Giant Cell Arteritis Presenting as Scalp Necrosis
The differential of scalp ulceration in older patients should include several causes, such as herpes zoster, irritant contact dermatitis, ulcerated skin tumors, postirradiation ulcers, microbial infections, pyoderma gangrenosum, and giant cell arteritis. Scalp necrosis associated with giant cell art...
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Language: | English |
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Wiley
2011-01-01
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Series: | The Scientific World Journal |
Online Access: | http://dx.doi.org/10.1100/tsw.2011.123 |
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author | Daniel E. Maidana Silvia Muñoz Xènia Acebes Roger Llatjós Anna Jucglà Alba Álvarez |
author_facet | Daniel E. Maidana Silvia Muñoz Xènia Acebes Roger Llatjós Anna Jucglà Alba Álvarez |
author_sort | Daniel E. Maidana |
collection | DOAJ |
description | The differential of scalp ulceration in older patients should include several causes, such as herpes zoster, irritant contact dermatitis, ulcerated skin tumors, postirradiation ulcers, microbial infections, pyoderma gangrenosum, and giant cell arteritis. Scalp necrosis associated with giant cell arteritis was first described in the 1940s. The presence of this dermatological sign within giant cell arteritis represents a severity marker of this disease, with a higher mean age at diagnosis, an elevated risk of vision loss and tongue gangrene, as well as overall higher mortality rates, in comparison to patients not presenting this manifestation. Even though scalp necrosis due to giant cell arteritis is exceptional, a high level of suspicion must be held for this clinical finding, in order to initiate prompt and proper treatment and avoid blindness. |
format | Article |
id | doaj-art-35d4811ae2794492b9abbf6b4adaeed3 |
institution | Kabale University |
issn | 1537-744X |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | The Scientific World Journal |
spelling | doaj-art-35d4811ae2794492b9abbf6b4adaeed32025-02-03T05:44:47ZengWileyThe Scientific World Journal1537-744X2011-01-01111313131510.1100/tsw.2011.123Giant Cell Arteritis Presenting as Scalp NecrosisDaniel E. Maidana0Silvia Muñoz1Xènia Acebes2Roger Llatjós3Anna Jucglà4Alba Álvarez5Department of Ophthalmology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, SpainDepartment of Ophthalmology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, SpainDepartment of Ophthalmology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, SpainDepartment of Pathology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, SpainDepartment of Dermatology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, SpainDepartment of Dermatology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, SpainThe differential of scalp ulceration in older patients should include several causes, such as herpes zoster, irritant contact dermatitis, ulcerated skin tumors, postirradiation ulcers, microbial infections, pyoderma gangrenosum, and giant cell arteritis. Scalp necrosis associated with giant cell arteritis was first described in the 1940s. The presence of this dermatological sign within giant cell arteritis represents a severity marker of this disease, with a higher mean age at diagnosis, an elevated risk of vision loss and tongue gangrene, as well as overall higher mortality rates, in comparison to patients not presenting this manifestation. Even though scalp necrosis due to giant cell arteritis is exceptional, a high level of suspicion must be held for this clinical finding, in order to initiate prompt and proper treatment and avoid blindness.http://dx.doi.org/10.1100/tsw.2011.123 |
spellingShingle | Daniel E. Maidana Silvia Muñoz Xènia Acebes Roger Llatjós Anna Jucglà Alba Álvarez Giant Cell Arteritis Presenting as Scalp Necrosis The Scientific World Journal |
title | Giant Cell Arteritis Presenting as Scalp Necrosis |
title_full | Giant Cell Arteritis Presenting as Scalp Necrosis |
title_fullStr | Giant Cell Arteritis Presenting as Scalp Necrosis |
title_full_unstemmed | Giant Cell Arteritis Presenting as Scalp Necrosis |
title_short | Giant Cell Arteritis Presenting as Scalp Necrosis |
title_sort | giant cell arteritis presenting as scalp necrosis |
url | http://dx.doi.org/10.1100/tsw.2011.123 |
work_keys_str_mv | AT danielemaidana giantcellarteritispresentingasscalpnecrosis AT silviamunoz giantcellarteritispresentingasscalpnecrosis AT xeniaacebes giantcellarteritispresentingasscalpnecrosis AT rogerllatjos giantcellarteritispresentingasscalpnecrosis AT annajucgla giantcellarteritispresentingasscalpnecrosis AT albaalvarez giantcellarteritispresentingasscalpnecrosis |