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Case Reports
A Case of Giant Cell Arteritis that Presented with Buccal Skin Ulceration along the Facial Artery.
- Eriko Hasegawa, Yoichi Kurosawa, Ayako Wakamatsu, Hiroe Sato, Daisuke Kobayashi, Takeshi Nakatsue, Takeshi Kuroda, Hiroshi Shimizu, and Ichiei Narita.
- Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan.
- Intern. Med. 2023 May 15; 62 (10): 154115451541-1545.
AbstractA 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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