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Volume 330:67-68 January 6, 1994 Number 1
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Case 27-1993: Cerebral Vasculitis

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 by Tapia, J. F.
To the Editor: Case 27-1993 (July 8 issue)1 was interesting and informative. However, I would have to disagree with the anatomical diagnosis of cerebral vasculitis. The description of the microscopical examination and the lesions shown in Figures 2 and 3 indicate swollen endothelial cells and transmural migration by leukocytes in small blood vessels that appear to be venules. In my experience, this type of vascular change is a reaction to injury and is not indicative of vasculitis. In Table 4, two cases reported in the literature described lymphocytic infiltration of small vessels. The vessels are not described as arteries.

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