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Oral manifestations of giant cell arteritis

Orale manifestation der riesenzellarteriitis

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Summary

Giant cell arteritis is a systemic disease of unknown origin characterized by vasculitis of mediumsized and larger vessels, found mainly in elderly women. It presents with a variety of symptoms, including temporal pain and tenderness, headache, and neuro-ophthalmic features. This report describes a case of giant cell arteritis in a 78-year-old woman with a large ulceration on the right side of the tongue, painful lesion in the right temporal area, and recent visus loss of the right eye.

Zusammenfassung

Die Riesenzellarteriitis (RZA), eine systemische Erkrankung unbekannter Ursache, ist charakterisiert durch eine Vaskulitis mittlerer und größerer Gefäße und tritt hauptsächlich bei älteren Frauen auf. Die Symptome sind vielfältig, darunter zeitweise Schmerzen und Überempfindlichkeit, Kopfweh und neuroophthalmische Beeinträchtigungen. Im vorliegenden Beitrag wird der Fall einer 78jährigen Frau mit RZA geschildert; die Patientin hatte ein großes Ulkus an der rechten Zungenseite, eine schmerzhafte Läsion im Bereich der rechten Schläfe und seit kurzem einen Visusverlust des rechten Auges.

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References

  1. Allen P (1980) Giant cell arteritis presenting with necrosis of the tongue. A case report. Br J Oral Surg 18:162–165

    Article  CAS  PubMed  Google Scholar 

  2. Ferguson BJ, Bates-Allen N, Farmer Jr. JC (1987) Giant cell arteritis and polymyalgia rheumatica. Ann Otol Rhinol Laryngol 96: 373–379

    Article  CAS  PubMed  Google Scholar 

  3. Llorente Pendas S, De Vincente Rodriguez JC, Garcia MG, et al (1994) Tongue necrosis as a complication of temporal arteritis. Oral Surg Oral Med Oral Pathol 78:448–451.

    Article  CAS  PubMed  Google Scholar 

  4. Patterson A, Scully C, Barnard N, Griffiths MJ, Eveson JW, Novelli M (1992) Necrosis of the tongue in a patient with intestinal infarction. Oral Surg Oral Med Oral Pathol 74: 582–586

    Article  CAS  PubMed  Google Scholar 

  5. Roseman BB, Granite E (1984) Massive tongue necrosis secondary to temporal arteritis. J Oral Maxillofac Surg 42:682–684

    Article  CAS  PubMed  Google Scholar 

  6. Siemssen SJ (1987) On the occurrence of necrotizing lesions in arteritis temporalis: review of the literature with a note on the potential risk of a biopsy. Br J Plast Surg 40: 73–82

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery/Oral Pathology, University Hospital Vrije Universiteit, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands

    J. E. van der Wal & I. van der Waal

Authors
  1. J. E. van der Wal
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  2. I. van der Waal
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van der Wal, J.E., van der Waal, I. Oral manifestations of giant cell arteritis. Mund Kiefer GesichtsChir 1, 65–67 (1997). https://doi.org/10.1007/BF03043512

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