Necrosis of the tongue as a clinical manifestation of giant cell arteritis
© 2023. The Author(s)..
An 83-year-old male patient presented due to a 3-week history of swelling of the tongue with tongue pain on eating, yellowish plaques, and a gray-brown lesion in the anterior portion of the tongue. Sudden loss of vision in the left eye and temporal headache occurred 3 days before presentation. Due to elevated C‑reactive protein, sonography of the supraaortic arteries as well as positron emission tomography/computed tomography was performed. Imaging revealed inflammation of the great arteries as well as a halo sign on ultrasound of the temporal artery. Thus, a diagnosis of giant cell arteritis with necrosis of the tongue was made. Immunosuppressive therapy with glucocorticoids was initiated. Necrosis of the tongue is a rare manifestation of giant cell arteritis that requires immediate immunosuppressive therapy to prevent further complications to the tongue (e.g., complete necrosis of the tongue, superinfection, tongue amputation).
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:65 |
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| Enthalten in: |
Innere Medizin (Heidelberg, Germany) - 65(2024), 5 vom: 27. Apr., Seite 508-511 |
| Sprache: |
Deutsch |
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| Weiterer Titel: |
Zungennekrose als klinische Manifestation einer Riesenzellarteriitis |
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| Beteiligte Personen: |
Pfeil, Alexander [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 29.04.2024 Date Revised 29.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00108-023-01607-w |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM363541012 |
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| 520 | |a © 2023. The Author(s). | ||
| 520 | |a An 83-year-old male patient presented due to a 3-week history of swelling of the tongue with tongue pain on eating, yellowish plaques, and a gray-brown lesion in the anterior portion of the tongue. Sudden loss of vision in the left eye and temporal headache occurred 3 days before presentation. Due to elevated C‑reactive protein, sonography of the supraaortic arteries as well as positron emission tomography/computed tomography was performed. Imaging revealed inflammation of the great arteries as well as a halo sign on ultrasound of the temporal artery. Thus, a diagnosis of giant cell arteritis with necrosis of the tongue was made. Immunosuppressive therapy with glucocorticoids was initiated. Necrosis of the tongue is a rare manifestation of giant cell arteritis that requires immediate immunosuppressive therapy to prevent further complications to the tongue (e.g., complete necrosis of the tongue, superinfection, tongue amputation) | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Corticosteroids | |
| 650 | 4 | |a Giant cell arteritis | |
| 650 | 4 | |a Positron emission tomography/computed tomography | |
| 650 | 4 | |a Tongue necrosis | |
| 650 | 4 | |a Ultrasound | |
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| 700 | 1 | |a Hoffmann, Tobias |e verfasserin |4 aut | |
| 700 | 1 | |a Freesmeyer, Martin |e verfasserin |4 aut | |
| 700 | 1 | |a Oelzner, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Wolf, Gunter |e verfasserin |4 aut | |
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