Bilateral Scalp Necrosis in Giant Cell Arteritis

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Title Bilateral Scalp Necrosis in Giant Cell Arteritis
Creator Anisha N Somani; Bayan Al Othman; Tonse Kini; Andrew G. Lee
Affiliation McGovern Medical School (ANS), Houston, Texas; Department of Ophthalmology (BAO, TK, AGL), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; Departments of Ophthalmology, Neurology, and Neurosurgery (AGL), Weill Cornell Medicine, New York, New York; Department of Ophthalmology (AGL), University of Texas Medical Branch, Galveston, Texas; Department of Ophthalmology (AGL), University of Texas MD Anderson Cancer Center, Houston, Texas; Department of Ophthalmology (AGL), Texas A and M College of Medicine, Bryan, Texas; and Department of Ophthalmology (AGL), The University of Iowa Hospitals and Clinics, Iowa City, Iowa
Abstract Giant cell arteritis (GCA) is a medium-to-large vessel vasculitis of the elderly. Common constitutional clinical features include headache, scalp tenderness, and jaw claudication. Severe unilateral or bilateral visual loss is the most feared ophthalmic complication of GCA. Scalp necrosis is a known ischemic complication of GCA with approximately 100 cases reported in the literature to date. We report a case of scalp pain and an erythematous cutaneous lesion in the distribution of ophthalmic division of the trigeminal nerve that mimicked herpes zoster ophthalmicus. A temporal artery biopsy was positive for GCA, and small vessel arteritis was seen at the time of simultaneous skin biopsy. To the best of our knowledge, this is the first such report in the English language ophthalmic literature.
Subject Aged, 80 and over; Biopsy; Blood Sedimentation; Brain / diagnostic imaging; Female; Giant Cell Arteritis / complications; Giant Cell Arteritis / diagnosis; Giant Cell Arteritis / drug therapy; Glucocorticoids / therapeutic use; Humans; Magnetic Resonance Imaging; Necrosis / diagnosis; Necrosis / drug therapy; Necrosis / etiology; Scalp / drug effects; Scalp / pathology; Skin Diseases / diagnosis; Skin Diseases / etiology; Temporal Arteries / pathology
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Date 2021-03
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, March 2021, Volume 41, Issue 1
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6vp182p
Setname ehsl_novel_jno
ID 1765116
Reference URL https://collections.lib.utah.edu/ark:/87278/s6vp182p
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