Necrose da língua por arterite de células gigantes
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2022.178999Palavras-chave:
Vasculite, Arterite de celulas gigantes, Língua, NecroseResumo
Apresentamos um caso de arterite de células gigantes com amaurose, seguida de necrose da língua, diagnosticado clinicamente com boa resposta terapêutica ao corticoide oral. Salientamos que os casos de necrose da língua são extremamente raros. A suspeita diagnóstica de arterite de células gigantes é de fundamental importância e mesmo na impossibilidade de realizar a biópsia de artéria temporal, não se deve retardar o início do tratamento sob pena de acarretar sequelas definitivas ou manifestações mais graves da doença.
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Referências
DeBord LC, Chiu I, Liou NE. Delayed Diagnosis of Giant Cell Arteritis in the Setting of Isolated Lingual Necrosis. Clinical Medicine Insights: Case Reports2019; 12:1179547619857690. https://doi.org/10.1177/1179547619857690
Hayreh SS, Podhajsky PA, Zimmerman B. Ocular manifestations of giant cell arteritis. American journal of ophthalmology1998;125(4):509-20. https://doi.org/10.1016/s0002-9394(99)80192-5
Schurr C, Berthele A, Burghartz M, Kiefer J. Spontaneous bilateral necrosis of the tongue: a manifestation of giant cell arteritis? European archives of oto-rhino-laryngology2008;265(8):993-8. https://doi.org/10.1007/s00405-007-0556-x
Ball, E.L., Walsh, S.R., Tang, T.Y., Gohil, R. and Clarke, J.M.F. (2010), Role of ultrasonography in the diagnosis of temporal arteritis. Br J Surg, 97: 1765-1771. https://doi.org/10.1002/bjs.7252
Neto FXP, Carneiro KL, Junior OMR, Junior AGR, de Souza Jacob CC, Palheta ACP. Aspectos Clínicos da Arterite Temporal.2008;12(4):546-551.
Ling MLH, Yosar J, Lee BWH, Shah SA, Jiang IW, Finniss A, et al. The diagnosis and management of temporal arteritis. Clinical and Experimental Optometry2019. https://doi.org/10.1111/cxo.12975
Chean CS, Prior JA, Helliwell T, Belcher J, Mackie SL, Hider SL, et al. Characteristics of patients with giant cell arteritis who experience visual symptoms. Rheumatology international2019;39(10):1789-96.
https://doi.org/10.1007/s00296-019-04422-5
Hunder GG, Bloch DA, Michel BA, Stevens MB, Arend WP, Calabrese LH, et al. The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis. Arthritis & Rheumatism1990;33(8):1122-8.
https://doi.org/10.1002/art.1780330810
Monti S, Águeda AF, Luqmani RA, Buttgereit F, Cid M, Dejaco C, et al. Systematic literature review informing the 2018 update of the EULAR recommendation for the management of large vessel vasculitis: focus on giant cell arteritis. RMD open2019;5(2):e001003.
http://dx.doi.org/10.1136/rmdopen-2019-001003
Raza M, El Maideny Y, Bokhari N. Giant cell arteritis: advances in diagnosis and management. British Journal of Hospital Medicine2019;80(8):448-55.
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Copyright (c) 2022 Luiza Aguera Oliver, Alice Guiotti de Alencar, Marcelo Rosandiski Lyra, Ignacio Yáñez Silva
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
