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A Picture's Worth: Giant Cell Arteritis

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Presentation on theme: "A Picture's Worth: Giant Cell Arteritis"— Presentation transcript:

1 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 (September 2016) DOI: /j.amjmed Copyright © 2016 Elsevier Inc. Terms and Conditions

2 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  , DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

3 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  , DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

4 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  , DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions


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