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Magnetic Resonance Angiography in the Diagnosis of a Case of Giant Cell Arteritis Manifesting as Scalp Necrosis
Rafael Botella-Estrada, MD;
Onofre Sammartín, MD;
Vicente Martínez, MD;
Salvador Campos, MD;
Adolfo Aliaga, MD
Arch Dermatol. 1999;135:769-771.
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REPORT OF A CASE
An 81-year-old-man presented to our clinic with 2 family members reporting the appearance 4 months earlier of 2 ulcers on his scalp that had slowly enlarged. The patient and his family denied any other systemic signs or symptoms and had not noticed the appearance of any other cutaneous lesion. Examination revealed 2 extensive ulcers covered with thick and adherent crusts, symmetrically located on both temporoparietal areas of the scalp (Figure 1). Both ulcers had a triangular shape and well-demarcated, deep margins. The right ulcer measured 9x5 cm, and the left, 11x6 cm. The patient reported intense pain at the slightest touch, and his relatives, after direct questioning about headaches, explained that he had been taking several tablets daily of an over-the-counter analgesic for the last 6 months because of . . . [Full Text of this Article]
DIAGNOSTIC CHALLENGE
COMMENT
Department of Dermatology, Instituto Valenciano de Oncología, and the Departments of Dermatology and Imaging Diagnosis, Hospital General Universitario de Valencia, Valencia, Spain
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Arch Intern Med 2001;161:1003-1007.
ABSTRACT
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