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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Main Authors: Daniel E. Maidana, Silvia Muñoz, Xènia Acebes, Roger Llatjós, Anna Jucglà, Alba Álvarez
Format: Article
Language:English
Published: Wiley 2011-01-01
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.
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institution Kabale University
issn 1537-744X
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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
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AT silviamunoz giantcellarteritispresentingasscalpnecrosis
AT xeniaacebes giantcellarteritispresentingasscalpnecrosis
AT rogerllatjos giantcellarteritispresentingasscalpnecrosis
AT annajucgla giantcellarteritispresentingasscalpnecrosis
AT albaalvarez giantcellarteritispresentingasscalpnecrosis