Spontaneous bilateral necrosis of the tongue: a manifestation of giant cell arteritis?

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Christian SchurrJan Kiefer

Abstract

Giant cell arteritis is a chronic vasculitis, which involves large- and medium-sized branches of the arteries originating from the aortic arch. This disease is a diagnostic challenge with a wide range of clinical symptoms and findings due to different affected vessels. Classic symptoms are temporally located headache, thickened temporal artery and jaw claudication. Furthermore, visual symptoms like diplopia or loss of vision can occur. The tongue has an excellent blood supply and ischemic ulceration due to giant cell vasculitis is usually unilateral and rarely described in literature. We present a patient with a spontaneous bilateral tongue necrosis and are convinced that this extraordinary case must be deemed to be a manifestation of giant cell arteritis, although it does not completly satisfy the usually used diagnostic criteria formulated by the American College of Rheumatology.

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Citations

Mar 25, 2015·Case Reports in Rheumatology·Jose R ZaragozaGisoo Ghaffari
Apr 26, 2017·Acta Oto-laryngologica·Markus WirthAndreas Knopf
Dec 3, 2011·The Journal of Rheumatology·Scott Jennings, Sanjay Singh
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Apr 21, 2017·Case Reports in Medicine·Rafael Alex Barbosa de Siqueira SobrinhoPedro Alves da Cruz Gouveia
Jan 30, 2021·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Leonardo Amaral Dos ReisMarcio Ajudarte Lopes

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