Indian Journal of Dermatology
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Year : 2013  |  Volume : 58  |  Issue : 4  |  Page : 328

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

1 Department of Dermatology, Bombay Hospital and Medical Research Center, Mumbai, India
2 Department of Medicine, Bombay Hospital and Medical Research Center, Mumbai, India
3 Department of Neurology, Bombay Hospital and Medical Research Center, Mumbai, India

Correspondence Address:
Rajesh Kumar
Department of Dermatology, Room no. 208, 2nd Floor, "New Wing", Bombay Hospital and Medical Research Center, 12, New Marine Line, Mumbai 400 020
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.113980

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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.

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