title: [Bitemporal scalp necrosis : a very rare manifestation of giant cell arteritis].
abstract: A 71-year-old woman developed progressive spreading of bitemporal scalp necrosis within 4 weeks accompanied by headaches, myalgia of the shoulder girdle and muscle weakness that had started a few months previously. No additional diseases were reported. The suspected temporal giant cell arteritis could be confirmed by temporal artery biopsy. Therapy with glucocorticoids led to a rapid resolution of clinical symptoms and was tapered over 18 months. Recovery of the scalp necrosis emerged following second intention healing and split-skin transplantation of necrotic areas after successful wound conditioning. The case study demonstrates a rare and serious complication of temporal arteritis which is often accompanied by a poor prognosis.
authors.affiliation: Klinik für Dermatologie, Venerologie und Allergologie, Klinikum der Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.
authors.forename: E M
authors.initials: EM
authors.lastname: Valesky
authors.forename: M
authors.initials: M
authors.lastname: Wahle
authors.forename: S
authors.initials: S
authors.lastname: Vranes
authors.forename: M
authors.initials: M
authors.lastname: Wolter
authors.forename: R
authors.initials: R
authors.lastname: Kaufmann
authors.forename: M
authors.initials: M
authors.lastname: Meissner
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008875:Middle Aged; D009336:Necrosis; D012535:Scalp / Q000187:drug effects* / Q000473:pathology*; D012536:Scalp Dermatoses / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology*; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids