ArticleClinical medicine insights. Case reports2019
Delayed Diagnosis of Giant Cell Arteritis in the Setting of Isolated Lingual Necrosis.
Article in Clinical medicine insights. Case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- The characteristics of giant cell arteritis patients that went blind in spite of treatment: case based narrative literature review.Rheumatology international · 2026Review
- Ischemia of the Tongue and Scalp as an Uncommon Presentation of Giant Cell Arteritis.European journal of case reports in internal medicine · 2026Article
- Lingual necrosis in giant-cell arteritis: a case-based review.Rheumatology international · 2025Review
- An atypical manifestation of Giant cell arteritis (GCA): constitutional symptoms & lingual ulcer in a 78-Year-Old male with negative temporal artery biopsies.BMC rheumatology · 2025Article
- Oral and Intestinal Manifestations of Giant Cell Arteritis.European journal of case reports in internal medicine · 2025Article
- Tongue necrosis as a manifestation of immune dysfunction: A complex case of systemic lupus erythematosus, histoplasmosis, and macrophage activation syndrome.Clinical case reports · 2023Article
- Tongue necrosis secondary to giant cell arteritis, successfully treated with tocilizumab: a case report.BMC musculoskeletal disorders · 2023Article
- Rare Ischemic Complications of Giant Cell Arteritis: Case Series and Literature Review.The American journal of case reports · 2022Review
- Giant cell arteritis presenting with progressive dysphagia and tongue necrosis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Giant cell arteritis complicated by tongue necrosis and bilateral cerebellar ischaemic stroke.BMJ case reports · 2021Article
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLingual necrosis is a rare complication of giant cell arteritis (GCA).
methodsA 77-year-old woman presented for treatment of a painful and discolored tongue, odynophagia, and dehydration refractory to antimicrobials over 2 weeks. An extensive, well-demarcated necrotic area was visualized on the anterior tongue upon admission. Leukocytosis, thrombocytosis, and elevated erythrocyte sedimentation rate were present. Computed tomography angiogram of the head and neck revealed an undulated-beaded appearance of the distal internal carotid arteries and vertebral arteries bilaterally.
resultsHigh-dose intravenous steroids were initiated for suspected vasculitis. Temporal artery biopsy confirmed the diagnosis of GCA. The patient's condition improved and the anterior tongue was well healed at 1 month follow-up.
conclusionsAn atypical presentation of GCA (eg, isolated lingual necrosis) risks a delay in diagnosis and increased morbidity. Any patient above the age of 50 years presenting with tongue necrosis, in the absence of known cause, should undergo expedited workup for GCA.
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