Scalp and Tongue Necrosis as Rare Manifestations of Giant Cell Arteritis Complicated with a Preauricular Abscess

Authors

  • Arinditia Triasti Putri 1. Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. 2. Internal Medicine Subspecialist Study Program, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. 3. Division of Rheumatology, Department of Internal Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
  • Lita Diah Rahmawati 1. Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. 2. Internal Medicine Subspecialist Study Program, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. 3. Division of Rheumatology, Department of Internal Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
  • Yuliasih Yuliasih 1. Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. 2. Internal Medicine Subspecialist Study Program, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. 3. Division of Rheumatology, Department of Internal Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
  • Kichul Shin Division of Rheumatology, Department of Internal Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.
  • Ayu Paramaiswari Department of Internal Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Awalia 1. Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. 2. Internal Medicine Subspecialist Study Program, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. 3. Division of Rheumatology, Department of Internal Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Keywords:

Giant Cell Arteritis, Vasculitis, Systemic, Headache, Jaw Claudication, Necrosis, Abscess, Aged

Abstract

Giant cell arteritis (GCA) is a systemic vasculitis that involves cranial arteries, the aorta, and its proximal branches, characterized by granulomatous infiltration of the arterial walls. GCA predominantly occurs in older adults, typically those over the age of 50. The etiology of GCA-associated vasculitis remains elusive; however, current evidence underscores the complex interplay of genetic and epigenetic drivers with immunological and non-immunological mechanisms in orchestrating the inflammatory response and vascular remodeling. Clinical manifestations of GCA are notably heterogeneous, significantly complicating the diagnosis. The predominant clinical manifestation of GCA is the onset of a new headache. Additional prevalent symptoms include jaw claudication, scalp tenderness, and weakness or malaise. We present a case of a 64-year-old woman who presented with jaw claudication and was subsequently admitted with scalp and tongue necrosis, further complicated by a preauricular abscess. Timely diagnosis and intervention for these rare manifestations can diminish the patient’s morbidity.

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Published

2026-09-28

How to Cite

Putri, A. T., Rahmawati, L. D., Yuliasih, Y., Shin, K., Paramaiswari, A., & Awalia. (2026). Scalp and Tongue Necrosis as Rare Manifestations of Giant Cell Arteritis Complicated with a Preauricular Abscess. Acta Medica Indonesiana, 58(3), 465. Retrieved from http://www.actamedindones.org/index.php/ijim/article/view/3487

Issue

Vol. 58 No. 3 (2026): Acta Medica Indonesiana

Section

MEDICAL ILLUSTRATION

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Copyright (c) 2026 Arinditia Triasti Putri, Lita Diah Rahmawati, Yuliasih Yuliasih, Kichul Shin, Ayu Paramaiswari, Awalia

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