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颞动脉炎累及双侧颞部头皮、唇部及舌部坏死:一种罕见的表现。

Bitemporal scalp, lip and tongue necrosis in giant cell arteritis: a rare presentation.

作者信息

Kumar Rajesh, Gupta Hemant, Jadhav Anil, Khadilkar Sv

机构信息

Department of Dermatology, Bombay Hospital and Medical Research Center, Mumbai, India.

出版信息

Indian J Dermatol. 2013 Jul;58(4):328. doi: 10.4103/0019-5154.113980.

DOI:10.4103/0019-5154.113980
PMID:23919029
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3726906/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbde/3726906/cb10bd8d2810/IJD-58-328a-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbde/3726906/f459cca43dcc/IJD-58-328a-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbde/3726906/9835f0fdfa3b/IJD-58-328a-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbde/3726906/cb10bd8d2810/IJD-58-328a-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbde/3726906/f459cca43dcc/IJD-58-328a-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbde/3726906/9835f0fdfa3b/IJD-58-328a-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbde/3726906/cb10bd8d2810/IJD-58-328a-g003.jpg

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本文引用的文献

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Giant cell arteritis: a review of classification, pathophysiology, geoepidemiology and treatment.巨细胞动脉炎:分类、病理生理学、地理流行病学和治疗的综述。
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Scalp necrosis secondary to giant-cell arteritis.巨细胞动脉炎继发头皮坏死。
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Scalp necrosis in giant cell arteritis: case report and review of the relevance of this cutaneous sign of large-vessel vasculitis.巨细胞动脉炎中的头皮坏死:病例报告及对这种大血管血管炎皮肤表现相关性的综述
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Tongue necrosis as first symptom of giant cell arteritis (GCA).舌坏死作为巨细胞动脉炎(GCA)的首发症状。
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