Document Detail


Spontaneous bilateral necrosis of the tongue: a manifestation of giant cell arteritis?
MedLine Citation:
PMID:  18214514     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Christian Schurr; Achim Berthele; Marc Burghartz; Jan Kiefer
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-01-23
Journal Detail:
Title:  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     Volume:  265     ISSN:  0937-4477     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-06-18     Completed Date:  2008-12-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  993-8     Citation Subset:  IM    
Affiliation:
Otolaryngology, Head and Neck Surgery, Technical University Munich, Ismaninger Str. 22, 81675 Munich, Germany. dr.schurr@web.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Sedimentation
C-Reactive Protein / analysis
Female
Giant Cell Arteritis / complications*,  diagnosis*,  pathology
Humans
Necrosis
Temporal Arteries / pathology
Tongue / pathology*,  radiography
Chemical
Reg. No./Substance:
9007-41-4/C-Reactive Protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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