RICHARD H. WHITE, M.D.; MORRIS SCHAMBELAN, M.D.
To the editor: In their recent letter, Lejonc and colleagues (1) described a patient with systemic necrotizing vasculitis who had normal blood pressure at initial presentation despite active vasculitis on renal arteriogram but in whom hypertension developed subsequently when the systemic manifestations of the disease were improving on therapy with cyclophosphamide and prednisolone. The case raises important questions on the relations among renal vascular involvement, hypertension, and the effects of corticosteroid and immunosuppressive therapy in patients with systemic necrotizing vasculitis.
Although no study to date has correlated the presence or absence of active vasculitis on renal arteriography with the presence
WHITE RH, SCHAMBELAN M. Hypertension and Angiographic Findings in Necrotizing Vasculitis. Ann Intern Med. ;94:410–411. doi: 10.7326/0003-4819-94-3-410_2
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Published: Ann Intern Med. 1981;94(3):410-411.
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