2015
DOI: 10.1136/bcr-2014-208330
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Ischaemic necrosis of the tongue

Abstract: Necrosis of the tongue is a rare clinical finding. The rich vascularity of the tongue means necrosis is uncommon but it has been reported secondary to giant cell arthritis, radiotherapy and ischaemia. We report the case of a 61-year-old man admitted with an acute abdomen, who later developed gross swelling of the tongue, secondary to ischaemic necrosis, which necessitated tracheostomy placement. The ischaemia was managed conservatively with heparinisation and by allowing the ischaemic area to demarcate and slo… Show more

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Cited by 10 publications
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“…The differential diagnosis for tongue ischemia, which is a rare presenting symptom of giant cell arteritis, includes vasculitis, vasospasm, trauma, and radiation. 1 Giant cell arteritis occasionally has been reported in the literature as a possible cause; furthermore, it has been reported to cause other atypical symptoms, such as cough, trismus, hearing loss, and facial swelling. [2][3][4][5][6] Timely diagnosis requires recognition of the signs and symptoms of the disease and prompt referral for biopsy, which is the gold standard for confirmation.…”
Section: Diagnosismentioning
confidence: 99%
“…The differential diagnosis for tongue ischemia, which is a rare presenting symptom of giant cell arteritis, includes vasculitis, vasospasm, trauma, and radiation. 1 Giant cell arteritis occasionally has been reported in the literature as a possible cause; furthermore, it has been reported to cause other atypical symptoms, such as cough, trismus, hearing loss, and facial swelling. [2][3][4][5][6] Timely diagnosis requires recognition of the signs and symptoms of the disease and prompt referral for biopsy, which is the gold standard for confirmation.…”
Section: Diagnosismentioning
confidence: 99%
“…There are many underlying factors that can contribute to the development of tongue necrosis (Table 1 ). 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 Giant cell arteritis (GCA), ANCA (Anti‐Neutrophil Cytoplasmic Antibody)‐associated vasculitis and other vasculitides have been previously described as underlying systemic causes of tongue necrosis. 1 , 2 , 3 , 4 Other potential causes include infection (particularly tuberculosis and syphilis), malignancy, radiation therapy, use of vasoconstricting medications and systemic hypoperfusion such as in the setting of shock.…”
Section: Introductionmentioning
confidence: 99%