Bitemporal scalp, lip and tongue necrosis in giant cell arteritis: A rare presentation

A 74-year-old man was presented with fever, bilateral throbbing temporoparietal headache, jaw claudication, and bilateral loss of vision. On examination, he had bilateral scalp necrosis with impending necrosis of lip and tongue. Temporal artery biopsy was done, and it was compatible with active temp...

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Bibliographic Details
Published in:Indian journal of dermatology 2013-07, Vol.58 (4), p.328-328
Main Authors: Kumar, Rajesh, Gupta, Hemant, Jadhav, Anil, Khadilkar, S
Format: Article
Language:English
Subjects:
Care and treatment
Case studies
Diagnosis
E-Case Report
Giant cell arteritis
lip necrosis
Necrosis
Patient outcomes
Risk factors
scalp necrosis
tongue necrosis
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Description
Summary:A 74-year-old man was presented with fever, bilateral throbbing temporoparietal headache, jaw claudication, and bilateral loss of vision. On examination, he had bilateral scalp necrosis with impending necrosis of lip and tongue. Temporal artery biopsy was done, and it was compatible with active temporal arteritis. This is one of the rare presentations of giant cell arteritis where there is simultaneous necrosis of scalp, lip, and tongue, and to the best of our knowledge, it is the first case reported from India.
ISSN:0019-5154
1998-3611
DOI:10.4103/0019-5154.113980