Pleuropulmonary manifestations of systemic vasculitis;Manifestations pleuropulmonaires des vascularites systemiques

Revue de Medecine Interne

Volumn 17, Issue 8, 1996, Pages 640-652

  Le Thi Huong D ^a   De Gennes, C ^a   Papo, T ^a   Wechsler, B ^a   Bletry O ^b   Piette, J C ^a   Godeau, P ^a  

^a PITIÉ SALPÊTRIÈRE HOSPITAL   (France)

^b FOCH HOSPITAL   (France)

Author keywords

Behcet's disease; Churg Strauss syndrome; periarteritis nodosa; Takagasus's disease; temporal arterisis; Wegener's granulomatosis

Indexed keywords

ANTIBIOTIC AGENT; ANTICOAGULANT AGENT; AZATHIOPRINE; CHLORAMBUCIL; CORTICOSTEROID; COTRIMOXAZOLE; CYCLOPHOSPHAMIDE; IMMUNOSUPPRESSIVE AGENT; METHOTREXATE;

AORTA ARCH SYNDROME; BEHCET DISEASE; CHURG STRAUSS SYNDROME; CLINICAL FEATURE; HISTOLOGY; HUMAN; INFECTION; LUNG DISEASE; POLYARTERITIS NODOSA; REVIEW; SYSTEMIC VASCULITIS; TEMPORAL ARTERITIS; THROMBOEMBOLISM; WEGENER GRANULOMATOSIS; PATHOLOGY; PLEURA DISEASE; RADIOGRAPHY; VASCULITIS;

HUMANS; LUNG DISEASES; PLEURAL DISEASES; VASCULITIS;

EID: 0030220276     PISSN: 02488663     EISSN: None     Source Type: Journal    
DOI: 10.1016/0248-8663(96)87150-5     Document Type: Article

References (129)

1. Lie JT. Nomenclature and classification of vasculitis : plus ça change, plus c'est la même chose. Arthritis Rheum 1994;37:181-6
2. Anderson G, Coles ET, Crane M et al. Wegener's granuloma. A series of 265 British cases seen between 1975 and 1985. A report by a sub-committee of the British Thoracic Society Research Committee. QJM 1992;302:427-38
3. Walton EW. Giant cell granuloma of the respiratory tract (Wegener's granulomatosis). BMJ 1958;2:265-70
4. Hoffman GS, Kerr GS, Leavitt RY et al. Wegener's granulomatosis: an analysis of 158 patients. Ann Intern Med 1992;116:488-98
5. Pinching AJ, Lockwood CM, Pussel BA et al. Wegener's granulomatosis: observations on 18 patients with severe renal disease. QJM 1983;208:435-60
6. DeRemee RA, McDonald TJ, Harrison EG, Coles DT. Wegener's granulomatosis. Anatomic correlates. A proposed classification. Mayo Clin Proc 1976;51:777-81
7. Lê Thi Huong D, Papo T, Piette JC et al. Urogenital manifestations of Wegener's granulomatosis. Medicine (Baltimore) 1995;74:152-61
8. Brandwein S, Esdaile J, Danoff D, Tannenbaum H. Wegener's granulomatosis. Clinical features and outcome in 13 patients. Arch Intern Med 1983;143:476-9
9. Rao JK, Weinberger M, Oddone EZ, Allen NB, Landsman P, Feussner JR. The role of antineutrophil cytoplasmic antibody (c-ANCA) testing in the diagnosis of Wegener granulomatosis. A literature review and meta-analysis. Ann Intern Med 1995;123:925-32
10. Kallenberg CM, Mulder AHL, Cohen-Tervaert JW. Antineutrophil cytoplasmic antibodies : a still-growing class of autoantibodies in inflammatory disorders. Am J Med 1992;93:675-82
11. Carrington CB, Liebow AA. Limited forms of angiitis and granulomatosis of Wegener's type. Am J Med 1966;41:497-527
12. Luqmani RA, Bacon PA, Beaman M et al. Classical versus non-renal Wegener's granulomatosis. QJM 1994;87:161-7
13. Horn RG, Fauci AS, Rosenthal AS, Wolf SM. Renal biopsy pathology in Wegener's granulomatosis. Am J Pathol 1974;74:423-40
14. Cordier JF, Valeyre D, Guillevin L, Loire R, Brechot MJ. Pulmonary Wegener's granulomatosis. A clinical and imaging study of 77 cases. Chest 1990;97:906-12
15. Aberle DR, Gamsu G, Lynch D. Thoracic manifestations of Wegener's granulomatosis: diagnosis and course. Radiology 1990;174:703-9
16. Papiris SA, Manoussakis MN, Drosos AA, Kontogiannis D, Constantopoulos SH, Moutsopoulos HM. Imaging of thoracic Wegener's granulomatosis: the computed tomographic appearance. Am J Med 1992;93:529-36
17. Sauvaget F, Lê Thi Huong D, Piette JC et al. Hémorragies intra-alvéolaires de la granulomatose de Wegener. Presse Méd 1993;22:709-11
18. Dugowson CE, Aitken ML. Unusual presentation of recurrent Wegener's granulomatosis. Chest 1991;99:781-4
19. Justrabo E, Piard F, Michields JF, Reybet-Degat O, Jacquot JP, Michiels R. Évolution favorable de la maladie de Wegener limitée aux poumons. Rev Mal Respir 1990;7:69-72
20. Fauci AS, Haynes BF, Katz P, Wolf SM. Wegener's granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years. Am Intern Med 1983;98:76-85
21. Bax J, Gooszen MC, Hoorntje SJ. Acute fulminating alveolar hemorrhage as presenting symptom in Wegener's granulomatosis. Anticytoplasmic antibodies as a diagnostic tool. Eur J Resp Dis 1987;71:202-5
22. Hensley MJ, Feldman NT, Lazarus JM et al. Diffuse pulmonary hemorrhage and rapidly progressive renal failure - an uncommon presentation of Wegener's granulomatosis. Am J Med 1979;66:894-8
23. Misset B, Glotz D, Escudier B et al. Wegener's granulomatosis presenting as diffuse pulmonary hemorrhage. Intensive Care Med 1991;17:118-20
24. Haworth SJ, Savage COS, Carr D, Hughes JMB, Rees A. Pulmonary haemorrhage complicating Wegener's granulomatosis and microscopic polyarteritis. BMJ 1985;290:1775-8
25. Thomas DM, Moore R, Donovan K, Wheeler DC, Esnault VLM, Lockwood CM. Pulmonary-renal syndrome in association with anti-GBM and IgM ANCA. Lancet 1992;339:8804
26. Murty GE. Wegener's granulomatosis: otorhinolaryngological manifestations. Clin Otolaryngol 1990;15:385-93
27. Gaughan RK, DeSanto LW, McDonald TJ. Use of anticytoplasmic autoantibodies in the diagnosis of Wegener's granulomatosis with subglottic stenosis. Laryngoscope 1990;100:561-3
28. Hoare TJ, Jayne D, Rhys-Evans P, Croft CB, Howard DJ. Wegener's granulomatosis, subglottic stenosis and antineutrophil cytoplasm antibodies. J Laryngol Otol 1989;103:1187-91
29. Rottem M, Fauci AS, Hallahan CW et al. Wegener's granulomatosis in children and adolescents: clinical presentation and outcome. J Pediatr 1993;122: 26-31
30. Halstead LA, Karmody CS, Wolff SM. Presentation of Wegener's granulomatosis in young patients. Otolaryngol Head Neck Surg 1986;94:368-71
31. Strange C, Halstead L, Bauman M, Sahn SA. Subglottic stenosis in Wegener's granulomatosis: development during cyclophosphamide treatment with response to carbon dioxide laser therapy. Thorax 1990;45:300-1
32. Bambery P, Sakhuja V, Behera D, Deodhar SD. Pleural effusions in Wegener's granulomatosis: report of five patients and a brief review of literature. Scand J Rheumatol 1991;20:445-7
33. Maguire R, Fauci AS, Doppman JL, Sheldon MW. Unusual radiographic features of Wegener's granulomatosis. Am J Roentgenol 1978;130:233-8
34. Jaspan T, Davison AM, Walker WC. Spontaneous pneumothorax in Wegener's granulomatosis. Thorax 1982;37:774
35. Wattenbuttel BH, Weber RF, Kho GS. Pyopneumothorax: a rare complication of Wegener's granulomatosis [Abstract]. Eur J Respir Dis 1985;67:223
36. Hoffman GS, Sechler JM, Gallin JI et al. Bronchoalveolar lavage analysis in Wegener's granulomatosis. A method to study disease pathogenesis. Am Rev Respir Dis 1991;143:401-7
37. Rosenberg DM, Weinberger SE, Fulmer JD, Flye MW, Fauci AS, Crystal RG. Functional correlates of lung involvement in Wegener's granulomatosis. Am J Med 1980;69:387-94
38. Bowley NB, Hughes JMB, Steiner RE. The chest X-ray in pulmonary capillary hemorrage: correlation with carbon monoxyde uptake. Clin Radiol 1979;30:413-7
39. Travis WD, Hoffman GS, Leavitt RY, Pass HI, Fauci AS. Surgical pathology of the lung in Wegener's Granulomatosis. Review of 87 open lung biopsies from 67 patients. Am J Surg Pathol 1991;15:315-33
40. Mark EJ, Matsubara O, Tan-Liu NS, Fienberg R. The pulmonary biopsy in the early diagnosis of Wegener's (pathergic) granulomatosis. A study based on 35 open lung biopsies. Hum Pathol 1988;19:1065-71
41. Leavitt RY, Fauci AS, Bloch DA et al. The American College of Rheumatology 1990 criteria for the classification of Wegener's granulomatosis. Arthritis Rheum 1990;33:1101-7
42. Jennette JC, Falk RJ, Andrassy K et al. Nomenclature of systemic vasculitides. Proposal of an International Consensus Conference. Arthritis Rheum 1994;37:187-92
43. Churg J, Strauss L. Allergic granulomatosis, angiitis and periarteritis nodosa. Am J Pathol 1951;27:277-94
44. Chumbley LC, Harrison EG, DeRemee R. Allergic granulomatosis and angiitis (Churg-Strauss syndrome). Mayo Clin Proc 1977;52:477-84
45. Newinger G, Fournier E, Hatron PY et al. Manifestations systémiques d'angéite avec asthme et hyperéosinophilie. Rev Méd Interne 1983;5:165-71
46. Lanham JG, Elkon KB, Pusey CD, Hughes GR. Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg-Strauss syndrome. Medicine 1984;63:65-81
47. Finan MC, Winkelman RK. The cutaneous extravascular necrotizing granuloma (Churg-Strauss granuloma) and systemic disease: a review of 27 cases. Medicine 1983;62:142-58.
48. Hunninghake GW, Fauci AS. Pulmonary involvement in the collagen vascular diseases. Am J Respir Dis 1979;119:471-503
49. Fronhert PP, Sheps SG. Long-term followup study of periarteritis nodosa. Am J Med 1967;43:8-14
50. Blétry O, Guillevin L, Dubernet T et al. Angéites nécrosantes avec et sans asthme. Presse Méd 1984;13:2245-8
51. Abu-Shakra M, Smythe H, Lewtas J, Badley E, Weber D, Keystone E. Outcome of polyarteritis nodosa and Churg-Strauss syndrome. Arthritis Rheum 1994;37:1798-803
52. Leavitt RY, Fauci AS. Polyangiitis overlap syndrome. Am J Med 1986;81:79-85
53. Hueto-Peres de Heredia JJ, Dominguez del Valle FJ, Garcia E, Gomez ML, Gallego J. Chronic eosinophilic pneumonia as a presenting feature of Churg-Strauss syndrome. Eur Respir J 1994;7:1006-8
54. Guillevin L, Guittard T, Blétry O, Godeau P. Systemic necrotizing angiitis with asthma: causes and precipitating factors in 43 cases. Lung 1987;165:165-72
55. Yousem SA, Lombard CM. The eosinophilic variant of Wegener's granulomatosis. Hum Pathol 1988;19:682-8
56. Masi AT, Hunder GG, Lie JT et al. The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum 1990;33:1094-100
57. Lightfoot RW, Michel BA, Bloch DA et al. The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa. Arthritis Rheum 1990;33:1088-93
58. Michel CJ. Epidemiology of vasculitis. In: Conn DL, ed. Rheum Dis Clin North Am. Philadelphia: WB Saunders 1990:261-8
59. Guillevin L, Lê Thi Huong D, Godeau P, Jais P, Wechsler B. Clinical findings and prognosis of polyarteritis nodosa and Churg-Strauss angiitis: a study in 165 patients. Br J Rheumatol 1988;27:258-64
60. Rose GA, Spencer H. Polyarteritis nodosa. QJM 1957;26:43-81
61. Mowrey FH, Lundberg EA. The clinical manifestations of essential polyangiitis periarteritis nodosa with special emphasis on the hepatic manifestations. Ann Intern Med 1954;40:1145-64
62. Nuzum JW Jr, Nuzum JW. Polyarteritis nodosa. Statistical review on one hundred seventy-five cases from the literature and report on a typical case. Arch Intern Med 1954;94:942-52
63. Cohen RD, Conn DL, Ilstrup DM. Clinical features, prognosis and response to treatment in polyarteritis. Mayo Clin Proc 1980;55:146-55
64. Leib ES, Restivo C, Paulus HE. Immunosuppressive and corticosteroid therapy of polyarteritis nodosa. Am J Med 1979;67:941-7
65. Turiaf J, Basset F, Battesti JP. Fibrose interstitielle diffuse de la périartérite noueuse. Soc Méd Hôp Paris 1965;116:1149-60
66. Carratala J, Vidaller A, Mana J et al. Polyarteritis nodosa associated with idiopathic pulmonary fibrosis. Report of two cases. Ann Rheum Dis 1989;48:876-9
67. Matsumoto T, Homma S, Okada M et al. The lung in polyarteritis nodosa. A pathologic study of 10 cases. Hum Pathol 1993;24:717-24
68. Marette P, Molle B, Mas JL et al. Angor sans atteinte des gros troncs coronaires et hypertension artérielle pulmonaire précapillaire chez un sujet atteint de périartérite noueuse. Ann Cardiol Angéiol (Paris) 1989;38:305-8
69. Robinson BW, Sterrett G. Bronchiolitis obliterans associated with polyarteritis nodosa. Chest 1992;102:309-11
70. Godeau P, Sicard D, Herreman G, Imbert JC, Ghozlan R. Aspects nosologiques et évolutifs de la périartérite noueuse. Ann Méd Interne (Paris) 1972;123:967-73
71. Griffith GC, Vural IL. Polyarteritis nodosa. A correlation of clinical and postmortem findings in seventeen cases. Circulation 1951;3:481-90
72. Savage CO, Winearls CG, Evans J, Rees AJ, Lockwood CM. Microscopic polyarteritis : presentation, pathology and prognosis. QJM 1985;56:467-83
73. Leatherman JW, Davies SF, Hoidal JR. Alveolar hemorrhage syndrome: diffuse microvascular lung hemorrhage in immune and idiopathic disorders. Medicine 1984;63:343-61
74. Guilllevin L, Visser H, Noël LH et al. Antineutrophil cytoplasm antibodies in systemic polyarteritis nodosa with and without hepatitis B virus infection and Churg-Strauss syndrome - 62 patients. J Rheumatol 1993;20:1345-9
75. Shimizu T, Ehrlich CE, Inaba G, Hayashi K. Behçet's disease (Behçet's syndrome). Semin Arthritis Rheum 1979;8:223-60
76. International Study Group for Behçet's Disease. Criteria for diagnosis of Behçet's disease. Lancet 1990;335:1078-80
77. Chajek T, Fainaru M. Behcet's disease. Report of 41 cases and a review of the literature. Medicine 1975;54:179-96
78. Ayoub AK, Jarraya AH. À propos de soixante-treize cas de maladie de Behçet. Sem Hôp Paris 1985;61:609-13
79. Benamour S, Benmimoun M, Zaoui A, Benjelloun M, Amraoui A, Mohieddine M. La maladie de Behçet. À propos de soixante cas. Sem Hôp Paris 1986;62:1317-21
80. Chamberlain MA. Behçet's syndrome in 32 patients in Yorkshire. Ann Rheum Dis 1977;36:491-9
81. Balduin R, Murer L, Drigo R, Glorioso S. Behçet syndrome: a rare case of pulmonary involvement. Eur J Resp Dis 1986;69:288-90
82. Raz I, Okon E, Chajek-Shaul T. Pulmonary manifestations in Behčet's syndrome. Chest 1989;95:585-9
83. Efthimiou J, Johnston C, Spiro SG, Turner-Warwick M. Pulmonary disease in Behçet's syndrome. QJM 1986;58:259-80
84. Slavin RE, de Groot WJ. Pathology of the lung in Behçet's disease. Case report and review of the literature. Am J Surg Pathol 1981;5:779-88
85. Erkan F, Cavdar T. Pulmonary vasculitis in Behçet's disease. Am Rev Respir Dis 1992;146:232-9
86. Hamza M. Large artery involvement in Behçet's disease. J Rheumatol 1987;14:554-9
87. Hamuryudan V, Yurdakul S, Moral E et al. Pulmonary arterial aneurysms in Behçet's syndrome: a report of 24 cases. Br J Rheumatol 1994;33:48-51
88. Le Thi Huong D, Wechsler B, Papo T et al. Arterial lesions in Behçet's disease. A study in 25 patients. J Rheumatol 1995;22:2103-13
89. Godeau P, Herreman G, Ben Ismail M, Levassor M, Metzger JP. Syndrome de Behçet. Atteintes péricardique et pulmonaire. Nouv Presse Méd 1972;1:391-5
90. Lakhanpal S, Tani K, Lie JT, Katoh K, Ishigatsubo Y, Ohokubo T. Pathologic features of Behçet's syndrome: a revue of Japanese autopsy registry data. Hum Pathol 1985;16:790-5
91. Hannun Y, Frayha R. Behçet's disease with pseudochylothorax. J Rheumatol 1985;12:817-8
92. Ahonen AV, Stenius-Aarniala M, Viljanen BC, Halttunen PEA, Mattson KV. Obstructive lung disease in Behçet's syndrome. Scand J Respir Dis 1978;59:44-50
93. Gibson JM, O'Hara JM, Stanford CF. Bronchial obstruction in a patient with Behçet's disease. Europ J Respir Dis 1982;63:356-60
94. Blétry O, Kieffer E, Herson S et al. Formes artérielles pulmonaires graves de l'artérite de Takayasu : trois observations et revue de la littérature. Arch Mal Cœr Vaiss 1991;84:817-22
95. Lupi-Herrera E, Sanchez GI, Horowitz S, Guttierrez E. Pulmonary artery involvement in Takayasu's arteritis. Chest 1975;67:69-74
96. Lupi-Herrera E, Sanchez-Torres G, Marcushamer J, Mispireta J, Horwitz S, Espino Vela J. Takayasu's arteritis. Clinical study of 107 cases. Am Heart J 1977;93:94-103
97. Kerr GS, Hallahan CW, Giordano J et al. Takayasu arteritis. Ann Intern Med 1994;120:919-29
98. Robles M, Reyes PA. Takayasu's arteritis in Mexico: a clinical review of 44 consecutive cases. Clin Exp Rheumatol 1994;12:381-8
99. Chauvaud S, Mace L, Brunewald P, Tricot JL, Camillieri JP, Carpentier A. Takayasu's arteritis with bilateral pulmonary stenosis. J Thorac Cardiovasc Surg 1987;94:246-50
100. Died CA, Zuffardi E, Favaloro RG. Takayasu's arteritis with bilateral pulmonary artery stenosis. J Thorac Cardiovasc Surg 1988;96:967-70
101. Hayashi K, Nagasaki M, Matsunaga N, Hombo Z, Imamura T. Initial pulmonary artery involvement in Takayasu arteritis. Radiology 1986;159:401-3
102. Rose AG, Halper J, Pactor SM. Primary arteriopathy in Takayasu's disease. Arch Pathol Lab Med 1984;108:644-8
103. Lacombe P, Frija G, Boucher D et al. Maladie de Takayasu. Intérêt de l'angiographie numérique intraveineuse. 44 observations. Presse Méd 1986;15:179-82
104. Haas A, Stiehm ER. Takayasu's arteritis presenting as pulmonary hypertension. Am J Dis Child 1986;140:372-4
105. Machado EBV, Michel CJ, Ballard DJ et al. Trends in incidence and clinical presentation of temporal arteritis in Olmsted County, Minnesota, 1950-1885. Arthritis Rheum 1988;31:745-9
106. Rodat O, Buzelin F, Weber M et al. Manifestations bronchopulmonaires de la maladie de Horton. Rev Méd Interne 1983;4:225-30
107. Quilichini R, Chaffanjon P, Miro I, Aubert L. Maladie de Horton : forme tussigène. Nouv Presse Méd 1981;10:2831
108. Manigand G, Taillandier J, Dumont D. Artérite de Horton à forme tussigène. Sem Hôp Paris 1985;61:1441-3
109. Siame JL, Duquesne B. Maladie de Horton àforme tussigène. Nouv Presse Méd 1982;11:3576-7
110. Karam GH, Fulmer JD. Giant cell arteritis presenting as interstitial lung disease. Chest 1982;82:781-4
111. Bradley JD, Pinals RS, Blumenfeld HB, Poston WM. Giant cell arteritis with pulmonary nodules. Am J Med 1984;77:135-40
112. Godeau P, Lemaitre MO, Wechsler B, Guillevin L, Herson S. Association maladie de Horton et pértartérite noueuse. Sem Hôp Paris 1984; 60:30-4
113. Lê Thi Huong D, Wechsler B, Mérillon H et al. Granulomatose de Wegener révélée par un tableau évocateur de maladie de Horton. Rev Méd Interne 1991;12:380-2
114. Turiaf J, Valère PE, Gubler MC. Pleurésie récidivante au cours de l'artérite temporale de Horton. Poumon Cœur 1967;23:633-52
115. Chassagne P, Gligorov J, Dominique S. Pulmonary artery obstruction and giant cell arteritis. Ann Intern Med 1995;122:732
116. Evans JM, O'Fallon M, Hunder GG. Increased incidence of aortic aneurysm and dissection in giant cell (temporal) arteritis. Ann Intern Med 1995;122:502-7
117. Godeau B, V Coutant-Peronne V, Lê Thi Huong D et al. Pneumocystis carinii pneumonia in the course of connective tissue disease: report of 34 cases. J Rheumatol 1994;21:246-51
118. Carder PJ, Harrison DJ. Opportunistic infection and antineutrophil cytoplasm antibodies in Wegener's granulomatosis. Respir Med 1989;83:421-4
119. Sneller MC, Hoffman GS, Talar-Williams C, Kerr GS, Hallahan CW, Fauci AS. An analysis of forty-two Wegener's granulomatosis patients treated with methotrexate and prednisone. Arthritis Rheum 1995;38:608-13
120. Lê Thi Huong D, Wechsler B, Chamuzeau JP, Bisson A, Godeau P. Pulmonary aspergilloma complicating Wegener's granulomatosis. Scand J Rheumatol 1995;24:260
121. Cooper JAD, White DA, Matthay RA. Drug-induced pulmonary disease I. Cytotoxic drugs. Am Rev Resp Dis 1986;133:321-40
122. Cooper JAD, White DA, Matthay RA. Drug-induced pulmonary disease II. Non-cytotoxic drugs. Am Rev Resp Dis 1986;133:488-505
123. Fain O, Guillevin L, Kaplan G et al. Vascularites et néoplasies. Quatorze observations. Ann Méd Interne (Paris) 1991;142:486-504
124. Greer JM, Longley S, Edwards L et al. Vasculitis associated with malignancy. Experience with 13 patients and literature review. Medicine (Baltimore) 1988;67:220-30
125. Haga HJ, Eide GE, Brun J, Johansen A, Longmark F. Cancer in association with polymyalgia rheumatica and temporal arteritis. J Rheumatol 1993;20:1335-9
126. Munnel ER, Dilling E, Grantham RN, Harkey MR, Mohr JA. Reappraisal of solitary bronchiolar (alveolar cell) carcinoma of the lung. Ann Thorac Surg 1978;25:289-97
127. Lê Thi Huong D, Guillevin L, Borg JY et al. Anticoagulants circulants en dehors de l'hémophilie. Enquête multicentrique conduite par le Secrétariat à la recherche de la SNFMI à propos de 207 observations. Rev Med Interne 1988;1:33-9
128. Love PE, Santoro SA. Antiphospholipid antibodies: anticardiolipin and the lupus anticoagulant in systemic lupus erythematosus (SLE) and in non-SLE disorders. Ann Intern Med 1990;112:682-98
129. Kerr GS, Fleisher TA, Hallahan CW, Leavitt RY, Fauci AS, Hoffman GS. Limited prognostic value of changes in antineutrophil cytoplasmic antibody titer in patients with Wegener's granulomatosis. Arthritis Rheum 1993;36:365-70