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Tongue infarction due to giant cell arteritis

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  • Correction notice This article has been corrected since it was published Online First. The Referee's commentary has been added.

  • Contributors AS evaluated the patient, gathered the data, conceived the concept and design of the manuscript, and drafted and revised the manuscript for content. BMC evaluated the patient, provided critical revision of the manuscript and edited the manuscript for content. EE evaluated the patient, edited the manuscript and provided study supervision and coordination. SP evaluated the patient, edited the manuscript and provided study supervision and coordination. All authors read and approved the final manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Tom Hughes, Cardiff, UK.

  • Referee's commentary Saadi et al.'s paper reminds us of the importance of tongue inspection to look for structural disease and malignancy as a cause of altered tongue function. The diagnosis was ischaemic ulceration secondary to giant cell arteritis, a systemic disease with a predilection for cranial extradural arteries. The vasculitic process may cause in situ obliteration or be associated with embolic complications, something that may justify adding an antiplatelet agent to the corticosteroids treatment. Tom Hughes, Cardiff, UK Tom.Hughes2@wales.nhs.uk

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