A 78-year-old woman with bilateral tongue necrosis

Zadik, Yehuda; Findler, M; Maly, Alexander; Rushinek, Heli; Czerninski, Rakefet

doi:10.1016/j.tripleo.2010.09.001

Cited by 11 publications

(19 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, tongue necrosis is rare, given the rich blood supply to this tissue [1, 11]. GCA with tongue and/or scalp necrosis tends to occur more in older people and develops with more visual symptoms [7].…”

Section: Discussionmentioning

confidence: 99%

“…While GCA is the main cause of tongue necrosis, other less common etiologies should be excluded, like carcinoma, embolism, drug use, radiation, syphilis, tuberculosis, chemotherapy, among others [1, 8, 12]. Other causes were not present in this case report; thus treatment was initiated for GCA, since the patient met four of the five criteria cited by the American College of Rheumatology: aged over 50 years, reduced temporal pulse, ESR greater than 50 mm/h, and a compatible biopsy [5, 8, 9].…”

Section: Discussionmentioning

confidence: 99%

“…GCA occurs predominantly in females in a ratio of 1.4 to 3 women for every man and exclusively in patients aged 50 years and over [1, 2]. Common symptoms include headache; visual symptoms such as diplopia, amaurosis fugax, and vision loss; and masticatory muscle changes such as jaw claudication [3, 4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review

Sobrinho

Lima

Moura

et al. 2017

Case Reports in Medicine

View full text Add to dashboard Cite

Giant cell arteritis is a form of vasculitis involving the medium- and large-sized arteries that chiefly affects older people. Clinical findings are headache, jaw claudication, fever, pain, and thickening of the temporal artery. The most feared complication is visual loss due to impairment of the ophthalmic artery and posterior ciliary arteries. This a case report of an 85-year-old male presenting with headache and jaw pain, who was admitted with tongue necrosis as an initial manifestation of giant cell arteritis. The necrotic area detached spontaneously after two weeks of therapy with corticosteroids and methotrexate. Reviewing the literature, our patient presented with clinical symptoms consistent with most reports, except for the fact of being male. Although unusual as an initial manifestation, tongue necrosis is an important alert for diagnosing giant cell arteritis. Early diagnosis and treatment of this atypical manifestation may reduce morbidity.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review

Sobrinho

Lima

Moura

et al. 2017

Case Reports in Medicine

View full text Add to dashboard Cite

show abstract

“…Lingual necrosis is a known complication of GCA that commonly affects one side of the tongue [5–8]. In a few cases bilateral necrosis has been described and is considered extremely rare due to the rich lingual vascular supply [2, 5, 9–11].…”

Section: Introductionmentioning

confidence: 99%

“…In a few cases bilateral necrosis has been described and is considered extremely rare due to the rich lingual vascular supply [2, 5, 9–11]. This paper presents a case of lingual pain and bilateral tongue necrosis secondary to GCA along with a literature review of this rare complication.…”

Section: Introductionmentioning

confidence: 99%

Tongue Necrosis as an Initial Manifestation of Giant Cell Arteritis: Case Report and Review of the Literature

Zaragoza

Vernon

Ghaffari

2015

Case Reports in Rheumatology

View full text Add to dashboard Cite

Giant cell arteritis (GCA) is a systemic vasculitis of medium and large arteries that mainly affects the external carotid artery. It is a diagnosis of the elderly that typically presents as low-grade fever, temporal tenderness, claudication of the jaw, and in some patients vision loss. In cases where GCA presents with atypical manifestations, the diagnosis may be more difficult, causing a delay in both diagnosis and treatment and ultimately leading to irreversible complications. In this paper, we present an atypical presentation of GCA with symptoms of neck swelling and lingual pain in an elderly female. These symptoms progressed to bilateral necrosis and eventual dislodgement of the tongue. Lingual necrosis is a severe potential complication in GCA. In patients presenting with lingual swelling, pain, and discoloration, GCA should be suspected and prompt therapy should be initiated to avoid irreversible complications.

show abstract