Uncommon presentation of giant cell arteritis: report of two cases with scalp necrosis.
Giant cell arteritis (GCA), the most common form of systemic granulomatous vasculitis in adults, preferentially involves large and medium-sized arteries. Scalp necrosis is a rare complication and can be the presenting feature. This report presents two patients of GCA with severe scalp necrosis as the presenting symptoms. Both the patients were treated successfully with selective debridement, local wound care, antimicrobial and systemic steroid treatment. Skin necrosis is a potentially treatable complication of GCA and needs a multidisciplinary approach.
Mucke
Thomas
T
Department of Oral and Maxillofacial Plastic Surgery, Klinikum Rechts der Isar der Technischen Universität München, Germany. th.mucke@gmx.de
Kesting
Marco R
MR
Holzle
Frank
F
Wolff
Klaus-Dietrich
KD
D000369:Aged, 80 and over; D000890:Anti-Infective Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003646:Debridement; D005260:Female; D013700:Giant Cell Arteritis / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D009336:Necrosis; D011239:Prednisolone / Q000627:therapeutic use; D012535:Scalp / Q000473:pathology*
D000890:Anti-Infective Agents; D000893:Anti-Inflammatory Agents; D011239:Prednisolone