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—Clinical manifestations of pulmonary vasculitis and emboli are rarely, if ever, seen in patients with temporal arteritis. In fact, our search of the literature uncovered no such relationship. On occasion, however, pulmonary arteritis has been reported in the larger autopsy series. There are increasing reports in the literature of vasculopathy in patients with temporal arteritis affecting major vessels other than the temporal artery, such as the major branches of the aorta.It is well known that patients with systemic lupus erythematosus often develop vasculitis that will affect any vessel. Thus, it would appear not unusual that Dr Brentlinger's patient was demonstrated to have pulmonary vasculitis.I agree with Dr Brentlinger that pulmonary vasculitis may explain the episodes of supposed pulmonary emboli in our patients. I would think that embolization would be the more common occurrence. Unfortunately, pulmonary arteriography was not done on our patients. However, our patients have
Uriu SA, Reinecke RD. Temporal Arteritis and Pulmonary Emboli-Reply. Arch Ophthalmol. 1975;93(12):1372. doi:10.1001/archopht.1975.01010020994014