title: Tongue infarction as first symptom of temporal arteritis.
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.
authors.affiliation: Department of Dermatology, San Cecilio University Hospital, Avda Dr Oloriz s/n, 18012 Granada, Spain. huseinelahmed@hotmail.com
authors.forename: Husein
authors.initials: H
authors.lastname: Husein-Elahmed
authors.forename: Jose-Luis
authors.initials: JL
authors.lastname: Callejas-Rubio
authors.forename: Raquel
authors.initials: R
authors.lastname: Rios-Fernández
authors.forename: Norberto
authors.initials: N
authors.lastname: Ortego-Centeno
mesh_terms: D000368:Aged; D003646:Debridement; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007238:Infarction / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D009336:Necrosis / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D011241:Prednisone / Q000627:therapeutic use; D014059:Tongue / Q000098:blood supply / Q000473:pathology*; D014060:Tongue Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids; D011241:Prednisone