Abstract
Giant cell arteritis (GCA) is the most common systemic vasculitis affecting people over 50 years. This disease is a diagnostic challenge with a range of clinical symptoms and findings due to different affected vessels. Because of this, the initial diagnosis can be tricky, and 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 of GCA We describe a patient who presented with tongue necrosis as initial symptom of GCA. The belated diagnose resulted in subtotal necrosis of the mobile part of the tongue.
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References
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Husein-ElAhmed, H., Callejas-Rubio, JL., Rios-Fernández, R. et al. Tongue infarction as first symptom of temporal arteritis. Rheumatol Int 32, 799–800 (2012). https://doi.org/10.1007/s00296-009-1355-z
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DOI: https://doi.org/10.1007/s00296-009-1355-z