts together with three Vasculitis UK Trustees. The SAB met for the first formal meeting in October to begin the process of producing a research strategy and a robust system of deciding which are the best research applications to fund taking account of the limited funds available, Research is an expensive business and there is no guarantee that research that the charity funds will be successful. However, by having a clear strategy and goals, together with stringent review (known as peer review) we can hopefully maximize the chance of success of the research the charity funds. As part of the strategy Vasculitis UK will be consulting with both patients and clinicians to obtain their view on the type of research they believe to be the best available use of charity money. This consultation will help compile the Research Strategy. This will clarify what we would like to fund and enable us to inform researchers of this so that they can develop their own research to be in line with what is needed to help make progress in dealing with vasculitis in all its forms. Producing this complete Strategy will take some time but once it is in place it will also help bring in additional funds from Universities the NHS and others to help the SAB make the money go further. Whilst this is being undertaken, and we do hope that you will take part in the survey, Vasculitis UK has issued a Call for researchers to apply for funds, which will enable the charity to succeed in its research aims. Treasurer’s Report - Financial Year 2013-2014 The Trust had an exceptionally good year so far as income was concerned. During 2013-14 income rose to the highest level yet recorded at £160,577 compared to £102,192 in the previous year, an increase of 57%. As in previous years the highest income came from fundraising via JustGiving.com which increased from £37,499 to £68,081, an increase of 81.6% Expenditure increased from £63,850 to £83,836, an increase of 33%. The largest individual expenditure was for Research at £44,474 compared to £25,000 in 2013-13, a rise of 78%. Printing of the Newsletter/Journal increased from £4,460 to £6,163, an increase of 38%. The increase was due to extra copies being printed for the two issues and the increase in postal charges. 5 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Updates from Vasculitis UK Funded Research Projects MYPAN - Trialling alternative treatment for childhood PAN Vasculitis UK is proud to be part funders of this international trial, which is being led by Dr Paul Brogan of Great Ormond Street Hospital for Children, and University College, London. The investigation is into the relative e f f ec ti ve ne ss of Myc o p he n ol at e ve rs us Cyclophosphamide in treating PAN (Polyarteritis Nodosa) in children. This is a rare condition, especially in children, hence the need to make it an international collaborative study involving other centres throughout Europe. Ethical committee approval for the trial was obtained in September 2014 and the research team is currently obtaining the remaining regulatory approvals. We hope to open approximately 40 centres across Europe; Great Ormond Street Hospital will be the first centre to open and recruiting participants, hopefully by the end of October 2014. This will be the first ever randomised controlled trial in childhood PAN, and if it is successful children will be spared the harmful sideeffects of Cyclophosphamide. DCVAS. (Diagnostic Criteria and Classification for Vasculitis) - a study to develop classification and diagnostic criteria for primary systemic vasculitis This very important multinational research study (one of the biggest of its kind) aims to develop new methods of diagnosing and classifying vasculitis. Having clear diagnostic criteria will help to reduce delays in making the correct diagnosis and starting appropriate treatment. There are currently no agreed diagnostic criteria for vasculitis, and the classification criteria were developed before the availability of modern tests and it is now time to revise these criteria. Volunteers with vasculitis are currently being recruited to take part in this important study. By volunteering, you won’t change the future for yourself, but you might help to make a huge difference for future vasculitis sufferers. To join the study, speak to your consultant. To be included in this study you must be:over 18 years of age with any form of vasculitis diagnosed less than two years ago willing to sign a consent form to allow examination of your medical notes willing to have either a face to face interview or telephone interview with one of the research team. You must also be a patient at a hospital which is participating in this study.** At 6 months post diagnosis there is a short follow up call or visit (usually during a routine hospital appointment) to confirm diagnosis and look at any residual symptoms. To date DCVAS researchers at over 120 hospitals across 32 countries have recruited over 4000 participants. The majority of participants who join the study will have vasculitis but 1,500 people will be those who initially presented with symptoms that could have been vasculitis but turned out to be something else. The data from this comparator group will be used to establish the diagnostic criteria. The DCVAS database is already contributing to further research questions into vasculitis and will continue to do so for years to come. This study is endorsed by the American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR). ** For a list of the participating centres or hospitals in the UK consult the Vasculitis UK website www.vasculitis.org.uk. For participating sites outside the UK contact [email protected] Check out some of the new pages on the V-UK website Takayasu's Arteritis - www.vasculitis.org.uk/about-vasculitis/takayasu-arteritis Behçet's Syndrome - www.vasculitis.org.uk/about-vasculitis/behcets-disease Pain management - www.vasculitis.org.uk/living-with-vasculitis/dealing-with-pain 6 Depression and low mood - www.vasculitis.org.uk/living-with-vasculitis/depression Patient choice - www.vasculitis.org.uk/living-with-vasculitis/patient-choices Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk The 100,000 Genome Project April 2003 saw one of the most significant scientific breakthroughs of modern times. After years of painstaking research carried out by thousands of dedicated scientists across the world, it was announced that a complete map of the human DNA – the genome – had finally been completed.. The Human Genome Project, as this work was known, was the largest international collaboration ever undertaken in biology, with British scientists leading the global race to read the human genome letter by letter, a technique called sequencing. The UK has often led the world in scientific breakthroughs and DNA was no exception. Crick and Watson discovered the double helix structure of DNA and it was a British double Nobel Prize winning scientist, Fred Sanger, who discovered how to sequence it. Now there is a real opportunity to turn the very important scientific discoveries about DNA and the way it works into a potentially life-saving reality for NHS patients across the country. What is genomics? Most of us have heard of genetics, the study of the way particular features or diseases are inherited through genes passed down from one generation to the next. But the more we learn about genes, the more we understand that the old idea of having a single gene for this, or a single gene for that, which determines your fate is not – except in the case of unusual inherited diseases - a good way of describing the complexity of genes. In fact, groups of genes work together and their activity is influenced by a huge variety of environmental and other factors. that were known to do things – about the same number as a starfish. The role of the remainder of a human’s genome – in fact a staggering 95 percent of it - was a mystery. Now we know that the remaining DNA is not irrelevant as was once thought but that much of it has a critically important role, influencing, regulating and controlling the rest. That’s why it’s necessary to sequence the whole human genome (rather than concentrating on bits of the 20,000 genes currently used for diagnosis in medicine) if we are to really understand the role of genes in health and disease. But people are very different, so studying only a small number of genomes would not be enough to give doctors and scientists a true picture of our genes and their relationship to disease. Another key point is that by itself, a genome can’t tell you very much. To make sense of it, it is essential to know much more about the person who donated it; details like symptoms and when they first started, and physiological measurements, like blood pressure (this sort of information is called phenotypic data and provided by clinicians) plus other data like previous illnesses, medications and other medical records. And this is where the NHS comes in. The way in which the NHS is able to link a whole lifetime of medical records with a person’s genome data and the fact it can do this on a large scale is unique. The richness of this data can help to understand disease and to tease apart the complex relationship between our genes, what happens to us in our lives and illness. You have a complete set of genes in almost every cell in your body. One set of all these genes is called a genome. Genomics is the study of the whole genome and how it works but has also come to have a broader meaning to include the way that the genome is interpreted and the technologies that have been developed because of it. Why this focus on genomics now? When the first draft of the whole human genome was announced it was claimed that it would revolutionise medical treatment. It had taken 13 years and over £2 billion to laboriously read every letter of our genetic code. It took such a long time because the DNA sequence of humans is very long – 3 billion letters – and because the sequencing machines available at the time were so slow and laborious. Now claims are made that a human genome can be sequenced in a few days for around £1000 and it’s the leap in the speed and cost of technology that has opened up the potential of genomics and brought it within reach of mainstream healthcare. Why sequence the whole genome? One of the great surprises from the Human Genome Project was that there were only about 20,000 genes What can genomics do? You can use it to predict how well a person will respond to a treatment or find one that will work best for them – so called personalised medicine. A good example in use already is whether or not a woman’s breast cancer is HER2 positive. If it is, Herceptin will be very effective for her but not for someone who doesn’t have the HER2 gene. Continued on page 8 7 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk The 100,000 Genome Project - continued You can also use genomics to test how well a cancer might respond to radiotherapy. For some that can mean far fewer radiotherapy sessions. Or use it to find the 20,000 people who currently use insulin for their Type 1 diabetes but would do better on simple tablets. Genomics can be used to track infectious disease, precisely pinpointing the source and nature of the outbreak through looking at the whole genomes of bugs. understanding of disease processes and the effect of different treatments is immense. The potential of genomics is huge, leading to more precise diagnostics or earlier diagnosis, new medical devices, faster clinical trials , new drugs and treatments and potentially, in time, cures. Elsewhere in this issue you can read about the UKIVas Registry and about the RUDY study. Patient databases like these, when eventually linked to the genomes of those whose clinical records are on the database, will lead to better treatment and greater understanding of what causes these diseases. You can contribute to this research by joining RUDY yourself or pressing your consultant to enrol you in the UKIVas Registry. The Department of Health, through Genomics England, is aiming to sequence the genomes of 100,000 NHS patients and link these to their medical records. The initial focus will be on rare diseases and cancer. The potential benefits of this for our What does this mean for vasculitis? Vasculitis researchers are already gearing up for this new era of genomics. With support from Vasculitis UK various projects are collecting patient data and blood or tissue samples. Vasculitis Awareness Reaches Whitehall Earlier this year Vasculitis UK had a wonderful opportunity to increase awareness at the highest level of government when the charity was invited to attend a round table meeting with Jeremy Hunt, then Secretary of State for Health. The round table meeting was organized by Arthritis Research and involved people with a group of similar conditions including osteoarthritis. osteoporosis, ankylosing spondylitis, rheumatoid arthritis and vasculitis. Tony Hart, whose son Giles has vasculitis, and who is an active supporter of Vasculitis UK, was the representative at the meeting. Tony took the opportunity to raise issues with the Minister that affect us all such as the availability of medical records between numerous professionals and treatment locations, and also out-of-hours support - something that comes up very regularly. A number of these themes were reflected by the Health Secretary in his closing remarks. They included: Recognising these conditions as long term Importance of continuing care GP time and training Joined up health records Self-car and management As Medical Director of Arthritis Research UK Professor Alan Silman said: “This was a fantastic opportunity for the Secretary of State to hear about the difficulties that the health and social care system can sometimes present to people with musculoskeletal conditions. With so many conditions represented around the table he will also have got a renewed sense of the diverse nature of the conditions and he need for greater personalization with the system. Vasculitis UK would like to thank Tony Hart for giving up his time to attend the meeting on behalf of vasculitis patients. 8 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Low Mood and Depression Having negative or gloomy thoughts Putting things off Can’t be bothered to do everyday tasks If these signs have been persistent and impacting on day to day life then you may need to seek help. Many patients with long term illness suffer from some degree of low mood or depression. This is a normal phenomenon and is often transient. Depression is a common treatable condition. Having depression does not mean that you are weak and lazy. It does mean that you have a serious condition which requires treatment. Depression is not the same as the normal feelings of sadness that people feel when they experience difficult events in their life. Depression prevents people from progressing normally with their lives, and taking part in activities they normally enjoy. These are just some of the signs someone may be depressed: Feeling low, sad, guilty, upset or numb, crying, Feeling alone or angry. Losing interest or enjoyment in things Sleep problems Changes in weight, appetite and eating When a problem persists this should be discussed with your GP or consultant. A short course of antidepressants may be prescribed. Occasionally counselling may be indicated. Improve your mood: A guide to managing low mood and depression Manchester Mental Health and Social Care Trust, has produced a guide which covers a number of different techniques to help you manage low mood and depression. The techniques are provided under the headings of "See it", "Treat it" and "Beat it". You can view the guide by visiting: w w w . va s c u l i t i s .o r g . u k / l i vi n g - wi t h - va s c u l i t i s / depression: Donating to Vasculitis UK The work of Vasculitis UK is entirely dependent on our fantastic supporters. Without your financial support we could not meet our aims of supporting patients, raising awareness and funding vasculitis research here in the UK. Whether your donation was £5 or £5000, the charity is so very grateful that you thought of us, and we send our heartfelt thanks. If you would like to support Vasculitis UK, you don’t need to run a marathon or jump out of a plane. There are many easy ways to make a voluntary donation by cheque, standing order (donation forms enclosed with this Newsletter) or via donations at JustGiving com or PayPal. Just £6 per year will pay for printing and posting your two Newsletters a year. Gift Aid Remember that Gift Aid can increase your donation by 25 per cent at no extra cost to you! For further information about donating to Vasculitis UK, please contact the Treasurer: Patricia Fearnside, 37 Pinfold Close, Swinton, South Yorkshire, S64 8JE - [email protected] - 01709 583722. Portsmouth Vasculitis Support Group The first meeting of the group was a resounding success. It was organised by Portsmouth Hospital, but they are looking for a lay-person to take over or to work with the present team. If you are interested please contact Susan Mills for further information. Details on page 28 9 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk UKIVAS Registry: nearly 2 years in operation and growing rapidly Richard Watts and Mark Little, UKIVAS registry cochairs As vasculitis is a rare disease we need to link many hospitals together to assemble a group large enough to allow us to ask and answer important questions about what causes the disease, who is likely to relapse, who we can stop treatment on and what the best treatment is. With generous support from Vasculitis UK and Kidney Research UK the UKIVAS registry was designed to achieve this across the British Isles. After a slow but steady initial recruitment, the number getting involved is now accelerating and 21 centres are now adding data, with others in the pipeline. I am delighted to report that we have to date recruited 1258 patients with vasculitis, making this probably the largest such registry in the world: Researchers and clinicians are starting to use this almost unparalleled resource to test their ideas. For example, investigators in Cambridge are interested in determining whether there are genetic reasons for the variation in response to rituximab and are using the data in the registry to identify people who have received the drug and to link this clinical information to DNA studies. On a wider horizon, we are looking at ways of joining the registry up with other registries around the world to create a “super-registry”, creating a data repository of a size never assembled before. The project owes its success to an ever suffering registry steering committee who have been pushing this project since 2010: Alan Salama, Raashid Luqmani, Paul Brogan, David Jayne, Mike Venning, Afzal Chaudhry, Jackie Andrews, Jo Robson, Anthea Craven, Neil Basu and Peter Lanyon. The critical software development has been done by Joe Rosa and Joe Barrett in Oxford University and we are grateful to administrative support provided by the Renal Registry. Walk price includes entrance to The Kitchen@Tower and a Thames Walk Goodie Bag including T-shirt, fundraising information, and more ! 10 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk What is “Medical Research” We all accept that medical research is essential if medicine, including diagnosis and treatment, is to change and improve. In these days of “Evidence Based Treatment” it is research that provides the evidence. The UK leads the world in vasculitis research. But what is “research”? We tend to think of research as being about test tubes and microscopes, but in reality, it comes in several forms:Scientific Research. This usually take place in a laboratory and may involve test tubes and microscopes, but often involves many other pieces of sophisticated, complex and very expensive equipment. Scientific research looks at the fundamental processes in a disease, often at cell level, including studying the biochemistry and how different components interact – such as ANCA. the data from genetic studies to understand how an individual’s genetic map relate to their disease experience. Literature Research. A great deal of research takes place worldwide. Literature research involves looking at all the published papers on a particular topic, then comparing the results from and the strength of the findings, then coming to a consensus conclusion. Collaborative Research. With a rare or very rare disease, any individual hospital or centre might have only a few patients with that disease. Good evidence requires strength of numbers to make it convincing, so some research involves numerous centres around the country, working together to an agreed protocol and sharing knowledge. This collaboration may be across centres in Europe or the US or worldwide. An example of this is the DCVas study which is led by Professor Raashid Luqmani at Oxford. It involves 150 centres worldwide – including the UK, Europe, US, Australia, Japan, South America – even Russia. Scientific research sometimes involves working on tissue cultures or occasionally even live animals, usually small mammals like mice that reproduce rapidly and have a high metabolic rate and short life span, making it easier to observe effects in subsequent generations. These specially bred mice may come from genetically modified stock. Pharmaceutical Research and Drug Trials Pharmaceutical companies carry out a great deal of innovative research which frequently follows up basic scientific research carried out in academic institutions. Developing completely new drugs is incredibly expensive. Clinical Research. This mainly takes place in larger teaching hospitals and involves patients. It might involve questionnaires, looking at how effective are different procedures and treatment, collecting blood and tissue samples, drug trials and looking at different aspects of disease. It may also involve healthy people as “controls” for purposes of comparison. Most of the drugs used in treating rare diseases like vasculitis were originally developed for other uses, such as treating cancer, treating more common diseases such as rheumatoid arthritis or for immune suppression in transplant surgery. Whatever the origins of the drug, there has to be extensive testing through drug trials to establish its safety, effectiveness and identify any undesired side effects. Database research. This involves looking at clinical information that has been collected over a period and stored in a database or several databases. Analysis of these data, which may be about hundreds of patients, can answer many questions. The UKIVas database is an example. Linking these data to new techniques such as genomic sequencing can answer many more. It is essential that different databases are compatible so that the data can be compared. The International Vasculitis and ANCA Workshop takes place every 2 years and is in London next year. This is the “showcase” for vasculitis research, where many hundreds of doctors gather to present and share their research papers. At the last conference, in Paris last year, 351 individual pieces of research were presented and discussed. A very high proportion of this research was carried out in the UK. Genetic Research. This is a rapidly expanding field of research, which has huge potential. It looks for the genetic factors behind the disease. However just looking at a person’s DNA means very little on its own; it also requires a wealth of available clinical data to link with We need your views Shortly you will receive a form for a survey being carried out by the new Vasculitis UK Scientific Advisory Board to decide what sort of research should be supported and funded by Vasculitis UK. This is your opportunity to influence the decisions. 11 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Potential Side Effects of Corticosteroid treatments Description: skeletal complications upon being treated with corticosteroids therapy are generally of two main types: with other diseases. Overall, these conditions (particularly avascular necrosis) are quite rare corticosteroid-induced side effects. Osteoporosis (= fragile bones). At later stages, osteoporosis increases the risk of fractures, including those of the vertebrae and the femur. Fractures of the vertebrae can occur after trauma or simply spontaneously during your everyday life. They generally are felt by pain in the back. This is followed by intense pain that requires immediate rest for relief. Subjects at risk: women are more at risk for osteoporosis or osteonecrosis than men. The risk of corticosteroid-induced osteoporosis increases with age. Also, certain conditions can predispose you to these bone complications. Finally, the risk increases with duration and dosage of cortisone. The risk of contracting osteoporosis increases even with low dosages (approximately 5 mg per day). Long-term versus short-term treatment: osteoporosis is a disease that can become active in the body in the earliest weeks of treatment. However, it usually becomes problematic in patients undergoing longterm corticosteroid therapy. The risk of avascular necrosis is greater in patients treated for longer periods as well. Prevention/treatment: the prevention and treatment of osteoporosis consists of lifestyle changes (exercise, abstaining from alcohol, no smoking, maintaining a healthy weight, regular intake of vitamin D and calcium) and when required, prescription drugs such as bisphosphonate. For post-menopausal women, menopause therapy may prove beneficial. There are no known preventative treatments of avascular necrosis. Other risk factors (especially alcohol) should be avoided. Treatment could involve surgery or a prolonged period of bed rest. Osteoporosis Avascular necrosis is the degeneration and destruction of a bone, commonly the femoral head. This is a result of a loss of blood supply to the bone. It comes in various forms and symptoms are not particular (sometimes there are none at all). These may include sudden pain in one hip or leg. However, there is usually a gradual onset of pain when one is standing or walking. This pain becomes less when the person rests. The condition progresses to eventually limit the individual’s movement and carry a limp. The diagnosis is made after the results of an X-ray or MRI. Frequency: the frequency of osteoporosis depends on the dose and duration of the corticosteroid therapy but also on the condition requiring cortisone treatment. For instance, it is more common in cases of rheumatoid arthritis but much rarer in cases of asthma. It is also the case for avascular necrosis which is much more common with cases of lupus than 12 Screening: a radiological bone scan may be required before corticosteroids to assess the patient's bone strength and decide whether preventative treatment of osteoporosis is needed. Regular scans and examinations of the patient's bones could follow. Avascular necrosis can be diagnosed by performing an X-ray or MRI. Reversibility: several studies show that osteoporosis improves in the months after cessation of corticosteroids. However, the lesions caused by osteonecrosis are irreversible. Vasculitis UK is indebted to Dr Laurence Fardet and his colleagues of the Internal Medicine Department at Saint Antoine Hospital, Paris, France for giving permission to reproduce this section from their website "Cortisone-info" (http://cortisone-info.com/). The website received the HONcode label in 2012 and it has not received any financial industrial support. Vasculitis UK - Autumn/Winter2014 www.vasculitis.org.uk Young Vasculitis UK - Why young people should talk to their peers Danielle Brunwin and Gareth Garner There is a lot of stigma associated with certain diseases such as vasculitis because people may look completely fine on the outside but inside is a very different matter. Today the group has 86 members, including several from other countries. There is very much a sense of camaraderie within the group and like in the main VUK group, many rush to the aid of those who need and ask for help. Young people talking to their peers about their illness can be a very stressful and a nervous time for some. However, it is definitely a good idea to explain your vasculitis in enough detail so your peers have a good understanding. This will allow them to adapt the way they go about certain tasks with you such as bike riding to help accommodate you. Such adaptations could allow you to feel less limited by your disease and help you recover and enjoy your life without being too hindered by vasculitis. Furthermore, a general knowledge of your own disease will allow your friends to know what can trigger certain symptoms and, in a worst case scenario, what to do in an emergency. As the administrators we would like to take this opportunity to announce some new improvements to the group. We are going to introduce the “Happy Monday” initiative. Every Monday we would like our members to post things that they have found helpful and positive: be it a piece of music, vitamin, exercise or new hobby - the possibilities are endless. Some tips that will help you to explain your illness are: Learn as much as possible about your type of vasculitis as they may ask questions Be aware that they may not have a good working knowledge of your problem Take your time and do not be embarrassed because after all they are your friends and will try their best to help you where possible. Just over a year ago, Vasculitis UK started a new venture by creating a new Facebook support group for young people, Young Vasculitis UK. Back in 1995 and even in 2011 when Danni and Gareth, the group’s two administrators were diagnosed, Vasculitis in young people was considered rare and a minority within the VUK community. Since then there has been a boom in the number of young people being diagnosed with Vasculitis. Our other new improvement is that we would love to hear about anything great that has happened in our members’ lives – perhaps a new job, an engagement, passing exams or making a really yummy cake. If you private message these events to Danni and Gareth we will put them in a featured post, which will change every week. This is so that we can celebrate the great achievements of our members. The post will be the first post people see when they look at the group to help keep our group a positive place of encouragement and support. We would love to invite anyone who is under 30 to join us on Facebook. You can join at: www.facebook.com/ groups/505201572880821/ Danni and Gareth Going through adolescence is hard enough without a chronic illness and there was a growing demand for a support network for the younger generation of Vasculitis sufferers to which VUK responded. Time for reflection and a smile 13 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk An Interview With - The Roving Reporter speaks to Lynne Jacques about her involvement with PACES medical exams Lynne was diagnosed with Microscopic Polyangiitis in 2010. Here she tells us about her involvement with PACES. Thanks for taking part in the interview Lynne. Perhaps we could start with you telling us what are the PACES exams? Membership of the Royal Colleges of Physicians (MRCP) is a postgraduate medical diploma in the United Kingdom (UK). The examinations are run by the Federation of the Medical Royal Colleges – the Royal College of Physicians of London, the Royal College of Physicians of Edinburgh, and the Royal College of Physicians and Surgeons of Glasgow and PACES is the Clinical Examination Part of the Exam. The hospital I attend does the exams for The Edinburgh College. It also does exams for its own students wanting to become registrars, then specialise. How did you become involved in the exams? I was found to have a fibrosis of the lung. My chest consultant asked if I would be willing to be a ‘patient’ for the PACES exams which are held 2 or 3 times a year. Of course, I said yes immediately. This is something our members probably know little about Lynne, so how does your day go? The examination centre is divided into stations and on arrival we are given a drink and if it is morning we can have some Danish pastries and orange juice and if afternoon we may be offered a lunch bag. I prefer the mornings because of the Danish, although this isn’t good for the diet but is very enjoyable. I am usually in a double room with another ‘chest patient’. The room is divided by a screen to offer privacy but we can, and do, talk. There is always someone on hand to attend to our needs. It’s all really friendly. What is the room like? It is set up as a hospital with a trolley bed with bedding and a bedside cabinet with everything that could be needed. A jug of water, hand sanitizer pens, pencils, paper and a peak flow meter. Over the bed there is a notice that says ‘This patient complains of breathlessness on exertion’. So, what happens next? We undress and put on a hospital gown (not terribly elegant). Then it is just a matter of waiting. There’s a good chance to relax, catch up with some reading., and there are always newspapers available. . The examiners come and introduce themselves and listen to my chest to see what the candidates will be able to hear. Apparently, on examination, one side of my chest sounds like Velcro. They also look for clubbing of the fingers and other clues which I don’t have. In my case the only thing is the ‘Velcro sound’ 14 which must be a bit difficult for them, but we are all individuals aren’t we? We may be examined from 3 to 10 times. The candidates are taken to each station in turn. They examine a patient for 10 minutes only and then are asked questioned for 5 minutes. The examiners discuss their findings when this is over and the candidates leave the room. It is always interesting to see if they agree with what I thought. What does the examination entail? A candidate will introduce him/her self and ask if they can examine me. They use the sanitizer and then it follows the same process. Visual - looking at hands, feet, eyes and listening to the chest. They are marked on how polite and careful they are. I remember one losing marks because he was too rough! And the examiners questions, what are the candidates asked? They are asked for their findings, what could have caused it and how what tests they would like to do to confirm the diagnosis. It is really interesting and you become quite good at guessing who will pass. You mentioned other stations. What happens there? So far I have met a lady with eye problems, a heart patient, and many others so I assume there will be most things covered. Sometimes people are pretending to have some illness. Last time a man had to pretend he had something terminal and the candidates had to break the news. Finally Lynne, you are doing a wonderful job in the teaching of doctors about vasculitis, but how do you feel about being a “guinea pig patient’? At first I felt I wanted to give something back, as I was really grateful for the care I had received. After learning about the process I am reassured that our doctors and G.P’s have to go through such a rigorous examination process. By the way, I always take a copy of the Vasculitis Newsletter and leave it visible (on the suggestion of one examiner) and am really pleased if a candidate mentions Vasculitis. If not there is always the chance they will go away and look it up! We certainly hope they do Lynne. Thank you for spreading the vasculitis word, and for giving us an insight into a different world. R.R Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk ”Carry on Nurse” or laughter really is the very best medicine Isabella makes us smile with some of her anecdotes about being thrown into the unexpected role of becoming a carer for her husband Ivor. At one point during his illness he had to be tube-fed and while tenderly holding his face to kiss him goodnight, I managed to pull on his breathing tube, which he assures me, is really uncomfortable and slightly stomach churning. The one that worried me most was when I managed to tangle his catheter tube in the wheel of his wheelchair. My hubby was shouting out in pain as the balloon was being tugged through. No one ever really expects to become a carer, it might enter our thoughts if an elderly parent becomes unwell, but otherwise we just take it for granted that everything will be fine and we'll lead full and healthy lives, as will our loved ones. Imagine my surprise when my previously fit and healthy husband became very unwell overnight, and our lives were turned upside down. As the months passed, he became increasingly more dependent on me. I had become a carer. Nobody prepares you for the role of being a carer. I've certainly never nursed anybody before, other than my children, I've never administered drugs before, and my only previous attempt at personal care resulted in me dropping my poor mum in law back into a bed pan of her own wee. Initially it was quite frightening as I struggled to offer the best possible standard of care that I could. I know it was also quite frightening for my hubby to be cared for by someone whom he knew had no previous experience. So what kind of carer have I become? Well I never before thought of myself as clumsy or bumbling, but it appears that I do have my moments and it generally results in either myself or my hubby being slightly injured or embarrassed. Our mishaps started quite early on when my hubby was immobile and I tried to help him shower, as he insisted only I could help. I attempted to help him into a standing position and he managed to head-butt-my cheek with considerable force. All the staff were laughing,. Me, well. I was crying. I did eventually find it funny. When my husband first needed to use a wheelchair, I thought, this will be just like pushing my children in a buggy. I was wrong as my hubby found out when I hit the kerb and almost tipped him out. I was helping to administer his nebuliser through a small oxygen bottle one day, when my hubby began flailing his arms around and pulling at his mask. The oxygen bottle was empty and he was slightly suffocating. As for bile bags, a whole new experience, the collector of forest green bile. When my hubby first had one fitted I picked it up to look at it and the nurse had not closed the tap so my lovely little pumps were covered in bright green bile. The most recent incident was by far the best yet. I had offered my hubby personal care but he refused, so I had a quick peek under the blanket to check he was ok "down below", and there was his toilet bag, under his legs. I put it in the bathroom and thought no more of it. The next day I offered my hubby a wash again and this time he gladly accepted. I went into his toilet bag and found something brown wrapped up in a couple of napkins. I wondered why has my hubby wrapped his poo up and put it in here. I tentatively picked it up, threw it into the toilet and flushed it. The offending package didn't go anywhere and the water in the toilet began to rise. I quickly plunged my hand in and pulled out the gift wrapped poo, it was at least a number one on the poo scale, so not too bad..........or was it? No it was his jacket potato from lunch that he had hidden! The catalogue of disasters are far too many to mention and my family and friends have now nicknamed me "carry on nurse" (the more mature among us will know what that means). I know when talking to other carers that so many of them have similar experiences, we all try so hard to get it right and provide an extraordinary standard of care, or something like that. Everything about becoming a carer for someone who is very ill is stressful and tiring and at times you can feel overwhelmed. These are the times when my hubby and I manage to have fun remembering all these funny mishaps. Laughter is, after all, the very best medicine. Isabella Aston 15 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Chief Cooks and Bottle Washers Jann Landles is Hon Secretary of Vasculitis UK. She is also a Trustee of ARMA (Arthritis and Musculoskeletal Alliance). ARMA is an umbrella organisation representing over 40 health charities in the UK, and has great influence in the world of musculoskeletal and other immune diseases., particularly by representing the views of charities to government. Jann was recently asked to do a Blog for the ARMA e-News. This is reproduced below and details how a small charity like Vasculitis UK operates, and her involvement with both charities and how membership of ARMA. has impacted on our own charity. In the European Union, a disease is defined as rare when it affects less than 1 in 2000 people. The European Commission defines rare diseases as ‘lifethreatening or chronically debilitating diseases which are of such low prevalence that special combined efforts are needed to address them’. With 15 systemic vasculitis disease phenotypes and several subsets, some of these diseases being very rare but not all of them life threatening, you can begin to image the issues facing Vasculitis UK. Like many small charities, Vasculitis UK was created by relatives in response to the loss of a loved one. Running a national charity to support people with a vasculitis condition in the years before the internet proved difficult. The Trustees of Vasculitis UK looked at what issues they needed to tackle, and the funds they had to tackle them with, and realised that to achieve progress would require significant input by themselves and other willing volunteers. From feedback from members and their families, one of the first issues to be tackled was the provision of reliable information. In common with many patients when finding out that they have a chronic, incurable disease, they look for further information. What they found was often out of date and cause great alarm rather than reassurance. The trustees set out addressing this gap. With the specialist IT help, and working with a vasculitis specialist they build a body of accurate and current information that can be easily read by patients and non-specialist staff. This was made it available both through the web but also in printed material. The production of this information (the Route Map for Vasculitis) involved several Trustees and one acted as editor in a full- time commitment of six months. I joined the Trustees of Vasculitis UK in 2012 after being diagnosed with GPA (Wegener’s) while this labour of love was still in progress. Following the example of my fellow Trustees I also got involved working at an operational level. My initial task was to propose a revamp of the telephony used for the Help Line. This has proved a successful initiative and VUK trustees man the help line from their homes nationwide on a rotational basis, responding to enquiries on a wide range of topics such referral for a second opinion or accessing benefits. 16 Like many other charities Vasculitis UK is unfunded and relies entirely on donations from supporters. I have had a period of managing the fundraisers on behalf of the organisation. The fundraiser management role is time consuming however it is time well spent as vasculitis patients and their friends and family work very hard to support our objectives. With increasing numbers of people undertaking sponsored events on our behalf it has become necessary for Vasculitis UK to have several people taking an active role to ensure we take the time to process and thank everyone. While looking for opportunities to raise awareness of the condition supported by Vasculitis UK we identified that we needed the support of a large, more inclusive organisation. ARMA provided the framework and opportunities to network with other organisations with similar aims and issues. Having represented, Vasculitis UK at policy meetings and, seeing the value the organisation offered (including access to a wider range of resources that would not normally be available to a smaller charity run by volunteers), I decided to stand for Trustee. I hope that, in the role of ARMA trustee, I can work with the small charities involved and help them to represent their interest. Also, for the first time this year, the charity joined other ARMA members in the ARMA village at the rheumatology conference in Liverpool. This was our first conference, it was undertaken to raise awareness of the charity and Vasculitis conditions. It was organised and manned by Trustees. Even the Chairman has several roles including acting as a patient representative on a number of national and international bodies, reviewing treatment and guidelines such as EUVAS, as well as the Specialised Services Clinical Reference Group. So why do we do it? Why are we both chief cooks and bottle washers? Well it is not so long ago that all of us can remember the lack of information available when each of us was told of our conditions. The feedback we get such as “I use the information from Vasculitis UK to help healthcare providers understand the issues that affect me” or “Thank you so much. We sometimes feel really alone with this, your support means the world.” Jann Landles Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Fundraising with the UK Ghostbusters by Susan Mills Being involved as a trustee of Vasculitis UK brings a diverse range of experiences. Vasculitis UK has fantastic fundraisers and fundraising support. This support comes in all forms; and as well as all the wonderful fundraisers who take part in walks, marathons and cycling events, there are other more “unusual” events. were joined by Jacqui Moran, another VUK trustee, who lives in London. We are sometimes asked to take part in these events and it has involved dressing as pirates for a nautically -themed charity ball, or as witch and wizard for a fundraising Halloween party. The most unusual was a recent invitation to attend the “Film and Comic Convention” in London – a very new and different experience for us. In February of this year, very sadly, the actor Harold Ramis (best known as Dr Spengler in the ‘Ghostbusters’ 1980s film series) lost his life to c ompl ica tio ns f rom Vasculitis. He had suffered with this awful disease for two years. “The Ghostbusters” still have a huge fan base in the UK, but those boys and girls who were fans in the 80’s are now mature adults, creeping towards middle age, with more money in their pockets to indulge their fantasies and enthusiasms. Apparently there are many Ghostbuster groups of enthusiasts around the UK. They all meet occasionally to relive the Ghostbuster experience, attending the various film and comic conventions held throughout the UK in the Spring and Summer. Whilst doing so they support different charities. Following Harold Ramis’s death, the UK Ghostbuster enthusiasts tried desperately to find as much information as they could about vasculitis, a mysterious disease that not one of them had heard of before. Eventually they made contact with Vasculitis UK through the VUK website contact page. We were then asked if Vasculitis UK could be their chosen charity for 2014/2015. They asked for collection buckets, promotional material and information leaflets to share at these conventions. The first convention was in the Spring of this year in Newcastle, followed by another in Milton Keynes. As the UK Ghostbusters have learned more about Vasculitis their eagerness to support people diagnosed with Vasculitis has grown too. The most recent Film and Comic Convention Weekend was in London at the vast Earls Court Arena. John and I were invited to go and join the Ghostbusters at their stand and gain first-hand experience of visiting one of these conventions. We On arrival there was a long queue for tickets, but fortunately we waited in the lovely warm sunshine. It was very entertaining watching all the fanatical followers attending the convention, many dressed in their favourite fantasy character costumes – from “Star Wars” Storm Troopers and “Planet of the Apes” primates to Dr Spock, “Dr Who” and Alice in Wonderland look-alikes. Being “Oldies”, I’m afraid the significance of many of the costumes was rather lost on us! On entering Earls Court we could hardly believe our eyes. There were dozens of stands, all devoted to their own particular film or comic series. There were stands with celebrities signing books and comics, a stage where people could act out their favourite character in front of an audience, and participation stands to have your photo taken with your favourite character We walked around in a daze, absolutely amazed and astounded by the variety and colourfulness of the stands, the enthusiasm of the people involved and the good humour and smiles on so many faces. 80,000 people had passed through the main entrance on the Saturday and on Sunday almost the same number were expected to attend. We were made very welcome by the Ghostbusters. It was fab to meet them all in person: girls and boys with an age range of around 30 to 40 . When we arrived at their stand they had already collected over £500 for VUK and had run out of leaflets and promotional material. We all chatted for a while and we met the founder of the group who informed us that they would like to make VUK their permanent official charity and support us in the foreseeable future. Jacqui, John and myself came away from our new experience of attending the “Film and Comic Con” with smiles on our faces, having seen so many friendly people enjoying themselves. We made new friends and had the thought that this might not be the only Film and Comic Convention we will attend! 17 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Thank you to our wonderful fundraisers Simon Coate competed in the Henley Triathlon, to raise funds, as his mum has Takayasu’s Arteritis. Congratulations, Simon on raising £249. Colin and Dan have cycled the 140 mile Coast to Coast route, from Whitehaven to Newcastle, in aid of Vasculitis UK. They finished the ride a day ahead of schedule – was the very small tent an incentive to keep cycling? Thank you for the donation of £755.00 Danielle Alton undertook the significant challenge of cycling from London to Paris in July, despite having fractured her wrist. Along with her friends, she reached her target and raised £185. Thank you! Young vasculitis patient, 15 year old Joe Akllen took part in the L’Eroica Britannia, a 55 mile race on 22 June because he wanted to raise money for fellow sufferers. The race took place in fantastic weather and Joe not only came second but raised £260. Well done Joe! Andy Bassett and four friends ran the Cambridge Half Marathon earlier this year: Andy was joined by Ashley Read, Paul Mills, Pete Stocker and Thom Dobbin who raised £659 between them. Thank you. Julie Brady decided to on a fundraiser with a World Cup theme in July - World Cup sweepstake, "beat the goalie" competition and cake stall with colleagues in Lancashire raised £387 which was matched by the Beaverbrooks Charitable Trust. Julie's husband, Steve, has vasculitis. Paul Brightwell's wife has recently been diagnosed with Vasculitis. They work together and because she was ill he didn't get time to shave. So he grew a beard and then shaved it off, raising £250 for Vasculitis UK as he did so. British 10K - Team Tavis’ have once again competed in the British 10k London Run 2014. They raised £935 in total. Another group of friends, Team Bowtell Dhami Tansey, entered on our behalf and raised a total of £1,011.72. Another of our wonderful runners was Melanie Brown, who raised £490 for VUK. Melanie is cousin-in-law to Martin Makin, who has also been actively running for Vasculitis UK. Congratulations to all the runners! Carol Bryant and Rachel Hulme have successfully run The Colour Run 5k in gratitude for the support provided to their family by VUK. They raised £395. Thank you. Andrew Delnevo and David Cartwright have been pushing themselves to the limits, running two grueling obstacle races over the summer the Spartan Legends and Dirty Dozen. David has been diagnosed with GPA, after 18 months of undiagnosed symptoms. They raised £260.00. Thank you from all at VUK. Another Coast to Coast challenge was completed by Emma Drinkall and Nick not forgetting Mouse their trusty companion, in honour of her ‘inspirational’ mother who has Vasculitis. Their donation of £845 is gratefully received. Bethany Edwards has done an 8 mile sponsored walk for Vasculitis UK and raised £95, because her grandmother (aka Cariad) has vasculitis. Well done, Bethany! David Elvidge, who is a member of Hunstanton Methodist Church, entered the Grand East Anglia Run on 4th May 2014, raising over £400. Gavin Fitzpatrick and Matt Draper have completed the Manchester to Blackpool Bike Ride 2014, in memory of Margaret Townsend, who, Matt writes, was just about the best mother in law you could have, and a great laugh, always up for a giggle. They have raised £403 for Vasculitis UK. Thank you. Great North Run - Several runners completed the Great North Run this year, in aid of Vasculitis UK. In spite of not being a fan of running, Faye Bell completed the race, and raised £494.44. Richard Holland ran in memory of his much loved Uncle Phil, and sends a donation of £620. Helen Mayor successfully jogged into South Shields in a time of 2 hours 23 minutes, her second time running the race since being diagnosed with GPA, and raised £515 in the process, and Annie Jennings also finished race and raised £200 in honour of her friend Fiona Elliott, who suffers from Cryoglobulinemia. Congratulations to all who took part – we are very grateful! Margaret Butler of Crewe raised £20 by selling knitted items to friends in April. Thank you, Margaret. The members of Castle Eden Golf Club, Castle Eden, Cleveland, have donated £1,250 to Vasculitis UK. This was from the “Donation Board” where charities are suggested by members and then receive a donation. Thank you for choosing us. 18 Continued in page 19: Vasculitis UK - Autumn/Winter2014 www.vasculitis.org.uk Thanks to our wonderful fundraisers - continued Loughborough Half Marathon. He not only completed the course, but raised £768 for Vasculitis UK. Matt McIlgrew raised £500 by running all 26.3 miles of the Brighton Marathon in April in memory of his friend, Tom Taylor, who died of Vasculitis in 2011 at the young age of 47. Following on from the success of a similar event in 2011, Holly Hampshire has organized a charity run and cycle ride in aid of Vasculitis UK. The contestants and their friends raised over £2,429.00. Thank you very much to everyone involved! Dave Hampton, father of Dan, completed the Henley Classic Swim, an upstream race in the freezing waters, of the River Thames, starting at 4.30am. Dave wanted to raise funds for Vasculitis UK, to help promote early diagnosis. Thank you to everyone who helped him to achieve his target of £900. Sheila Harrod has been leading choirs in Swindon for many years. To celebrate turning seventy she staged a number of events including a concert given by past students, including the talented Bean family. An exit collection raised £255.44 for Vasculitis UK. Debbie and Tom Hewitt reached the milestone of their Ruby Wedding anniversary on 6th July, and asked friends who celebrated with them to donate to Vasculitis UK, in support of vasculitis research projects. Thank you for your generous donation of £660. Nicola Hodgetts decided to give up Facebook for a whole month, to raise funds for Vasculitis UK. She claims that it is unhealthy obsession, but also writes that the information provided was very helpful when she was first diagnosed in 2009. We missed your posts, Nic, but are very grateful for the £322.50 you have raised. Tony Hookings competed in the Rat Race Dirty Weekend raising £80 for Vasculitis UK. Paul Hunter very bravely skydived for Jessica Watson who is aged 10 and has CNS. Paul raised the marvelous sum of £900 Jennifer Ironside recently scaled Ben Nevis, the highest mountain in Scotland with her partner, some friends and her dog, Nev, to raise awareness of Vasculitis. Thank you for your donation of £340. Shauna Morgan completed the Flora Women’s Mini Marathon, a 10k race held annually in Dublin. Shauna was diagnosed with WG in 2013 and we are grateful for the donation of over 700 € . Adam Perna of Twyford, Bucks entered the Silverstone Half Marathon in March 2014 to raise funds via Andy Bone's "SportsShots" for Vasculitis UK and for Macmillan. Adam raised over £1000 and just over £500 was donated to VUK. Claire Greenhow-Phillips of Tweeties Traders raised £573.74 with her fundraising stall event during Vasculitis Awareness Month. When Charlie Ponder, a 26 year old Drama and English teacher from North-Norfolk was diagnosed GPA on Valentine's day 2012, he set himself a number of challenges, including running a marathon... well this year he exceeded that by completing 3 and a bit marathons in four days, running around the Norfolk coastline. Congratulations, Charlie and thank you for raising £2051 for VUK. Isabel Rodriguez and mum Carol walked the route of the Camino Ingles (English Route) which is a pilgrimage route from Ferrol to Santiago de Compostela (the Shrine of St James) 120K in Northern Spain and raised £376 in memory of Isabel’s father Gonzalo Rodriguez Revoltos.. We are grateful for a donation of £200 from the Rotary Club of Wilton, and £50 from IPM Global Management of Peterborough. In June Irene Segerberg took part in the spectacular but cold, Great North Swim in Windermere. The event was in memory of Nicola Sanders who passed away at the age of 37 having been diagnosed with Wegener's at the age of 17. Irene raised £305. Susan Smith held a fundraising garden party for Vasculitis UK on 18th May. Family and friends helped to make cakes and run stalls and £525 was raised. Looks like it was great fun, Susan! Richard Kinsey successfully completed the Bristol 10km 2014 in May. Richard has Polyarteritis Nodosa, and raised £221 towards vasculitis research. T15 Cricket -- To stump out Vasculitis! Juhi Mahajan, who has vasculitis, organized a charity cricket match in aid of vasculitis. Everyone had a fun day and £500 was raised. Thank you, Juhi. Martin Makin has been a regular distance runner for many years, and was determined that cyclo treatment for GPA would not stop him competing in this year’s Continued on page 20 19 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Thanks to our wonderful fundraisers - continued Georgia Upjohn, Kathleen McGee, Chloe Hopwood and Ben (Georgia’s brother) completed a 1000 mile cycle ride from Lands End to John O’Groats. This was a fantastic achievement for the whole team, but especially for Ben who is 18 and was diagnosed with Polyarthritis Nodosa just over 12 months ago. Between them the team raised over a staggering £4,000. Charlotte Stoner and friends from the south West VSG, held a bric-a-brac sale during Vasculitis Awareness month, raising £163 – a princely sum in view it being held on a very wet and cold Bank holiday. Team Fred made it a family affair when they entered the South Coast Run 2014 in memory of Fred Sterling. Sally led the 10k runners all the way and was third overall for over 60s. Peter led the half marathon team. Well done to the whole team and all their supporters, who raised £2,925 for Vasculitis UK! Another of our annual fundraising events is the Annual Thames Riverside Walk. This may not be the longest trek in the fundraising calendar, but to many of its participants, walking for six miles across the bridges of London represents a major physical achievement. Congratulations to Helen Davies who completed the walk this year and raised £40. Also, to Vasculitis UK regulars the Hart family and friends, who raised £638, Sarah Ilott, who raised £30, and event organizer Jacqui Moran (£165). Additionally Shenfield High School, Essex made a donation of £100 towards the event from a Bake Sale held at the school. A team with a fascination for mud and water are Kelly Wright’s amazing friends and family who completed “The Rat Race Dirty Weekend” to raise money for VUK. Kelly’s mother Lorna, was an international Taekwon-do competitor and teacher, and the team undertook their challenge to remember this lovely lady, and raise £1,800 as well. Jessica Watson has been busy fundraising for VUK, On 15 April she organized a disco for her friends at Killingworth Social Club in North Tyneside, raising £500. This was followed by a bag pack at her local Morrisons Store raising over £300. Jessica is 13 and was diagnosed with Central Nervous System Vasculitis three years ago. She is thought to be the youngest person in the UK with CNS. Thank you Jessica. Unfortunately, there is insufficient space in the Newsletter to show all the photos we have of our fab-u-lous fundraisers, but they are available to view on the Vasculitis UK website. So why not visit, the Fundraisers Photo Gallery and maybe get some inspiration? www.vasculitis.org.uk/about/fundraisers-photo-gallery TRAVEL INSURANCE Vasculitis UK can provide you with information to help when claiming government benefits. If you are claiming or appealing about benefits then contact: Jann Landles [email protected] Vasculitis UK have a comprehensive list of companies who provide travel insurance for patients with pre-existing conditions. Details are available on the V-UK website: www.vasculitis.org.uk/living-with-vasculitis/ insurance or contact John or Susan Mills details on page 28 We’re on-line! Did you know ….. ? We have over 1000 Likes on our Facebook page. Nearly 1500 members in the Facebook Support group, 1842 members in the Health Unlocked Community, and over 1300 followers on Twitter? 20 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Meeting the Professionals As I’m sure everyone reading this will know, early diagnosis is key to successful treatment of vasculitis, and so Vasculitis UK is constantly searching for new ways to raise awareness among medical professionals of all the conditions in the spectrum. This year we focussed on medical specialists working in Rheumatology and Renal medicine, by attending their two main professional conferences as exhibitors. For both conferences, we set out two themes: by Professor Mark Little. He updated his audience on the progress of the vasculitis registry, a development that Vasculitis UK has helped to sponsor. 1) To demonstrate how patients and professionals by working together in partnership can improve care for vasculitis patients. We produced a poster with a corresponding leaflet to re-enforce this theme. 2) Our second theme was to stress the importance of early recognition and diagnosis and the serious consequences of delayed diagnosis. For this there was also an attentiongrabbing poster with a corresponding leaflet showing the symptoms commonly associated with vasculitis. As luck would have it, both conferences took place in the same week at different venues, Liverpool and Glasgow, so we needed two stands and two teams to man them. Here’s how we got on: British Kidney Week 2014, Glasgow Our arrival in Glasgow for Kidney Week 2014 was greeted by brilliant sunshine, and our hopes were high for this new venture in raising vasculitis awareness among medical professionals. Kidney Week was held from Tuesday 29 April to Friday 2 May at the SECC. This conference centre is located on the banks of the Clyde in an area that was once the industrial hub of the of the shipbuilding industry. A lone crane still stood silhouetted against the blue sky; a reminder of the past. Kidney Week is the annual conference for nephrologists and is hosted jointly by the British Renal Society and the Renal Association. Around 1,100 delegates - including surgeons, doctors, nurses, social workers, and pharmacists attended the four-day conference, the biggest multidisciplinary event of its kind. While none of the lectures were on Vasculitis, we were delighted to see several of the papers presented by doctors during the course of the conference were related to research into or on related vasculitis issues. A paper (abstract) on the observation from the long-term follow-up of several trials was delivered by Dr Matthew Morgan can still be seen on the Renal Association website. Many of you will know of Dr Matthew Morgan, as he worked with Trustee Pat Fearnside as one of the initial authors of the Vasculitis UK Route Map. There were also five other papers given on Vasculitis research from places like Birmingham University Hospitals and Imperial College London. Richard and I were particularly excited by the last of these papers presented On our stand we were kept busy talking to both consultants and specialist renal nurses. A large number of them expressed surprise that there was a Vasculitis charity, and were keen to learn more about the support services their patients can receive through us. All visitors approved of the information we provided on the Vasculitis conditions, and a number signed up for our newsletters At the stand we also saw many familiar faces, including Consultants who have over the years supported Vasculitis UK. Attendance at this conference has put in touch with new medical professionals who want to receive information on Vasculitis, and also taught us how we can be even more effective at future events. A lot of preparation goes into attending an event like Kidney Week and the Rheumatology Conference. I would thank my fellow trustees for putting in the effort to make the event a success: John Mills for suggesting the theme, Danni Brunwin for her design input and Pat Fearnside for reformatting the Vasculitis Route Map into a size suitable for conferences. BSR Conference, Liverpool On the 28th April 2014 I started my long journey to a city I had never ventured to before. All I knew about it was that it had reputation for football, the Titanic and hair rollers. My destination was, of course, Liverpool. When I arrived I was taken aback by the beautifully revitalized Liverpool Docks, which is where the conference centre is. Sadly, it was too foggy all week to take a ferry across the Mersey. The British Society of Rheumatologists conference took place over three days and more than 2,000 people attended. Mike Patnick and I were the core team with John and Susan joining us at the beginning. Continued on page 22: 21 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Meeting the Professionals continued We shared our allocated stand space with Polymyalgia Rheumatica & Giant Cell Arteritis UK and we were glad of the company as it was very quiet when the doctors were in sessions. It was PRMGCAUK’s first conference as well, so we learnt the ropes together, mainly taking advantage of the snack tables. PowerPoint's. We were also really well located so we were able to attract passing delegates. It was great to see familiar faces that work with our charity and to connect with new ones. We had a lot of interest from Rheumatology nurses which is fantastic as they often give practical advice and support to patients and they really liked our new smaller information booklets Attending this conference was the Launch-pad for forming new relationships with a range of medical practitioners and it was particularly rewarding to receive thanks from a number of doctors who we had not previously met, but who knew how we had helped some of their patients over the years. Social media played a large part of the conference so we used that to our advantage. One of our tweets was featured in the conference report, selected from the 1,365 tweets sent by attendees! Throughout the conference there were several talks and sessions about aspects of Vasculitis, most notably Richard Watts’ keynote lecture which featured a clinical overview of Vasculitis, starting from the earliest cases, right up to the present day. In addition, there was a session called “Vasculitis – meet the experts” with Prof Raashid Luqmani and Prof David Jayne. The topics were pre-selected by trainees following a survey, which means that young doctors are wanting to learn more about Vasculitis. Yay! I was really interested by a number of relevant poster presentations especially one on the “RUDY” study. It was particularly interesting as Prof Rashid Luqmani was promoting the value of the information gathered to the medical professionals present, whereas previously he had been taking a patient perspective. Vasculitis UK received great coverage in the sessions as our logo was shamelessly featured in certain doctors’ This conference was our new Trustee; Mike Patnick’s first outing wearing a Vasculitis UK badge. Mike had previously worked for Arthritis UK and he spent many hours networking and promoting Vasculitis UK to his existing contacts. We are very grateful for your hard work, Mike, and I appreciate you keeping me sane through the long working day. Unfortunately I didn't get to see much of Liverpool whilst I was there but I did help Vasculitis UK make some great new contacts and I am looking forward to helping maintain and develop these relationships in the coming years. Report by: Jann Landles (Glasgow) and Danni Brunwin (Liverpool) Vasculitis UK Vice Chair - Richard Eastoe The charity is sorry to announce that Richard Eastoe resigned as Vice Chair in the Spring. His resignation was a great loss to the charity although he will remain an active member of V-UK. His ability to see things clearly and to act as an arbiter (often necessary) are very much missed. Richard was well known to many of the medical professionals and he was a great ambassador for the charity. His knowledge of vasculitis will also be missed, but he is still regularly helping vasculitis patients on the Facebook and HealthUnlocked sites and giving a helping hand to Lynne and Jennifer at their Support Group meetings. We wish Richard and his partner Suze our very best wishes for their future. 22 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Postgraduate Education Afternoon - Imperial Vasculitis Centre There was some interesting discussion amongst the doctors about whether maintenance therapy should be reduced earlier because the outcomes of relapses had been shown to be no different. The thought was that patients could then be spared at least some toxic drug treatment. After the break came two case studies. On 5th March Richard Eastoe, together with John and Susan Mills attended the second Vasculitis education session organised by Professor Justin Mason at the Imperial Vasculitis Centre at Hammersmith Hospital in London. Professor Charles Pusey started the afternoon describing how they were working to build a multidisciplinary team to treat people with vasculitis at Hammersmith. They currently have an impressive list of ENT, Ophthalmology, Rheumatology, Renal, Cerebral and Respiratory specialists all working together to diagnose and treat vasculitis patients. The first presentation was entitled “The Eye in the Systematic Vasculitides” by Professor Susan Lightman from Moorfields Eye Hospital. Professor Lightman talked about the various eye problems that can occur in autoimmune diseases such as Behçet’s, Lupus and GPA (Wegener’s). She outlined some of the current studies and biologic treatments using Infliximab and Rituximab. The next presentation was by Professor Ann Morgan from St James’s hospital in Leeds entitled “The Role of Genetic Predisposition in GCA”. The first was a complicated case of a stroke patient with sinus and eye problems who was eventually diagnosed with GPA and Cerebral vasculitis. The conclusion was that stroke in ANCA associated vasculitis is poorly understood but that early intervention improves the outcome for such patients. The second study was a case of a patient with urticarial vasculitis and heart valve disease. The patient was eventually diagnosed with Hypocomplementemic Urticarial Vasculitis Syndrome (HUVS), this was despite not showing the typical antiC1Q autoantibodies that are normally found with the disease. To date, the staff at Imperial have only found 5 other similar cases of HUVS worldwide. The cases raise the question as to whether similar antibodies can be found both in cases of HUVS and valvular heart disease. This was another impressive meeting showing the level of interest there is in the research and treatment of vasculitis. I was particularly pleased to see, again, the interest not only in ANCA vasculitis but also in some of the more rare forms of the disease such as CNSV and HUVS. Professor Morgan talked about the UK GCA Consortium. This is a multi-centre study to establish the causes, development and clinical presentation of GCA & PMR. It also hopes to identify biomarkers for the diagnosis and monitoring of the disease. During the Q&A session there was a lot of discussion and sharing of experience around the use of ultrasound in order to get the best possible sample from temporal biopsies. Finally Dr Ruth Tarzi from Imperial gave a presentation on “Clinical Trials in ANCA and Large Vessel Vasculitis”. Dr Tarzi discussed many trials comparing the effectiveness and outcomes of different drug treatments and therapies. She concluded that there were still unmet needs for reducing the toxicity of treatments and for predicting the risk of relapses. Prof Justin Mason Prof Charles Pusey Richard Eastoe 23 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Provisional Notice - Vasculitis Patient Symposium Saturday 18th April 2015 The prestigious 17 th International Vasculitis and ANCA Workshop will be held in London from Sunday 19th to Wednesday 22nd April 2015. International experts in the field of vasculitis will be attending the Workshop. On Saturday 18th April, prior to the main Workshop, Vasculitis UK, in conjunction with several other vasculitis patient organisations, will be hosting the first UK National Vasculitis Patient Symposium. Negotiations are currently taking place to attract some of the top international experts in the field of vasculitis to speak at this event. The format will be a mix of short presentations and discussion sessions with panels of experts. Provisional topics being considered for presentations and discussion are: Fatigue, Neuropathy and Pain Management New developments in treatment, therapy and diagnostics New directions in research Developments in Genetic Research Large vessel vasculitis (Giant Cell Arteritis and Takayasu) Long term management of ANCA vasculitis NHS changes - the effects on vasculitis care Vasculitis in children Living with long term effects of vasculitis The team approach to vasculitis care: patients & professionals together Vasculitis: the influence of Lifestyle and Complementary Therapies Vasculitis: what is it, what causes it and where does it come from? The Patient Symposium will be held at the Business Design Centre, 52 Upper Street, London, N1 0QH The cost is likely to be around £60 per delegate pass. This includes a full lunch and all coffee breaks. Further details will be available shortly on the Vasculitis UK website: www.vasculitis.org.uk. Meanwhile please make a note of the date of the Vasculitis Patient Symposium - Saturday 18th April 2015. To pre-register an interest, contact [email protected] or phone 01629650549. It’s Official - being a pushy patient is good for you Professor David Haslam, Chairman of the National Institute of Health and Care Excellence (NICE) said on 2 October 2014 that NHS patients should adopt American attitudes and become more assertive to ensure they get the treatment they need. 24 In an interview with the Daily Telegraph he said that too many patients were not being offered medications already approved by NICE and that they should become more knowledgeable about their conditions and ask for dugs which should be prescribed for them. Professor Haslam, a former GP, said “The fundamental point is that it’s your body - and the more you understand about the drugs you are taking, or what you might be able to have, the better you are able to work with your doctor. Vasculitis UK - Autumn/Wionter 2014 www.vasculitis.org.uk In Memoriam Vasculitis UK often receives donations from bequests and funeral collections in memory of particular individuals who have suffered from vasculitis, or where vasculitis affects a family member. Our sympathies are extended to the families and friends of those mentioned below. The Trust is extremely grateful for families remembering us in this kind and generous manner,. All donations received will be used to fund the activities of the Trust, especially our research projects Beatrice C. Adkins of Solihull passed away on 13th June 2014 aged 93. Beatrice came from a large family, and was much loved by her family and friends who have donated £194. From 1964 onwards she helped her husband to run City Butchers in Birmingham, she was an active member of Shirley Methodist Church and had many hobbies. She was diagnosed with vasculitis in 2012 and was brave and courageous throughout – she was known as 'Wonder Woman' by the renal team. Christine Beck of Stanford in the Vale, Oxon has passed away aged 67. She developed vasculitis in August 2013 and died of the complications of her treatment. She enjoyed her rural life and her cheerful manner is much missed by her friends who have donated £101.to Vasculitis UK. Ellen Bettaney We are grateful for a donation from the Features department at The Times newspaper who have sent a donation of £300 in memory of Elle Bettaney who died recently. Grace Brumpton recently passed away aged 103 in Market Rasen. Lincolnshire. Her family have kindly made a donation of £200 for vasculitis research, Grace's grandson, James Clark, is a member of Vasculitis UK. Jean Cheek of Castle Carey, Somerset passed away in April after a short illness. She is remembered with love by her husband, David, and sister Janet. The Trust is grateful for their donation of over £600. Kenneth Child of Buckinghamshire. The Trust is grateful for an anonymous donation of £265 received in his memory. Valerie Culham of Ipswich. We are grateful for donations totalling £285 in memory of Valerie. Helen Mary Davies a much loved mother who had battled many illnesses including vasculitis, passed away in April 2014. Her family and friends in Norfolk have donated £529.in her memory. Neville Davies Neville, a member of Vasculitis UK, was a patient of Prof. Caroline Savage of Birmingham in 2000. He was a most determined man. He lived a further 14 years after Caroline Savage's timely intervention. Donations of £356 from family and friends are gratefully acknowledged. Barbara Evans died peacefully in hospital on 19 February 2014, from complications of vasculitis. She is much missed by her husband Roy and wider family, who have donated £269 in her memory. Dorothy Fagan The Trust is grateful for a donation of £95. Robert Fleming Bob was 94 when he passed away in June 2014. He played golf until he was 86, and only slowed down five years ago when he developed vasculitis. He is fondly remembered by his daughter Liz Rixon and we are grateful for a donation of £80. Ronald John Hughes We are very grateful to receive a donation of £100 in memory of Ron, from his widow, Janet. Ron had GPA (diagnosed in 2010) and he passed away in May 2011. Alfred Hurworth The Trustees are very grateful for a bequest of £20,000 received from the estate of the late Mr. Hurworth of Carnforth, Lancashire. Alf had vasculitis and was a long-standing member of Vasculitis UK. Bert Johnson of Aylesbury, Bucks is remembered by his wife, Shirley, and family and friends with a donation to VUK of £50. Bert served in the Royal Signals and was a keen cyclist, even making his own bikes. Donations have been shared between Vasculitis UK and the Florence Nightingale Hospice. Pamela Maitland of Mirfield, West Yorkshire passed away on 8 June. She was diagnosed with CSS in 2002, but her health deteriorated over the past 18 months. Pamela was 64 when she died. She was a lovely, caring and strong lady. She leaves behind her adoring husband Malcolm. She also leaves 2 daughters and 3 sons from her previous marriage. We are grateful for a donation of £136.from her family and friends. Jacky Matthews of Culcheth, Warrington passed away in Jan 2014. Jacky had vasculitis and had been ill for several years. Both Jacky and her husband Bob were members of Vasculitis UK. Jacky leaves her husband and three sons. Thank you for your donation of £265. John Francis May died on 22 June 2014. John lived in Southport and the Trust is very grateful for donations totalling £1766.received in his memory. IContinued.on page 26: 25 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk In Memoriam continued Vera Lilian Milne of Bristol passed away on 3 August 2014 aged 89. Vera was described by family as a lovely person who never complained, we are grateful for donations received in her memory totalling £306.. diagnosed with GPA six months previously. She was born in Derry, Northern Ireland and loved everything Irish, particularly the music and rugby. We are most grateful for the £350 donation sent by her family. Sheila Violet Munns Sheila was a member of Vasculitis UK (Cambridge group) and is sadly missed by her family and friends who have raised £623 in her memory. Her daughter, Carol Keys, tells us that she was devoted to her family, and didn’t let her illness stop her from going out and enjoying herself. Fred Sterling continues to be remembered by his family and friends: Margaret Neech, Fred’s mother-inlaw has sent £75 in memory of her very special sonin-law. “Team Fred” have also been fundraising for Vasculitis UK. Ronald Andrew Noble Peter Noble, an active member of Vasculitis UK, has made a donation of £50 in memory of his father, who passed away in September 2014. Kirit Patel (KP) The Trust is grateful to the Family and friends of Kirit who have donated over £940 in his memory to assist the research into the syndrome that took Kirit far too early. Kirit had Churg Strauss Syndrome and passed away in July 2014. Urmila Patel We are grateful for donations totalling £1046, kindly donated by family and friends in memory of this much loved mother and grandmother who passed away prematurely from complications of vasculitis. Jacqueline Robbins of Frinton Essex passed away in April 2014. Jacqueline was a member of the Frinton Community Singers who kindly donated £64. Nicola Sanders Thanks to Kathy Sanders who made a donation in memory of her daughter Nicola Sanders. Of £300. Nicola died 4 years ago aged 37. She was diagnosed with vasculitis aged 17, and died following complications of breast cancer. Philip Nigel Sidebottom of Huddersfield, a vasculitis patient, passed away in April and his family and friends have kindly donated £536 in his memory. Irene Spendlowe Our thanks go to the family and friends of Irene Spendlowe of Christchurch, Dorset who have donated £250 in her memory. Geoffrey Taylor of Farnborough, died on 20 February 2014. Geoffrey suffered from vasculitis for many years along with other illnesses, but throughout that time he battled on bravely. Geoffrey used to enjoy spending time with family and he had a number of hobbies. We are grateful for donations of £345 from family and friends in his memory. Margaret Thompson of Mansfield Woodhouse. Margaret suffered with vasculitis and fibromyalgia for several years, losing her battle on 27 January 2014 at the age of 80. She leaves a loving husband Barry and is remembered with affection as a very talented lady who inspired those she met. Her family and friends have donated £299 in her memory. Kenneth Townsend of Preston, Lancs, passed away on 4tJuly 2014 aged 78. Ken’s wife Margaret, who had vasculitis, died earlier this year, and their family have made donations and organised a fundraising bike ride in their memory. We are grateful for a donation of £225. Elsie Wilson Elsie was diagnosed in June 2013, but lost her fight with vasculitis on 19 May 2014. She was a very active lady, who attended various clubs and went dancing regularly with her husband. We are grateful for a donation of £30 from Elsie’s art club. Vasculitis UK would also like to acknowledge the numerous and often anonymous donations received from our supporters which wee made via JustGiving.com. We grateful for all gifts, large and small, and use these donations exclusively to fund our work in supporting patients, raising awareness and funding research into Vasculitis. Edith Sproats of Lincoln was 78 years old when she passed away in February 2014, having been JustGiving/Remember The charity has a simple and sensitive JustGiving page for those who may wish to raise funds for Vasculitis UK by celebrating the life of a loved one. If you would like to remember a loved one in this way to help raise funds for the charity please visit: www.justgiving.com/VasculitisUK/Remember Bequests If you would like to consider leaving a bequest to Vasculitis UK, please contact our Treasurer., Patricia Fearnside, 01709 5983722 or [email protected] 26 Vasculitis UK - Autumn/Winter 2014 www.vasculitis.org.uk Find a Support Group in your area Below you will find the contact details for Vasculitis Support Groups in England, Wales and Ireland. In addition there are details for contact persons in the UK and the Republic of Ireland who do not run actual Group meetings. The supporters who do not run an actual group are marked * * Beds, Bucks & Herts Merseyside, Cheshire and N. Wales Janine Davies 01525 372733 [email protected] Christine Lee 01480 869162 [email protected] Susan Chance 01244 381680 [email protected] Dave Birch 0151 7229049 or 07968226230 [email protected] Cambridge Lesley Noblett 0776 5897780 [email protected] Canterbury area ** North Wales ** Pat Vernalls 01766 770546 [email protected] Margaret McGrath 01227 638 469 [email protected] North West (Cumbria) ** East Kent ** Oxfordshire Brian Hart 01227 369774 East Midlands Dorothy Ireland 01332 601303 [email protected] Lisa Ranyell 01664 857532 [email protected] Susan Mills 01629 650549 [email protected] Edinburgh, Lothian & Central ** Jimmy Walker 07725 770103 [email protected] Jules Darlow 07789 113144 [email protected] Patricia Henderson Sue Ashdown 01295 816841 [email protected] Portsmouth Julie Ingall [email protected] Republic of Ireland ** Joe O’Dowd 00353 (086) 2345705 [email protected] South Wales Jenny Fulford Brown 02920 218795 [email protected] Surrey ** Essex Glasgow ** Martin Thomas 07765 888987 [email protected] 0141 581 1711 Ireland — Vasculitis Awareness Ireland Julie Power 028 44 482889 [email protected] Lancashire/North West Jann Landles 07979 180145 Anita Parekh 07921 682232 [email protected] Jim Lee 01342 833321 or 07876 561075 [email protected] West Country Charlotte Stoner 01626 872420 [email protected] West Midlands (VSGWM) David Sambrook [email protected] West Sussex ** John Bailey 07752 122926 [email protected] York, North & East Riding Lincolnshire Jennifer Wormald [email protected] Pam Todd 01526 268106 [email protected] Yorkshire - West London — North London Lynne Jacques 01274 412378 [email protected] Dave Newman 0742 913 7670 [email protected] Yorkshire - South ** London - SE London/NW Kent Pat Fearnside 01709 583722 [email protected] Jacqui Moran 07792 412768 [email protected] The Ring A support group in Norfolk for RA patients. Judith Virgo [email protected] 27 LIFE PRESIDENT - LILLIAN STRANGE Vasculitis UK is the UK’s Np. 1 Vasculitis charity, established in 1992. We are an independent organisation funded entirely by voluntary contributions from members and supporters The main aims of the Trust are: To offer support and advice for those with vasculitis, and their families To support and promote research into the causes and treatments of vasculitis To increase awareness of vasculitic diseases among both the general public and health professionals To support the development of local vasculitis support groups Established in 1992 by the family and friends of Stuart Strange, in his memory. Formerly known as Stuart Strange Vasculitis Trust. Registered Charity No. 1019983 Officers, Trustees and Volunteers Chairm an: John Mills [email protected] Trust ees: Danni Brunwin CONTACT US Hon Secretary: Jann Landles [email protected] Jane Elsom Helpline: 0300 365 0075 Treasurer: Patricia Fearnside [email protected] Volunteers: Veronica Brunwin (Young Vasculitis UK) Dorothy Ireland (Fundraising Coordinator) Susan Mills Jacqui Moran Mike Patnick Lisa Ranyell (Newsletter Editor) (Assistant Treasurer) Medical Advisors: Dr David Jayne Lucy Riveiros Prof David G.I. Scott Anita Parekh (Shop Manager) Website: www.vasculitis.org.uk Address: West Bank House Winster Matlock DE4 2DQ Phone: 01629 650549 Dr Richard Watts Julie Scott (Assistant Fundraising Coordinator) Published by: Vasculitis UK Printed by: Whittington Moor Printing Works Ltd Stonegravels Lane, off Sheffield Road, Chesterfield, S41 7LF 01246 221892 [email protected]