Tongue Necrosis due to Giant Cell Arteritis
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2022.178999Keywords:
Vasculitis, Giant cell arteritis, Tongue, NecrosisAbstract
Giant Cell Arteritis is a vasculitis that mainly affects women over 50. The most common manifestations are headache, jaw claudication, and amaurosis. If not diagnosed early, it can lead to rare irreversible ischemic consequences, with tongue necrosis being one of these. We report a case of a previously undiagnosed patient with lateral tongue necrosis who responded well to oral corticosteroid treatment. The diagnosis is clinical, laboratory and histological and may be aided by imaging exams. Initial treatment is with oral corticosteroids, with methotrexate and tocilizumab as alternatives. Diagnostic suspicion and quick start of treatment favorably influence the prognosis of the disease.
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Copyright (c) 2022 Luiza Aguera Oliver, Alice Guiotti de Alencar, Marcelo Rosandiski Lyra, Ignacio Yáñez Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
