A Picture's Worth: Giant Cell Arteritis

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Presentation transcript:

A Picture's Worth: Giant Cell Arteritis Sijie Jason Wang, MD, Nicholas J. Olson, MD, Kelly A. Kieffer, MD The American Journal of Medicine Volume 129, Issue 9, Pages 942-944 (September 2016) DOI: 10.1016/j.amjmed.2016.04.029 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 The patient brought this smartphone photograph (submitted with her permission) to the clinic. It revealed well-demarcated anterior tongue discoloration that occurred with food intake. Her primary care provider thought that the changes were likely ischemic secondary to vasculitis and initiated treatment and a workup for giant cell arteritis. The American Journal of Medicine 2016 129, 942-944DOI: (10.1016/j.amjmed.2016.04.029) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 The biopsy revealed extensive chronic inflammation with giant cell formation, which is denoted by the black arrow (hematoxylin–eosin, 200×). The American Journal of Medicine 2016 129, 942-944DOI: (10.1016/j.amjmed.2016.04.029) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 Disruption of the internal elastic laminae, noted on the biopsy sample, was consistent with giant cell arteritis (elastin, 100×). The American Journal of Medicine 2016 129, 942-944DOI: (10.1016/j.amjmed.2016.04.029) Copyright © 2016 Elsevier Inc. Terms and Conditions