Terminology for Granulomatous Disorders

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To the editor: The editorial by Dr. Fauci in the December 1977 issue, “Granulomatous Vasculitides: Distinct but Related” (Ann Intern Med 87:782–783, 1977), reflects on an issue other than that addressed at the time, and this is the question of terminology.

Granulomatous vasculitis may be a sound description for a group of disorders variously encumbered by such terms as “granulomatosis,” “lymphatoid,” and necrotising “sarcoid” angiitis. It may be time for some clarification in this area of confusing terminology to avoid further proliferation of vague and portmanteau terms.

A library search of a number of standard pathology books revealed a fairly

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