PMC5382308_01
PMC5382308_02
Clinical appearance of the tongue. (a) Tongue infarction at second day. (b) Initial auto-amputation of necrotic tongue at fifth day. (c) Tongue at 20th day presenting full epithelization.
CRIM2017-6327437.001.jpg
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fig1
The area of the tongue that displayed the delimited necrotic lesion detached spontaneously within fourteen days and there was no progression of the ischemic region (Figure 1).
Histological appearance of temporal artery biopsy, showing places of dystrophic calcinosis, extensive transmural infiltrate of lymphocytes, and histiocytes with giant cell (black arrow) placed adjacent to internal elastic lamina (haematoxylin and eosin, original magnification x100).
CRIM2017-6327437.002.jpg
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fig2
A diagnosis of GCA was confirmed with a biopsy from the right temporal artery, which presented partial necrosis of the arterial wall with inflammatory infiltration mainly of mononuclear type (lymphocytes, histiocytes, plasma cells, and multinucleated giant cells) permeating the internal elastic lamina; calcification foci; and total lumen stenosis (Figure 2).
PMC5382308_03
Clinical appearance of the tongue. (a) Tongue infarction at second day. (b) Initial auto-amputation of necrotic tongue at fifth day. (c) Tongue at 20th day presenting full epithelization.
CRIM2017-6327437.001.jpg
PMC5382308_03_CRIM2017-6327437.001.jpg
fig1
The area of the tongue that displayed the delimited necrotic lesion detached spontaneously within fourteen days and there was no progression of the ischemic region (Figure 1).