[Fever, Redness, Swelling, and Pain in the Submental Region]

Overview

Journal HNO

Specialty Otorhinolaryngology

Date 2009 Jun 12

PMID 19517087

Authors

U R Goessler

A Marx

K Hormann

F Riedel

Affiliations

Soon will be listed here.

Abstract

A 76-year-old woman presented with fever, redness, swelling, and pain under the chin. Some submental lymph nodes were detected by ultrasound and computed tomography. The diagnosis was a submental phlegmon, for which surgery was performed. The lymph nodes were removed, and antibiotic therapy with daily lavage was done. The histology of the lymph nodes suggested giant cell arteritis.

References

Bhatti M, Tabandeh H . Giant cell arteritis: diagnosis and management. Curr Opin Ophthalmol. 2001; 12(6):393-9. DOI: 10.1097/00055735-200112000-00003. View

Schmidt D . [Cranial arteritis - An Overview]. Klin Monbl Augenheilkd. 2003; 220(9):579-617. DOI: 10.1055/s-2003-42809. View

Cid M, Font C, Oristrell J, de la Sierra A, Coll-Vinent B, Lopez-Soto A . Association between strong inflammatory response and low risk of developing visual loss and other cranial ischemic complications in giant cell (temporal) arteritis. Arthritis Rheum. 1998; 41(1):26-32. DOI: 10.1002/1529-0131(199801)41:1<26::AID-ART4>3.0.CO;2-0. View

Salvarani C, Gabriel S, OFallon W, Hunder G . The incidence of giant cell arteritis in Olmsted County, Minnesota: apparent fluctuations in a cyclic pattern. Ann Intern Med. 1995; 123(3):192-4. DOI: 10.7326/0003-4819-123-3-199508010-00006. View

Hazleman B . Laboratory investigations useful in the evaluation of polymyalgia rheumatica (PMR) and giant cell arteritis (GCA). Clin Exp Rheumatol. 2000; 18(4 Suppl 20):S29-31. View

Calamia K, Hunder G . Giant cell arteritis (temporal arteritis) presenting as fever of undetermined origin. Arthritis Rheum. 1981; 24(11):1414-8. DOI: 10.1002/art.1780241113. View

Aiello P, Trautmann J, McPhee T, Kunselman A, Hunder G . Visual prognosis in giant cell arteritis. Ophthalmology. 1993; 100(4):550-5. DOI: 10.1016/s0161-6420(93)31608-8. View

Desmet G, Knockaert D, Bobbaers H . Temporal arteritis: the silent presentation and delay in diagnosis. J Intern Med. 1990; 227(4):237-40. DOI: 10.1111/j.1365-2796.1990.tb00151.x. View

Baldursson O, Steinsson K, Bjornsson J, Lie J . Giant cell arteritis in Iceland. An epidemiologic and histopathologic analysis. Arthritis Rheum. 1994; 37(7):1007-12. DOI: 10.1002/art.1780370705. View

10.

Nordborg E . Epidemiology of biopsy-positive giant cell arteritis: an overview. Clin Exp Rheumatol. 2000; 18(4 Suppl 20):S15-7. View

11.

Reich K, Giansiracusa D, Strongwater S . Neurologic manifestations of giant cell arteritis. Am J Med. 1990; 89(1):67-72. DOI: 10.1016/0002-9343(90)90100-r. View

12.

Gonzalez-Gay M, Garcia-Porrua C, Llorca J, Hajeer A, Branas F, Dababneh A . Visual manifestations of giant cell arteritis. Trends and clinical spectrum in 161 patients. Medicine (Baltimore). 2000; 79(5):283-92. DOI: 10.1097/00005792-200009000-00001. View