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Year : 2023  |  Volume : 5  |  Issue : 1  |  Page : 14

Tongue necrosis and paracentral acute middle maculopathy as manifestations of giant cell arteritis

1 Department of Ophthalmology, Institute of Medical Assistance to the State Public Servant, São Paulo, Brazil
2 Department of Pathology Services, Institute of Medical Assistance to the State Public Servant, São Paulo, Brazil

Correspondence Address:
Nathalie Stéphanie Meneguette
180 Ministro Raul Fernandes St., Apto 1601, Rio de Janeiro, RJ 22260-040
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/pajo.pajo_13_23

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Giant cell arteritis (GCA) is the most common primary vasculitis in adults. In general, the diagnosis is straightforward when characteristic symptoms such as headaches, scalp tenderness, jaw claudication, vision problems, or other ischemic complications are present. Atypical presentations of GCA have become increasingly recognized but we report for the first time a case of GCA presenting as partial tongue necrosis and paracentral acute middle maculopathy. This case adds to the literature and emphasizes the importance of rapid recognition of these atypical changes and optical coherence tomography in the evaluation of GCA patients.

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