Kumar Rajesh, Gupta Hemant, Jadhav Anil, Khadilkar Sv
Department of Dermatology, Bombay Hospital and Medical Research Center, Mumbai, India.
Indian J Dermatol. 2013 Jul;58(4):328. doi: 10.4103/0019-5154.113980.
A 74-year-old man was presented with fever, bilateral throbbing temporoparietal headache, jaw claudication, and bilateral loss of vision. On examination, he had bilateral scalp necrosis with impending necrosis of lip and tongue. Temporal artery biopsy was done, and it was compatible with active temporal arteritis. This is one of the rare presentations of giant cell arteritis where there is simultaneous necrosis of scalp, lip, and tongue, and to the best of our knowledge, it is the first case reported from India.
一名74岁男性出现发热、双侧搏动性颞顶头痛、咀嚼肌间歇性运动障碍及双侧视力丧失。检查发现,他双侧头皮坏死,唇部和舌部即将发生坏死。进行了颞动脉活检,结果与活动性颞动脉炎相符。这是巨细胞动脉炎罕见的表现之一,即头皮、唇部和舌部同时发生坏死,据我们所知,这是印度报道的首例病例。