Document Detail


Subtotal tongue necrosis in delayed diagnosed giant-cell arteritis: a case report.
MedLine Citation:
PMID:  15547815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Matthias Oliver Biebl; Beate Hugl; Lydia Posch; Alexandar Tzankov; Florian Weber; Reinhold Perkmann; Gustav Fraedrich
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of otolaryngology     Volume:  25     ISSN:  0196-0709     ISO Abbreviation:  Am J Otolaryngol     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2004-11-19     Completed Date:  2005-04-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8000029     Medline TA:  Am J Otolaryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  438-41     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, University Hospital, Innsbruck, Austria.
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MeSH Terms
Descriptor/Qualifier:
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:
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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