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A 78-year-old woman presented with a painful tongue ulcer and a 6-week history of temporal headaches and jaw claudication. She subsequently developed sudden vision loss in the right eye. Her erythrocyte sedimentation rate was elevated at 94 mm/1st hour (<30). We started her on corticosteroid treatment, and a temporal artery biopsy confirmed a diagnosis of giant cell arteritis. Biopsy of the tongue lesion showed inflammation of the submucosa and skeletal muscle, without evidence of …
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