BMJ 2011; 342 doi: https://doi.org/10.1136/bmj.d2295 (Published 18 April 2011) Cite this as: BMJ 2011;342:d2295
  1. Sandeep Mukherjee, specialty registrar,
  2. Brian Davidson, consultant rheumatologist
  1. 1Department of Rheumatology, Southampton University Hospitals NHS Trust, Southampton General Hospital, Southampton SO16 6YD, UK
  1. dr_sanmukh{at}yahoo.co.uk

This 82 year old man presented with a 10 day history of tongue pain and grey-black discoloration of the distal part of his tongue. He also complained of headache and scalp tenderness, and was found to have raised levels of inflammatory markers. Giant cell arteritis is the most common cause of tongue necrosis. He was therefore started on high dose oral steroids, and a temporal artery biopsy showed features consistent with giant cell arteritis.


Cite this as: BMJ 2011;342:d2295


  • Patient consent obtained.

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