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Brodmann, M; Dorr, A; Hafner, F; Gary, T; Pilger, E.
Tongue necrosis as first symptom of giant cell arteritis (GCA).
CLIN RHEUMATOL. 2009; 28 Suppl 1(2): S47-S49. Doi: 10.1007/s10067-009-1141-z (- Case Report)
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Führende Autor*innen der Med Uni Graz
Brodmann Marianne
Co-Autor*innen der Med Uni Graz
Dorr Andreas
Gary Thomas
Hafner Franz
Pilger Ernst
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Abstract:
Giant cell arteritis (GCA) is the most common systemic vasculitis affecting people over the age of 50 years, especially in the western world. Nevertheless, the initial diagnosis can be tricky, as some of the patients present at first time with a real unusual initial manifestation. One of these can be tongue necrosis, which is according to the literature in accordance with scalp necrosis, the rarest initial manifestation form of GCA. We describe two patients who presented with tongue necrosis as initial symptom of GCA. The diagnosis was made by the American College of Rheumatology criteria, biopsy and duplex sonography of their temporal arteries. A typical halo was seen as a sign of intimal edema. The patients were put on corticosteroids immediately after diagnosis was proven and their symptoms improved quickly.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Female -
Giant Cell Arteritis - complications Giant Cell Arteritis - diagnosis
Humans -
Male -
Necrosis -
Tongue - pathology
Tongue Diseases - etiology Tongue Diseases - pathology

Find related publications in this database (Keywords)
Giant cell arteritis
Tongue necrosis
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