| Subtotal tongue necrosis in delayed diagnosed giant-cell arteritis: a case report. | |
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MedLine Citation:
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PMID: 15547815 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Giant-cell arteritis (GCA) is a chronic systemic vasculitis of large- and medium-sized vessels, mainly affecting elderly patients. Headache, vision impairment, jaw claudication, and scalp tenderness are common symptoms. However, diagnosis can be difficult because GCA can affect almost every vascular pathway and lead to a variety of possible manifestations. We report the case of a belated diagnosed GCA, resulting in nearly complete necrosis of the mobile part of the tongue, visual impairment, and neurologic as well as intestinal ischemic symptoms. Aggressive immunosuppressive treatment resolved the symptoms, but the patient remained severely morbid because of bilateral necrosis of the mobile part of the tongue. In any case of unclear ischemic symptoms in an elderly patient, one must keep GCA in mind as the possible culprit disease. |
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Authors:
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Matthias Oliver Biebl; Beate Hugl; Lydia Posch; Alexandar Tzankov; Florian Weber; Reinhold Perkmann; Gustav Fraedrich |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of otolaryngology Volume: 25 ISSN: 0196-0709 ISO Abbreviation: Am J Otolaryngol Publication Date: 2004 Nov-Dec |
Date Detail:
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Created Date: 2004-11-19 Completed Date: 2005-04-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8000029 Medline TA: Am J Otolaryngol Country: United States |
Other Details:
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Languages: eng Pagination: 438-41 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, University Hospital, Innsbruck, Austria. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Azathioprine / therapeutic use Female Giant Cell Arteritis / diagnosis, drug therapy, pathology* Humans Immunosuppressive Agents / therapeutic use Necrosis Prednisolone / therapeutic use Tongue / pathology* Vision Disorders / etiology |
| Chemical | |
Reg. No./Substance:
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0/Immunosuppressive Agents; 446-86-6/Azathioprine; 50-24-8/Prednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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