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Lingual infarction in cranial arteritis

R A Sofferman

    JAMA
    |June 20, 1980
    PubMed
    Summary

    Cranial arteritis, often seen in older adults, can present with oral symptoms like jaw pain and tongue issues. Recognizing these oral signs is crucial for early diagnosis and treatment of this serious condition.

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    Area of Science:

    • Otolaryngology
    • Rheumatology
    • Internal Medicine

    Background:

    • Cranial arteritis (CA), a common condition in the elderly, typically presents with headache and visual disturbances.
    • Otolaryngologic manifestations are considered infrequent in CA, yet oral symptoms occur in a significant minority of patients.

    Observation:

    • Approximately 25% of patients with cranial arteritis exhibit oral cavity complaints or findings.
    • Common oral symptoms include masticatory claudication (jaw pain during chewing), tongue pain, and lingual infarction (tongue tissue death).

    Findings:

    • These oral manifestations serve as critical indicators of underlying cranial arteritis.
    • The presentation of oral symptoms can be misleading, complicating diagnosis for various medical specialists.

    Implications:

    • Early recognition of oral symptoms in cranial arteritis is vital for timely diagnosis and treatment initiation.
    • Increased awareness among internists, neurologists, and otolaryngologists can reduce diagnostic delays and improve patient outcomes.

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