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Correspondence
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Volume 338:994-995 April 2, 1998 Number 14
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Small-Vessel Vasculitis

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 by Jennette, J. C.
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To the Editor: The review of small-vessel vasculitis by Jennette and Falk (Nov. 20 issue)1 is an excellent synopsis of the current understanding of these conditions.

The current debate about the causes and classification of polyarteritis and polyangiitis can be viewed from a much longer historical perspective that illuminates the problem of nosology. Glomerulonephritis is regarded as absent in classic polyarteritis nodosa, yet even Kussmaul and Maier describe hematuria and proteinuria in their index case and transient proteinuria in their second case.2 Changes of diffuse nephritis were seen at the autopsy of the first case. Kussmaul and Maier state that . . . [Full Text of this Article]

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