To the Editor.—
In connection with the communication by Hitch,1 I feel it would be of some interest to make your readers aware of another case of necrotizing skin involvement in giant-cell arteritis (Horton's disease).I had the opportunity to report2 the case of a 76-year-old man with bilateral amaurosis, necrosis of the tongue, and a large area of scalp necrosis. Biopsy of temporal artery showed typical histologic features, including giant-cell infiltration of arterial wall.The survey of the literature suggests that this is the first report of a case with severe clinical involvement of three localizations, ie, eye, skin, and tongue.
Renoux M. GIANT-CELL ARTERITIS. Arch Dermatol. 1971;103(3):341. doi:10.1001/archderm.1971.04000150111020
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