Acute bilateral tongue necrosis – a case report

Sainuddin, Sajid; Saeed, Nadeem

doi:10.1016/j.bjoms.2008.03.027

Cited by 8 publications

(9 citation statements)

References 6 publications

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“…In our case the lack of appropriately sized vessels in the biopsy unabled the pathologist to rule out temporal arteritis as a possible cause when reexamining the biopsies. Unlike patients suffering from vasculitis our patient did not present the classical symptoms of vasculitis and experienced complete remission without corticosteroid treatment [1,2,[6][7][8] . The pathological diagnosis is paramount in choosing the correct treatment of a patient with an ulcerous necrosis of the tongue.…”

Section: Discussionmentioning

confidence: 58%

“…An ischemic lesion of the tongue is caused by decreased blood flow and causes pain, swelling, discoloring, necrosis, foetor ex ore and eventually impaired movement of the affected area due to necrosis of the lingual muscle tissue [1,2] . Several conditions can cause tongue necrosis and the clinical distinction may thus be difficult.…”

Section: Introductionmentioning

confidence: 99%

“…GCA has predominance for affecting the external carotid artery and its branches [9] . Other causes of tongue necrosis include trauma, infection, previous irradiation of the head and neck [10] , vascular embolization and arteriosclerosis [2,11,12] antiphospholipid syndrome [13] and systemic lupus erythematosus [14] . A biopsy is essential in the diagnostic work-up, making the pathologist's evaluation of the biopsy a cornerstone in securing a timely and accurate diagnosis, which in turn determines the appropriate line of treatment for the patient.…”

Section: Introductionmentioning

confidence: 99%

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Lingual thrombosis presenting as tongue carcinoma

Arndal¹,

Barfoed²,

Rasmussen³

2014

CRCP

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We report a case of a 57-year old man who was admitted to our department with a necrotic ulcer of the tongue. Carcinoma of the tongue was initially suspected and incisional biopsies were performed along with Magnetic Resonance Imaging of the head and neck and a Computerized Tomography of the head, neck and thorax. The images were normal and the biopsies surprisingly did not show malignancy but venous thrombosis. The patient experienced complete remission without treatment. When re-examining the biopsies the pathologist was unable to rule out vasculitis as a possible cause, because the specimen lacked the appropriate sized vessels for diagnostics. We would like to emphasize that vasculitis should always be considered as a differential diagnosis, when biopsies turn out non-malignant in a patient with a necrotic ulcer of the tongue.

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Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lingual thrombosis presenting as tongue carcinoma

Arndal¹,

Barfoed²,

Rasmussen³

2014

CRCP

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“…Endovascular damage ensues and the vascular lumen may become stenosed or completely occluded secondary to proliferation of the intima, and thrombosis. Ischaemic features and necrosis may develop in the areas supplied by the affected arteries 5 6. In our patient, the upper respiratory tract infection that preceded onset of the lingular numbness and pain may have triggered GCA.…”

Section: Discussionmentioning

confidence: 62%

Temporal arteritis presenting with tongue necrosis

Kumarasinghe¹,

Hepburn²,

Reuther³

et al. 2012

BMJ Case Reports

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“…In some patients, however, unusual symptoms, such as lingual necrosis may appear as an initial manifestation, thus hindering diagnosis [7–9]. In this report, we present a case of GCA in an elderly male with early tongue necrosis.…”

Section: Introductionmentioning

confidence: 94%

Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review

Sobrinho

Lima

Moura

et al. 2017

Case Reports in Medicine

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Giant cell arteritis is a form of vasculitis involving the medium- and large-sized arteries that chiefly affects older people. Clinical findings are headache, jaw claudication, fever, pain, and thickening of the temporal artery. The most feared complication is visual loss due to impairment of the ophthalmic artery and posterior ciliary arteries. This a case report of an 85-year-old male presenting with headache and jaw pain, who was admitted with tongue necrosis as an initial manifestation of giant cell arteritis. The necrotic area detached spontaneously after two weeks of therapy with corticosteroids and methotrexate. Reviewing the literature, our patient presented with clinical symptoms consistent with most reports, except for the fact of being male. Although unusual as an initial manifestation, tongue necrosis is an important alert for diagnosing giant cell arteritis. Early diagnosis and treatment of this atypical manifestation may reduce morbidity.

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Acute bilateral tongue necrosis – a case report

Cited by 8 publications

References 6 publications

Lingual thrombosis presenting as tongue carcinoma

Lingual thrombosis presenting as tongue carcinoma

Temporal arteritis presenting with tongue necrosis

Tongue Necrosis Secondary to Giant Cell Arteritis: A Case Report and Literature Review

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