𝔖 Bobbio Scriptorium
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Temporal arteritis presenting with scalp ulceration

✍ Scribed by C Monteiro; B Fernandes; J Reis; O Tellechea; J Freitas; A Figueiredo

Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
262 KB
Volume
16
Category
Article
ISSN
0926-9959

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✦ Synopsis

ABSTRACT

We report the case of a 75‐year‐old‐woman who presented with bilateral scalp ulcerations and blindness, accompanied by severe headache and scalp tenderness, due to bilateral temporal arteritis without systemic involvement. A biopsy taken from the border of an ulceration showed evidence of giant cell arteritis. She was treated with oral prednisone, 60Β mg per day. The ulcerations healed in a few weeks but the vision loss was irreversible.

 This case highlights for temporal arteritis the importance of accurate and timely diagnosis as well as the need for prompt therapy with systemic steroids in order to avoid major complications, namely loss of vision. It also demonstrates that scalp necrosis and ulcerations are skin signs associated with a poor prognosis.

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