Abstract
Tongue paralysis progressing to tongue necrosis with subsequent diagnosis of temporal arteritis in a patient without precipitating exposure to ergotamine
Highlights
Unexpected sudden onset of tongue necrosis is an alarming rare complication of giant cell arteritis which encompasses both temporal arteritis and rheumatic polymyalgia [1,2]
It is proposed the pharmacologic vasoconstriction effect on an inflamed artery causes severe vascular compromise with subsequent soft tissue avascular necrosis. This case report discusses this rare complication in a patient who initially presented with tongue paralysis which progressed to tongue necrosis
Nishioka G (2018) Tongue paralysis progressing to tongue necrosis with subsequent diagnosis of temporal arteritis in a patient without precipitating exposure to ergotamine
Summary
Unexpected sudden onset of tongue necrosis is an alarming rare complication of giant cell arteritis which encompasses both temporal arteritis and rheumatic polymyalgia [1,2]. Ergotamine tartrate without or without caffeine is still prescribed and available in oral (sublingual) and suppository, and while there are many side effects associated with this medication necrosis of the tongue is not listed because of its rarity and its strong association with simultaneous presence of temporal arteritis [13-15]. This case report discusses this rare complication in a patient who initially presented with tongue paralysis which progressed to tongue necrosis.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
