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Letters |1 March 1998

Effect of Previous Corticosteroid Treatment on Temporal Artery Biopsy Results

Antonio A. Achkar, MD; Gene G. Hunder, MD; Sherine E. Gabriel, MD, MSc

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Author, Article, and Disclosure Information
  • University of Pittsburgh Medical Center; Pittsburgh, PA 15213 Mayo Clinic; Rochester, MN 55905
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TO THE EDITOR:
This letter is in response to the letter of Dr. Ruiz-Irastorza [1] commenting on our paper [2], which was published more than 3 years ago. Dr. Ruiz-Irastorza describes our study as “inconclusive”; suggests that in two later reports [3, 4], we refer back to the conclusions of the original study as “unquestionable”; and describes this as “changing conclusions without changing evidence.” These statements are incorrect.
We believe that Dr. Ruiz-Irastorza misunderstood certain aspects of our work. We sought to determine the effect of previous corticosteroid treatment on the results of temporal artery biopsy. The study sample comprised 535 patients who underwent temporal artery biopsy at the Mayo Clinic from 1988 to 1991. We determined, from the medical records, whether each patient had received corticosteroid treatment before biopsy. Each biopsy specimen was re-examined by the study pathologist without knowledge of whether steroids had been received before biopsy.
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Achkar AA, Hunder GG, Gabriel SE. Effect of Previous Corticosteroid Treatment on Temporal Artery Biopsy Results. Ann Intern Med. 1998;128:410. doi: 10.7326/0003-4819-128-5-199803010-00016

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Published: Ann Intern Med. 1998;128(5):410.

DOI: 10.7326/0003-4819-128-5-199803010-00016

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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