An unusual presentation of giant cell arteritis
A 77-year-old-man with giant cell arteritis who developed bitemporal scalp ulcerations is described. Since 1946 when Cooke et al. reported the first case of scalp necrosis there were approximately 55 cases published. Scalp ulceration is a rare complication of giant cell arteritis and occurs mainly i...
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| Veröffentlicht in: | VASA 2005-05, Vol.34 (2), p.128-130 |
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| creator | SIMON, R. W FRITZ, T AMANN-VESTI, B. R SCHENK ROMER, G FISCHER, B KÄGI, M. K |
| description | A 77-year-old-man with giant cell arteritis who developed bitemporal scalp ulcerations is described. Since 1946 when Cooke et al. reported the first case of scalp necrosis there were approximately 55 cases published. Scalp ulceration is a rare complication of giant cell arteritis and occurs mainly in elderly persons, particularly women. About half of all patients were presented to dermatologists. Most of the patients (70%) had other serious complications of giant cell arteritis: blindness, gangrene of the tongue and nasal septum necrosis. Seventy percent of the cases were confirmed by a temporal artery biopsy. The necrosis were of varying extent and uni- or bilateral. Although, in most cases necrosis has been located bilaterally as in the presented case. Scalp healing was complete nearly in all patients by conservative treatment within a year. Scalp ulceration is a potentially reversible complication of giant cell arteritis which indicates extensive vessel involvement and adequate coricosteroid therapy is required and essential. |
| doi_str_mv | 10.1024/0301-1526.34.2.128 |
| format | Article |
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The necrosis were of varying extent and uni- or bilateral. Although, in most cases necrosis has been located bilaterally as in the presented case. Scalp healing was complete nearly in all patients by conservative treatment within a year. Scalp ulceration is a potentially reversible complication of giant cell arteritis which indicates extensive vessel involvement and adequate coricosteroid therapy is required and essential.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood vessels and receptors</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>General aspects</subject><subject>Giant Cell Arteritis - complications</subject><subject>Giant Cell Arteritis - pathology</subject><subject>Giant Cell Arteritis - therapy</subject><subject>Headache - etiology</subject><subject>Headache - prevention & control</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Rare Diseases - complications</subject><subject>Rare Diseases - pathology</subject><subject>Rare Diseases - therapy</subject><subject>Scalp Dermatoses - etiology</subject><subject>Scalp Dermatoses - prevention & control</subject><subject>Scalp Dermatoses - therapy</subject><subject>Temporal Arteries - pathology</subject><subject>Vertebrates: cardiovascular system</subject><issn>0301-1526</issn><issn>1664-2872</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1PwzAURS0EoqXwBxhQFtiS-j07tjNWVfmQKrHAbDmJg4JSp9jOwL8nUSM6vTece3V1CLkHmgFFvqaMQgo5iozxDDNAdUGWIARPUUm8JMt_YEFuQvimFEEBvyYLyAuhVCGWZL1xyeCGMJguOXobrIsmtr1L-ib5ao2LSWW7LjE-Wt_GNtySq8Z0wd7Nd0U-n3cf29d0__7ytt3s04oxiCnmlLGGSytlWZaS5SB5DTWibFghleRCmCpXeUMtQl2WvB5_CdIqYEBLw1bk6dR79P3PYEPUhzZMU4yz_RC0kEXOkNIRxBNY-T4Ebxt99O3B-F8NVE-a9GRBTxY04xr1qGkMPcztQ3mw9TkyexmBxxkwoTJd442r2nDmhEI5TmB_ge5tug</recordid><startdate>20050501</startdate><enddate>20050501</enddate><creator>SIMON, R. 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K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c331t-25033f47e77bbb735174d1d227f39787466ac585f0e21dbb4d85f717e81310ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood vessels and receptors</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>General aspects</topic><topic>Giant Cell Arteritis - complications</topic><topic>Giant Cell Arteritis - pathology</topic><topic>Giant Cell Arteritis - therapy</topic><topic>Headache - etiology</topic><topic>Headache - prevention & control</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Rare Diseases - complications</topic><topic>Rare Diseases - pathology</topic><topic>Rare Diseases - therapy</topic><topic>Scalp Dermatoses - etiology</topic><topic>Scalp Dermatoses - prevention & control</topic><topic>Scalp Dermatoses - therapy</topic><topic>Temporal Arteries - pathology</topic><topic>Vertebrates: cardiovascular system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SIMON, R. W</creatorcontrib><creatorcontrib>FRITZ, T</creatorcontrib><creatorcontrib>AMANN-VESTI, B. R</creatorcontrib><creatorcontrib>SCHENK ROMER, G</creatorcontrib><creatorcontrib>FISCHER, B</creatorcontrib><creatorcontrib>KÄGI, M. K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>VASA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SIMON, R. W</au><au>FRITZ, T</au><au>AMANN-VESTI, B. R</au><au>SCHENK ROMER, G</au><au>FISCHER, B</au><au>KÄGI, M. K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An unusual presentation of giant cell arteritis</atitle><jtitle>VASA</jtitle><addtitle>Vasa</addtitle><date>2005-05-01</date><risdate>2005</risdate><volume>34</volume><issue>2</issue><spage>128</spage><epage>130</epage><pages>128-130</pages><issn>0301-1526</issn><eissn>1664-2872</eissn><coden>VASAAH</coden><abstract>A 77-year-old-man with giant cell arteritis who developed bitemporal scalp ulcerations is described. Since 1946 when Cooke et al. reported the first case of scalp necrosis there were approximately 55 cases published. Scalp ulceration is a rare complication of giant cell arteritis and occurs mainly in elderly persons, particularly women. About half of all patients were presented to dermatologists. Most of the patients (70%) had other serious complications of giant cell arteritis: blindness, gangrene of the tongue and nasal septum necrosis. Seventy percent of the cases were confirmed by a temporal artery biopsy. The necrosis were of varying extent and uni- or bilateral. Although, in most cases necrosis has been located bilaterally as in the presented case. Scalp healing was complete nearly in all patients by conservative treatment within a year. Scalp ulceration is a potentially reversible complication of giant cell arteritis which indicates extensive vessel involvement and adequate coricosteroid therapy is required and essential.</abstract><cop>Bern</cop><cop>Göttingen</cop><cop>Toronto, ON</cop><pub>Huber</pub><pmid>15968896</pmid><doi>10.1024/0301-1526.34.2.128</doi><tpages>3</tpages></addata></record> |
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| subjects | Aged Biological and medical sciences Blood and lymphatic vessels Blood vessels and receptors Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Fundamental and applied biological sciences. Psychology General aspects Giant Cell Arteritis - complications Giant Cell Arteritis - pathology Giant Cell Arteritis - therapy Headache - etiology Headache - prevention & control Humans Male Medical sciences Rare Diseases - complications Rare Diseases - pathology Rare Diseases - therapy Scalp Dermatoses - etiology Scalp Dermatoses - prevention & control Scalp Dermatoses - therapy Temporal Arteries - pathology Vertebrates: cardiovascular system |
| title | An unusual presentation of giant cell arteritis |
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