Case Presentation: Two patients developed tongue necrosis as an unusual presentation of giant cell arteritis (GCA).Case 1:A 61-year-old female presented with a one month history of painful swelling and ulceration of her tongue with weight loss. She received a punch biopsy of her tongue that showed ischemic, necrotic, and autolytic changes. After large areas of [...]

Case Presentation: A 60-year-old female with a history of tobacco use disorder, laryngeal cancer status post chemotherapy and radiation, hyperlipidemia, and hypertension presented with tongue pain. Ten days before her presentation, she developed a small painful blister on her tongue, which was associated with difficulty eating and drinking. She decided to come to the hospital [...]

Case Presentation: A 73 year old female with a 50 pack year smoking history was admitted with 2 months of dysphonia, oral pain, odynophagia, and a 30 pound weight loss. Exam revealed a large ulcerative lesion of the tongue and white plaques on the tongue and oral mucosa. CRP was 5.74 mg/dL and ESR was [...]

Case Presentation: A 69-year-old male with a history of bronchitis, colon polyps, and obstructive sleep apnea was admitted to the hospital for diarrhea and syncope with a low hemoglobin level of 8.4 and a cervical spine fracture. During his hospitalization, the patient noted a “lump” on his superior left tongue that he had first noticed [...]

Case Presentation: An 80-year-old man with past medical history of GERD and hypothyroidism presented to the hospital with a 3-month history of progressive dysphagia, odynophagia, painful tongue swelling, and an associated 40-pound weight loss. Initial physical exam was only notable for left sided tongue swelling that resolved after one day of dexamethasone. Labs during hospitalization [...]