Tongue Necrosis as an Initial Manifestation of Giant Cell Arteritis: Case Report and Review of the Literature

Table 1

Three out of five criteria are required to make the diagnosis of GCA.

American College of Rheumatology diagnostic criteria
(1) Age older than 50 years at onset of disease.
(2) New onset of localized headache.
(3) Abnormal temporal artery with tenderness or decreased pulse.
(4) Erythrocyte sedimentation rate higher than 50 mm/hr.
(5) A biopsy of the artery showing necrotizing arteritis with predominant mononuclear cell infiltrate or granulomatous process with multinucleated giant cells.