To the Editor.—
Gangrene of the scalp is a rare occurrence in temporal arteritis. As far as we know, only 25 cases have been reported up to this time. We report here another case of a man, aged 68 years, who had bilateral temporoparietal scalp necrosis and loss of vision in the right eye. We believe that the development of ophthalmological and cardiovascular complications in this disease can be avoided by adequate treatment with corticosteroids.
Report of a Case.—
The symptoms commenced two months prior to the patient's admission to the hospital and included severe continuous headaches and a pricking sensation in the frontal part of the scalp. Twenty days later, the patient noticed some nodules in the temporal region. At the time, a violet color developed on the skin. The skin subsequently ulcerated, with crust formation. The patient had asthenia and anorexia and lost 10 kg in two months.
Quintanilla E, Ayesa C, Fernández-Berridi D, Casillas JA. Gangrene of the Scalp in Temporal Arteritis. Arch Dermatol. 1980;116(7):749. doi:10.1001/archderm.1980.01640310019003