Giant Cell Arteritis That Presented with Buccal Skin Ulceration along the Facial Artery

A 68-year-old man presented with right buccal ulceration along the facial artery, temporal pain, lagophthalmos, diplopia, and tongue deviation to the right. Contrast-enhanced computed tomography showed bilateral temporal artery and right maxillary artery wall thickening, and a diagnosis of giant cel...

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Autores principales: Hasegawa, Eriko, Kurosawa, Yoichi, Wakamatsu, Ayako, Sato, Hiroe, Kobayashi, Daisuke, Nakatsue, Takeshi, Kuroda, Takeshi, Shimizu, Hiroshi, Narita, Ichiei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258095/
https://www.ncbi.nlm.nih.gov/pubmed/36198595
http://dx.doi.org/10.2169/internalmedicine.0395-22
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author Hasegawa, Eriko
Kurosawa, Yoichi
Wakamatsu, Ayako
Sato, Hiroe
Kobayashi, Daisuke
Nakatsue, Takeshi
Kuroda, Takeshi
Shimizu, Hiroshi
Narita, Ichiei
author_facet Hasegawa, Eriko
Kurosawa, Yoichi
Wakamatsu, Ayako
Sato, Hiroe
Kobayashi, Daisuke
Nakatsue, Takeshi
Kuroda, Takeshi
Shimizu, Hiroshi
Narita, Ichiei
author_sort Hasegawa, Eriko
collection PubMed
description A 68-year-old man presented with right buccal ulceration along the facial artery, temporal pain, lagophthalmos, diplopia, and tongue deviation to the right. Contrast-enhanced computed tomography showed bilateral temporal artery and right maxillary artery wall thickening, and a diagnosis of giant cell arteritis (GCA) was made according to the American College of Rheumatology 1990 criteria. Treatment with corticosteroids ameliorated his symptoms. This is the first report of GCA with buccal skin ulceration along a facial artery. Because a delayed diagnosis can lead to irreversible damage, it is essential to notice rare symptoms, such as skin ulceration and multiple cranial neuropathy-like symptoms.
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spelling pubmed-102580952023-06-13 Giant Cell Arteritis That Presented with Buccal Skin Ulceration along the Facial Artery Hasegawa, Eriko Kurosawa, Yoichi Wakamatsu, Ayako Sato, Hiroe Kobayashi, Daisuke Nakatsue, Takeshi Kuroda, Takeshi Shimizu, Hiroshi Narita, Ichiei Intern Med Case Report A 68-year-old man presented with right buccal ulceration along the facial artery, temporal pain, lagophthalmos, diplopia, and tongue deviation to the right. Contrast-enhanced computed tomography showed bilateral temporal artery and right maxillary artery wall thickening, and a diagnosis of giant cell arteritis (GCA) was made according to the American College of Rheumatology 1990 criteria. Treatment with corticosteroids ameliorated his symptoms. This is the first report of GCA with buccal skin ulceration along a facial artery. Because a delayed diagnosis can lead to irreversible damage, it is essential to notice rare symptoms, such as skin ulceration and multiple cranial neuropathy-like symptoms. The Japanese Society of Internal Medicine 2022-10-05 2023-05-15 /pmc/articles/PMC10258095/ /pubmed/36198595 http://dx.doi.org/10.2169/internalmedicine.0395-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hasegawa, Eriko
Kurosawa, Yoichi
Wakamatsu, Ayako
Sato, Hiroe
Kobayashi, Daisuke
Nakatsue, Takeshi
Kuroda, Takeshi
Shimizu, Hiroshi
Narita, Ichiei
Giant Cell Arteritis That Presented with Buccal Skin Ulceration along the Facial Artery
title Giant Cell Arteritis That Presented with Buccal Skin Ulceration along the Facial Artery
title_full Giant Cell Arteritis That Presented with Buccal Skin Ulceration along the Facial Artery
title_fullStr Giant Cell Arteritis That Presented with Buccal Skin Ulceration along the Facial Artery
title_full_unstemmed Giant Cell Arteritis That Presented with Buccal Skin Ulceration along the Facial Artery
title_short Giant Cell Arteritis That Presented with Buccal Skin Ulceration along the Facial Artery
title_sort giant cell arteritis that presented with buccal skin ulceration along the facial artery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258095/
https://www.ncbi.nlm.nih.gov/pubmed/36198595
http://dx.doi.org/10.2169/internalmedicine.0395-22
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