MEDICAL HISTORY — SUMMARY

CHRISTINA HANSEN — DOB: 7 May 1959 · Phone: +44 (0) 7921 099 895 · NHS Number: 6220721365
As of:
ALLERGY

Allergy

Dymista

Azelastine hydrochloride & Fluticasone propionate

CONDITIONS

Current Major Conditions

  • Type 1 Diabetes — insulin-dependent, Dexcom G7 continuous monitor (left arm)
  • MPO-ANCA-associated vasculitis (MPO-AAV) — diagnosed Nov 2024 following kidney biopsy; heart, liver, kidney involvement. Liver markers normalised; heart and kidneys not yet fully normal.
  • Reduced kidney function — eGFR 39 mL/min, Creatinine 124 µmol/L (Mar 2026). No nephrotoxic medications.
  • Cardiac pacemaker (fitted 3 Sept 2024, Prof Richard Schilling) — following total heart block. MRI-conditional (PROPONENT MRI EL DR).
  • Epilepsy — controlled with Levetiracetam
  • Wegener's Granulomatosis (diagnosed 1998) — nose very fragile, two corrective operations; no nasal instrumentation
  • Scleroderma (diagnosed 1990) — in remission, limited mouth opening, flexed hands
  • Endometrial cancer (2012) — in remission after chemotherapy (Carboplatin & Paclitaxel, 6 cycles) and radiotherapy
  • Hypercholesterolaemia — Lipoprotein(a) elevated (genetic); Repatha (evolocumab) started April 2026
MEDS

Current Essential Medications

MedicationDoseTiming
Lantus (insulin glargine)5 unitsOnce daily ~23:00
NovoRapid (insulin aspart)1 unit / 10g carbsONLY WITH FOOD
Levothyroxine sodium50 µgMorning
Levetiracetam250 mg × 2250 mg morning + 250 mg evening
Bisoprolol fumarate2.5 mgMorning
Ramipril2.5 mg + 5 mg2.5 mg morning, 5 mg evening
Clopidogrel75 mgEvening
Co-Trimoxazole80/400 mgEvening
Esomeprazole20 mgAfternoon (if needed)
ADCAL D3 (calcium + cholecalciferol)750 mg / 200 IUEvening (not essential)
Repatha (evolocumab)140 mg injectionEvery 2 weeks — started 8 Apr 2026, next due 19 July 2026
RITUXIMAB

Rituximab Treatment History

DoseDate
1st7 Nov 2024
2nd10 Nov 2024
3rd16 Jun 2025
4thNov 2025
5th (last)May 2026
Next dueNovember 2026

Cyclophosphamide: November 2024 → January 2025.

TIMELINE

Chronological History — Key Events

DateEventProvider / Location
1990Scleroderma diagnosed—
1998Wegener's Granulomatosis diagnosed—
2012-07 to 2012-11Endometrial cancer: 6 cycles Carboplatin & PaclitaxelDr A Taylor, Royal Marsden
2024-09-03Total heart block diagnosedDr Elliot Smith, Onewellbeck
2024-09-04Pacemaker fitted (PROPONENT MRI EL DR)Prof Richard Schilling, Nuffield/Barts Heart Centre
2024-09/10Left ear mastoiditis; grommet fitted 17 Oct; UCLH admission (9 nights)Mr Jeremy Lavy, UCLH
2024-11-01Acute Kidney Injury — emergency admissionChelsea Westminster Hospital
2024-11-05Kidney biopsy — MPO-AAV (ANCA vasculitis) confirmed: heart, liver, kidney involvementHammersmith Hospital
2024-11-07/081st Rituximab + 1st CyclophosphamideHammersmith Hospital
2024-11-102nd Rituximab + Cyclophosphamide; cardiac meds (beta-blocker + ACE-inhibitor) startedHammersmith Hospital
2025-01Cyclophosphamide course completedDr McAdoo, Hammersmith
2025-06CT lungs normal; cardiac MRI satisfactory; liver markers normalisedHammersmith Hospital
2025-06-163rd RituximabHammersmith Hospital
2025-08-19Nephrology maintenance reviewDr Stephen McAdoo, Hammersmith Hospital
2025-09 (approx.)Possible seizure while on holiday in France; no loss of consciousness, resolved ~10 minReported by patient/Julian
2025-114th RituximabHammersmith Hospital
2026-04-08Repatha (evolocumab) 140mg started—
2026-055th (last) Rituximab doseHammersmith Hospital
2026-11 (due)Next Rituximab; next Repatha dueHammersmith Hospital
DOCTORS

Treating Doctors

GP (Private): Dr Boreham & Dr Goldschmidt — Chelsea Medical — +44 203 961 5260

GP (NHS): Dr K S Brunton — Knightsbridge Medical Centre — +44 203 961 5260

Cardiology: Dr Dominique Auger (speaks French) — Hammersmith Hospital — +44 20 3313 5000 / +44 203 667 7319 (Private)

Nephrology: Dr Stephen McAdoo — Hammersmith Hospital — +44 20 3313 8333

MERCI · THANK YOU