JOHN A. MALLEK, M.D.; LEONARD H. CALABRESE, D.O.
To the editor: A recent report by Miller and associates (1) describes a case of granulomatous angiitis involving the hypophysis. Because we have recently reviewed the reported English-language cases of primary angiitis of the central nervous system, the report by Miller and associates led us to question the diagnosis of this patient and the evidence for more effective therapy than corticosteroids alone.
The diagnosis of primary angiitis of the central nervous system is not made solely by showing vasculitis within the central nervous system. Equally necessary is the exclusion of vasculitis elsewhere in the body and the exclusion of conditions
MALLEK JA, CALABRESE LH. Granulomatous Angiitis and the Pituitary Gland. Ann Intern Med. ;103:155–157. doi: 10.7326/0003-4819-103-1-155_2
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Published: Ann Intern Med. 1985;103(1):155-157.
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