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Die Zungenschwellung ging mit Schmerzen beim Essen, gelblichen Plaques sowie einer gr\u00e4ulich-braunen L\u00e4sion im vorderen Abschnitt der Zunge einher. Zus\u00e4tzlich waren ein pl\u00f6tzlicher Sehverlust auf dem linken Auge und temporale Kopfschmerzen seit drei Tagen zu verzeichnen. Aufgrund eines paraklinisch erh\u00f6hten C\u2011reaktiven Proteins und der bestehenden Symptomatik wurden eine Sonographie der supraaortalen Arterien und auch eine Positronenemissionstomographie\/Computertomographie durchgef\u00fchrt. Es zeigten sich in der Bildgebung eine Entz\u00fcndung der gro\u00dfen Arterien sowie ein Haloph\u00e4nomen in der Sonographie der A.\u00a0temporalis. Somit konnte die Diagnose einer Riesenzellarteriitis mit Zungennekrose gestellt werden. Eine immunsuppressive Therapie mit Glukokortikoiden wurde eingeleitet. Die Zungennekrose stellt eine seltene Manifestation einer Riesenzellarteriitis dar, welche einer umgehenden immunsuppressiven Therapie bedarf, um weitere Folgesch\u00e4den, wie vollst\u00e4ndige Nekrose und Superinfektion bis zur Zungenamputation, zu vermeiden.<\/jats:p>","DOI":"10.1007\/s00108-023-01607-w","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T11:02:26Z","timestamp":1697799746000},"page":"508-511","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Zungennekrose als klinische Manifestation einer Riesenzellarteriitis","Necrosis of the tongue as a\u00a0clinical manifestation of giant cell arteritis"],"prefix":"10.1007","volume":"65","author":[{"given":"Alexander","family":"Pfeil","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Freesmeyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Oelzner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunter","family":"Wolf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"issue":"9","key":"1607_CR1","doi-asserted-by":"publisher","first-page":"937","DOI":"10.1007\/s00393-020-00894-0","volume":"79","author":"JH Schirmer","year":"2020","unstructured":"Schirmer\u00a0JH, Aries\u00a0PM, Balzer\u00a0K, Berlit\u00a0P, Bley\u00a0TA, Buttgereit\u00a0F, Czihal\u00a0M, Dechant\u00a0C, Dejaco\u00a0C, Garske\u00a0U et al (2020) S2k guidelines (executive summary): management of large-vessel vasculitis. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}