Scalp necrosis in giant cell arteritis

Circe Ancona-Castro, Josefina Navarrete-Solís, Julio César Salas-Alanís, Jorge L. Moreno-González

Research output: Contribution to journalArticle

Abstract

Giant cell arteritis (GCA) is a systemic granulomatous vasculitis of large and medium vessels most commonly affecting the branches of the external carotid artery, mainly the superficial temporal artery. Typically occurs in patients over 50 years. The clinical features vary widely depending on the vascular territories involved in each patient. The classic symptoms are headache, fever, rheumatic polymyalgia, scalp tenderness, visual impairment and jaw claudication. Scalp necrosis is a rare presentation in GCA, there are approximately 100 cases reported in the literature to date; it is associated with severe disease and complications, such as visual loss, tongue necrosis and high mortality rate. We report the case of an 86-year-old female who attended to the dermatology outpatient clinic with bilateral scalp necrosis. Four months prior to presentation she had additional complaints of bilateral temporal headache and jaw claudication, followed by visual loss. The GCA diagnosis was suspected based on cutaneous findings, leading to a comprehensive evaluation, definitive histopathological confirmation and appropriate treatment. This case report and literature review allows highlight the importance of considering the diagnosis of GCA in elderly patients with a newonset headache or change in a pre-existing headache pattern, as early diagnosis and prompt treatment are essential to prevent complications.
Original languageEnglish
Pages (from-to)552-563
Number of pages12
JournalDermatologia Revista Mexicana
Publication statusPublished - 1 Jan 2015

Fingerprint

Giant Cell Arteritis
Scalp
Headache
Necrosis
Jaw
External Carotid Artery
Temporal Arteries
Systemic Vasculitis
Rheumatic Fever
Vision Disorders
Dermatology
Ambulatory Care Facilities
Tongue
Blood Vessels
Early Diagnosis
Skin
Mortality
Therapeutics

Cite this

Ancona-Castro, C., Navarrete-Solís, J., Salas-Alanís, J. C., & Moreno-González, J. L. (2015). Scalp necrosis in giant cell arteritis. Dermatologia Revista Mexicana, 552-563.
Ancona-Castro, Circe ; Navarrete-Solís, Josefina ; Salas-Alanís, Julio César ; Moreno-González, Jorge L. / Scalp necrosis in giant cell arteritis. In: Dermatologia Revista Mexicana. 2015 ; pp. 552-563.
@article{c59be06b523049a3ae7c978591286f2f,
title = "Scalp necrosis in giant cell arteritis",
abstract = "Giant cell arteritis (GCA) is a systemic granulomatous vasculitis of large and medium vessels most commonly affecting the branches of the external carotid artery, mainly the superficial temporal artery. Typically occurs in patients over 50 years. The clinical features vary widely depending on the vascular territories involved in each patient. The classic symptoms are headache, fever, rheumatic polymyalgia, scalp tenderness, visual impairment and jaw claudication. Scalp necrosis is a rare presentation in GCA, there are approximately 100 cases reported in the literature to date; it is associated with severe disease and complications, such as visual loss, tongue necrosis and high mortality rate. We report the case of an 86-year-old female who attended to the dermatology outpatient clinic with bilateral scalp necrosis. Four months prior to presentation she had additional complaints of bilateral temporal headache and jaw claudication, followed by visual loss. The GCA diagnosis was suspected based on cutaneous findings, leading to a comprehensive evaluation, definitive histopathological confirmation and appropriate treatment. This case report and literature review allows highlight the importance of considering the diagnosis of GCA in elderly patients with a newonset headache or change in a pre-existing headache pattern, as early diagnosis and prompt treatment are essential to prevent complications.",
author = "Circe Ancona-Castro and Josefina Navarrete-Sol{\'i}s and Salas-Alan{\'i}s, {Julio C{\'e}sar} and Moreno-Gonz{\'a}lez, {Jorge L.}",
year = "2015",
month = "1",
day = "1",
language = "English",
pages = "552--563",
journal = "Dermatologia Revista Mexicana",
issn = "0185-4038",
publisher = "Comunicaciones Cientificas Mexicanas S.A. de C.V.",

}

Ancona-Castro, C, Navarrete-Solís, J, Salas-Alanís, JC & Moreno-González, JL 2015, 'Scalp necrosis in giant cell arteritis', Dermatologia Revista Mexicana, pp. 552-563.

Scalp necrosis in giant cell arteritis. / Ancona-Castro, Circe; Navarrete-Solís, Josefina; Salas-Alanís, Julio César; Moreno-González, Jorge L.

In: Dermatologia Revista Mexicana, 01.01.2015, p. 552-563.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Scalp necrosis in giant cell arteritis

AU - Ancona-Castro, Circe

AU - Navarrete-Solís, Josefina

AU - Salas-Alanís, Julio César

AU - Moreno-González, Jorge L.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Giant cell arteritis (GCA) is a systemic granulomatous vasculitis of large and medium vessels most commonly affecting the branches of the external carotid artery, mainly the superficial temporal artery. Typically occurs in patients over 50 years. The clinical features vary widely depending on the vascular territories involved in each patient. The classic symptoms are headache, fever, rheumatic polymyalgia, scalp tenderness, visual impairment and jaw claudication. Scalp necrosis is a rare presentation in GCA, there are approximately 100 cases reported in the literature to date; it is associated with severe disease and complications, such as visual loss, tongue necrosis and high mortality rate. We report the case of an 86-year-old female who attended to the dermatology outpatient clinic with bilateral scalp necrosis. Four months prior to presentation she had additional complaints of bilateral temporal headache and jaw claudication, followed by visual loss. The GCA diagnosis was suspected based on cutaneous findings, leading to a comprehensive evaluation, definitive histopathological confirmation and appropriate treatment. This case report and literature review allows highlight the importance of considering the diagnosis of GCA in elderly patients with a newonset headache or change in a pre-existing headache pattern, as early diagnosis and prompt treatment are essential to prevent complications.

AB - Giant cell arteritis (GCA) is a systemic granulomatous vasculitis of large and medium vessels most commonly affecting the branches of the external carotid artery, mainly the superficial temporal artery. Typically occurs in patients over 50 years. The clinical features vary widely depending on the vascular territories involved in each patient. The classic symptoms are headache, fever, rheumatic polymyalgia, scalp tenderness, visual impairment and jaw claudication. Scalp necrosis is a rare presentation in GCA, there are approximately 100 cases reported in the literature to date; it is associated with severe disease and complications, such as visual loss, tongue necrosis and high mortality rate. We report the case of an 86-year-old female who attended to the dermatology outpatient clinic with bilateral scalp necrosis. Four months prior to presentation she had additional complaints of bilateral temporal headache and jaw claudication, followed by visual loss. The GCA diagnosis was suspected based on cutaneous findings, leading to a comprehensive evaluation, definitive histopathological confirmation and appropriate treatment. This case report and literature review allows highlight the importance of considering the diagnosis of GCA in elderly patients with a newonset headache or change in a pre-existing headache pattern, as early diagnosis and prompt treatment are essential to prevent complications.

M3 - Article

SP - 552

EP - 563

JO - Dermatologia Revista Mexicana

JF - Dermatologia Revista Mexicana

SN - 0185-4038

ER -

Ancona-Castro C, Navarrete-Solís J, Salas-Alanís JC, Moreno-González JL. Scalp necrosis in giant cell arteritis. Dermatologia Revista Mexicana. 2015 Jan 1;552-563.