Ischemia of the tongue and scalp as an uncommon presentation of giant cell arteritis

This report highlights the critical importance of considering giant cell arteritis (GCA) in the differential diagnosis of lingual and scalp ischaemia, enabling the exclusion of more common causes and ensuring the early initiation of appropriate treatment.The case emphasises the value of a multidisciplinary approach and continuous clinical surveillance, reinforcing the central role of the internal medicine physician in recognising atypical manifestations and coordinating follow-up in complex cases of systemic vasculitis.The report provides practical guidance for the diagnosis and management of rare presentations of GCA, offering evidence-based tools to support clinical decision-making and prevent irreversible complications.