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Systemic Vasculitides

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Churg Andrew, Churg Jacob , eds. 389 pages. New York: :Igaku-Shoin; ;1991.. $175.00

Ann Intern Med. 1992;116(9):781. doi:10.7326/0003-4819-116-9-781_1
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Few diagnoses set the medical house officer's (or attending's) diagnostic juices flowing like "vasculitis." After all, this is the stuff that clinicopathologic conferences are made of. Vasculitis can appear in the differential diagnosis of virtually any type of organ failure; the murkier the picture, the more likely is the diagnosis to appear. Paradoxically, the vasculitides seem to paralyze the clinician with regard to choosing diagnostic tests, determining the need for immediate steroid or cytotoxic therapy, and deciding the specific illness. The Churgs' multi-author text takes up the gauntlet of updating several texts on the vasculitides written around 1980 and tries


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