Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review
Giant cell arteritis is a form of vasculitis involving the medium- and large-sized arteries that chiefly affects older people. Clinical findings are headache, jaw claudication, fever, pain, and thickening of the temporal artery. The most feared complication is visual loss due to impairment of the op...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/6327437 |
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| author | Rafael Alex Barbosa de Siqueira Sobrinho Karolina Cayres Alvino de Lima Helena Carvalho Moura Mônica Modesto Araújo Christyanne Maria Rodrigues Barreto de Assis Pedro Alves da Cruz Gouveia |
| author_facet | Rafael Alex Barbosa de Siqueira Sobrinho Karolina Cayres Alvino de Lima Helena Carvalho Moura Mônica Modesto Araújo Christyanne Maria Rodrigues Barreto de Assis Pedro Alves da Cruz Gouveia |
| author_sort | Rafael Alex Barbosa de Siqueira Sobrinho |
| collection | DOAJ |
| description | Giant cell arteritis is a form of vasculitis involving the medium- and large-sized arteries that chiefly affects older people. Clinical findings are headache, jaw claudication, fever, pain, and thickening of the temporal artery. The most feared complication is visual loss due to impairment of the ophthalmic artery and posterior ciliary arteries. This a case report of an 85-year-old male presenting with headache and jaw pain, who was admitted with tongue necrosis as an initial manifestation of giant cell arteritis. The necrotic area detached spontaneously after two weeks of therapy with corticosteroids and methotrexate. Reviewing the literature, our patient presented with clinical symptoms consistent with most reports, except for the fact of being male. Although unusual as an initial manifestation, tongue necrosis is an important alert for diagnosing giant cell arteritis. Early diagnosis and treatment of this atypical manifestation may reduce morbidity. |
| format | Article |
| id | doaj-art-11e3989238d04a8e91c71dbbe8acbad8 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-11e3989238d04a8e91c71dbbe8acbad82025-02-03T01:12:15ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/63274376327437Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature ReviewRafael Alex Barbosa de Siqueira Sobrinho0Karolina Cayres Alvino de Lima1Helena Carvalho Moura2Mônica Modesto Araújo3Christyanne Maria Rodrigues Barreto de Assis4Pedro Alves da Cruz Gouveia5Internal Medicine Service, Federal University of Pernambuco, Recife, PE, BrazilInternal Medicine Service, Federal University of Pernambuco, Recife, PE, BrazilSchool of Medicine, Federal University of Pernambuco, Recife, PE, BrazilPathology Service, Federal University of Pernambuco, Recife, PE, BrazilInternal Medicine Service, Federal University of Pernambuco, Recife, PE, BrazilInternal Medicine Service, Federal University of Pernambuco, Recife, PE, BrazilGiant cell arteritis is a form of vasculitis involving the medium- and large-sized arteries that chiefly affects older people. Clinical findings are headache, jaw claudication, fever, pain, and thickening of the temporal artery. The most feared complication is visual loss due to impairment of the ophthalmic artery and posterior ciliary arteries. This a case report of an 85-year-old male presenting with headache and jaw pain, who was admitted with tongue necrosis as an initial manifestation of giant cell arteritis. The necrotic area detached spontaneously after two weeks of therapy with corticosteroids and methotrexate. Reviewing the literature, our patient presented with clinical symptoms consistent with most reports, except for the fact of being male. Although unusual as an initial manifestation, tongue necrosis is an important alert for diagnosing giant cell arteritis. Early diagnosis and treatment of this atypical manifestation may reduce morbidity.http://dx.doi.org/10.1155/2017/6327437 |
| spellingShingle | Rafael Alex Barbosa de Siqueira Sobrinho Karolina Cayres Alvino de Lima Helena Carvalho Moura Mônica Modesto Araújo Christyanne Maria Rodrigues Barreto de Assis Pedro Alves da Cruz Gouveia Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review Case Reports in Medicine |
| title | Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review |
| title_full | Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review |
| title_fullStr | Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review |
| title_full_unstemmed | Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review |
| title_short | Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review |
| title_sort | tongue necrosis secondary to giant cell arteritis a case report and literature review |
| url | http://dx.doi.org/10.1155/2017/6327437 |
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