Granulomatous Angiitis and the Pituitary Gland
Authors: JOHN A. MALLEK
Journal: Annals of Internal Medicine (1985)

Letters and Corrections1 July 1985Granulomatous Angiitis and the Pituitary GlandJOHN A. MALLEK, M.D., LEONARD H. CALABRESE, D.O.JOHN A. MALLEK, M.D.Search for more papers by this author, LEONARD H. CALABRESE, D.O.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-103-1-155_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo 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...References1. MILLERCHENNEYTUMULTY RJRP. Granulomatous angiitis presenting with polymyalgia rheumatica and abnormal pituitary function. Ann Intern Med. 1985;102:210-1. LinkGoogle Scholar2. BIRDESSELINCKXASTMOWATWOOD HDJAP. An evaluation of criteria for polymyalgia rheumatica. Ann Rheum Dis. 1979;38:434-9. CrossrefMedlineGoogle Scholar3. CUPPSMOOREFAUCI TPA. Isolated angiitis of the central nervous system. Am J Med. 1983;74:97-105. CrossrefMedlineGoogle Scholar4. Case records of Massachusetts General Hospital. N Engl J Med. 1985;312:297-305. MedlineGoogle Scholar5. DONIACHWRIGHT IE. Two cases of giant cell granuloma of the pituitary gland. J Pathol Bact. 1951;63:69-79. CrossrefMedlineGoogle Scholar6. MALLEKCALABRESE JL. Primary angiitis of the central nervous: a report of seven new cases and a proposal for diagnostic criteria. Arthritis Rheum. 1985. (In press). Google Scholar1. MILLERCHENNEYTUMULTY RJRP. Granulomatous angiitis presenting with polymyalgia rheumatica and abnormal pituitary function. Ann Intern Med. 1984;102:210-1. LinkGoogle Scholar2. FINELLIMCENTEELESSELLMORGANCOPPETO PWSTJ. Whipple's disease with predominantly neuro-ophthalmic manifestations. Ann Neurol. 1977;1:247-52. CrossrefMedlineGoogle Scholar3. SIERACKIFINEHORNBEBIN JGRJ. Central nervous system involvement in Whipple's disease. J Neuropathol Exp Neurol. 1960;19:70-5. CrossrefMedlineGoogle Scholar4. SCHOCHETLAMPERT SP. Granulomatous encephalitis in Whipple's disease. Acta Neuropathol (Berl). 1969;13:1-11. CrossrefMedlineGoogle Scholar5. SMITHFRENCHGOTTSMANSMITHWAKES-MILLER WJMAJ. Brain. 1965;88:137-48. CrossrefMedlineGoogle Scholar6. STOUPELMONSEUPARDOEHEIMASINMARTIN NGARJ. Encephalitis with myoclonus in Whipple's disease. J Neurol Neurosurg Psychiatry. 1969;32:338-43. CrossrefMedlineGoogle Scholar1. DONIACHWRIGHT IA. Two cases of giant cell granuloma of the pituitary. J Pathol Bact. 1951;63:69-79. CrossrefMedlineGoogle Scholar2. KOLODNYREBUZCABNISSRICHARDSON EJVE. Granulomatous angiitis of the central nervous system. Arch Neurol. 1968;19:510-24. CrossrefMedlineGoogle Scholar3. CUPPSMOOREFAUCI TPA. Isolated angiitis of the central nervous system. Am J Med. 1983;74:97-105. CrossrefMedlineGoogle Scholar4. CRAVIOTOFEIGEN HI. Noninfectious granulomatous angiitis with a predilection for the central nervous system. Neurology. 1959;9:599-609. CrossrefMedlineGoogle Scholar5. KNOXBAYLESSPITTMAN DTF. Neurologic disease in patients with treated Whipple's disease. Medicine. 1976;55:467-76. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: The Cleveland Clinic Foundation Cleveland, OH 44106 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 July 1985Volume 103, Issue 1Page: 155-157KeywordsCentral nervous systemCorticosteroid therapyPituitary glandVasculitis Issue Published: 1 July 1985 PDF DownloadLoading ...