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Tongue infarction due to giant cell arteritis
  1. Altaf Saadi1,
  2. Brett McCray2,
  3. Erik Ensrud3,
  4. Sashank Prasad3
  1. 1Partners Neurology Residency, Massachusetts General Hospital, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
  2. 2Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  3. 3Department of Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA
  1. Correspondence to Dr Sashank Prasad, Department of Neurology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; sprasad2{at}

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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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