Work

Atypical Oral Presentation of Giant Cell Arteritis With Subsequent Middle Cerebral Artery Involvement

Year: 2025

Type: article

Abstract: Giant cell arteritis (GCA) is a large-vessel vasculitis classically affecting the temporal arteries and associated with visual loss and constitutional symptoms. We report a rare and diagnostically challenging case of GCA in an elderly patient presenting with progressive visual impairment, anterior circulation stroke, vasculitic mouth ulcer, and dysphagia requiring nasogastric feeding. Diagnosis was confirmed by ultrasound findings without histological confirmation. This case underlines the potential for GCA to present with multisystem ischemic manifestations and the importance of early recognition and corticosteroid therapy.

Source: Cureus

DOI: 10.7759/cureus.99107

Authors: Alamin Alkundi, Christa Mathew

Institutions: North Devon District Hospital, Kent and Medway Medical School, Liverpool University Hospitals NHS Foundation Trust

Language: English

Topic: Vasculitis and related conditions

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4417298042