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To the Editor.
—I am presently preparing a paper on giant cell arteritis and read with interest an article by Stanley A. Uriu, MD, and Robert D. Reinecke, MD, in the November 1973 issue of the Archives titled "Temporal arteritis, steroid therapy, and pulmonary emboli" (90:355, 1973).These authors suggested that the treatment of this disease with high dose steroids may have a relationship to the pulmonary emboli supposedly verified in these cases. I cannot refute their theory, but I would like to suggest that these two patients may have had a vasculitis of the pulmonary arteries causing these symptoms, which are identical to pulmonary emboli seen in patients with systemic lupus erythematosus (SLE).I have recently observed such a case. I was initially quite confident with results of lung scans and clinical laboratory evidence that the patient indeed had multiple recurrent pulmonary emboli. She had been receiving anticoagulation therapy,
Brentlinger DC. Temporal Arteritis and Pulmonary Emboli. Arch Ophthalmol. 1975;93(12):1372. doi:10.1001/archopht.1975.01010020994013