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During treatment she developed tongue ulceration, then acute vertigo and incoordination with nystagmus and ataxia. Neuroimaging confirmed bilateral, cerebellar ischaemic strokes and temporal artery biopsy was consistent with GCA. With corticosteroids and secondary prevention of stroke measures she is now functionally independent. Oral pain is an uncommon symptom of GCA and delays in recognition may lead to catastrophic consequences. Clinicians should be aware of uncommon presentations and to optimise additional ischaemic stroke risk-factors.<\/jats:p>","DOI":"10.1136\/bcr-2021-244948","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T11:51:00Z","timestamp":1638964260000},"page":"e244948","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Giant cell arteritis complicated by tongue necrosis and bilateral cerebellar ischaemic stroke"],"prefix":"10.1136","volume":"14","author":[{"given":"Emily Charlotte","family":"Rose","sequence":"first","affiliation":[{"name":"Department of Rheumatology, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2258-2393","authenticated-orcid":false,"given":"Liam Stuart","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Stroke Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Mason","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,8]]},"reference":[{"key":"2025082802561299000_14.12.e244948.1","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1080\/1744666X.2018.1485491","article-title":"Current and emerging diagnosis tools and therapeutics for giant cell arteritis","volume":"14","author":"Gonz\u00e1lez-Gay","year":"2018","journal-title":"Expert Rev Clin Immunol"},{"key":"2025082802561299000_14.12.e244948.2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keu182"},{"key":"2025082802561299000_14.12.e244948.3","doi-asserted-by":"publisher","DOI":"10.1053\/sarh.2002.50025"},{"key":"2025082802561299000_14.12.e244948.4","unstructured":"Health topics A to Z, CKS, NICE . 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