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  • Title: Tongue infarction as first symptom of temporal arteritis.
    Author: Husein-Elahmed H, Callejas-Rubio JL, Rios-Fernández R, Ortego-Centeno N.
    Journal: Rheumatol Int; 2012 Mar; 32(3):799-800. PubMed ID: 20058010.
    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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