{"id":"https://openalex.org/W7225199299","doi":"https://doi.org/10.1093/rap/rkag113.077","title":"P047 Scalp necrosis: a rare manifestation of giant cell arteritis","display_name":"P047 Scalp necrosis: a rare manifestation of giant cell arteritis","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225199299","doi":"https://doi.org/10.1093/rap/rkag113.077"},"language":"en","primary_location":{"id":"doi:10.1093/rap/rkag113.077","doi":"https://doi.org/10.1093/rap/rkag113.077","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.077","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.077/72372126/rkag113.077.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.077/72372126/rkag113.077.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080495156","display_name":"James Keasley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800117171","display_name":"Russells Hall Hospital","ror":"https://ror.org/04qs81248","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800117171","https://openalex.org/I2801954517"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"James Keasley","raw_affiliation_strings":["Russells Hall Hospital , Dudley,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Russells Hall Hospital , Dudley,","institution_ids":["https://openalex.org/I2800117171"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035532094","display_name":"Kirsty Levasseur","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800117171","display_name":"Russells Hall Hospital","ror":"https://ror.org/04qs81248","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800117171","https://openalex.org/I2801954517"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kirsty Levasseur","raw_affiliation_strings":["Russells Hall Hospital , Dudley,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Russells Hall Hospital , Dudley,","institution_ids":["https://openalex.org/I2800117171"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2800117171"],"apc_list":{"value":2255,"currency":"GBP","value_usd":2974},"apc_paid":{"value":2255,"currency":"GBP","value_usd":2974},"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12328","display_name":"Autoimmune and Inflammatory Disorders","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/giant-cell-arteritis","display_name":"giant cell arteritis","score":0.9850000143051147},{"id":"https://openalex.org/keywords/scalp-necrosis","display_name":"scalp necrosis","score":0.9879999756813049},{"id":"https://openalex.org/keywords/cutaneous-manifestations","display_name":"cutaneous manifestations","score":0.9599999785423279},{"id":"https://openalex.org/keywords/scalp-ulcer","display_name":"scalp ulcer","score":0.5789999961853027},{"id":"https://openalex.org/keywords/ischemic-complications","display_name":"ischemic complications","score":0.6539999842643738},{"id":"https://openalex.org/keywords/temporal-artery-ultrasound","display_name":"temporal artery ultrasound","score":0.6200000047683716},{"id":"https://openalex.org/keywords/halo-sign","display_name":"halo sign","score":0.8510000109672546},{"id":"https://openalex.org/keywords/prednisolone","display_name":"prednisolone","score":0.7860000133514404},{"id":"https://openalex.org/keywords/corticosteroid-therapy","display_name":"corticosteroid therapy","score":0.6899999976158142},{"id":"https://openalex.org/keywords/jaw-claudication","display_name":"jaw claudication","score":0.7570000290870667},{"id":"https://openalex.org/keywords/diplopia","display_name":"diplopia","score":0.8650000095367432},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.4569999873638153},{"id":"https://openalex.org/keywords/vitamin-b12-deficiency","display_name":"vitamin B12 deficiency","score":0.7860000133514404},{"id":"https://openalex.org/keywords/temporal-headache","display_name":"temporal headache","score":0.4050000011920929},{"id":"https://openalex.org/keywords/cognitive-decline","display_name":"cognitive decline","score":0.4090000092983246},{"id":"https://openalex.org/keywords/temporal-artery-stenosis","display_name":"temporal artery stenosis","score":0.5059999823570251}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9681000113487244},{"id":"https://openalex.org/C2776712624","wikidata":"https://www.wikidata.org/wiki/Q707816","display_name":"Giant cell arteritis","level":4,"score":0.7965999841690063},{"id":"https://openalex.org/C2778515351","wikidata":"https://www.wikidata.org/wiki/Q9622","display_name":"Scalp","level":2,"score":0.6917999982833862},{"id":"https://openalex.org/C2780581723","wikidata":"https://www.wikidata.org/wiki/Q775940","display_name":"Diplopia","level":2,"score":0.6689000129699707},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.536899983882904},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4706000089645386},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.42340001463890076},{"id":"https://openalex.org/C2781343717","wikidata":"https://www.wikidata.org/wiki/Q1751810","display_name":"Arteritis","level":2,"score":0.4059000015258789},{"id":"https://openalex.org/C2778963770","wikidata":"https://www.wikidata.org/wiki/Q2888709","display_name":"Claudication","level":4,"score":0.40130001306533813},{"id":"https://openalex.org/C2776015282","wikidata":"https://www.wikidata.org/wiki/Q644318","display_name":"Vasculitis","level":3,"score":0.40049999952316284},{"id":"https://openalex.org/C198451711","wikidata":"https://www.wikidata.org/wiki/Q327657","display_name":"Rheumatology","level":2,"score":0.38580000400543213},{"id":"https://openalex.org/C2777748206","wikidata":"https://www.wikidata.org/wiki/Q285787","display_name":"Amaurosis","level":2,"score":0.3626999855041504},{"id":"https://openalex.org/C2778040396","wikidata":"https://www.wikidata.org/wiki/Q494694","display_name":"Superficial temporal artery","level":4,"score":0.3328000009059906},{"id":"https://openalex.org/C2780505380","wikidata":"https://www.wikidata.org/wiki/Q7142931","display_name":"Past medical history","level":2,"score":0.31869998574256897},{"id":"https://openalex.org/C2777154197","wikidata":"https://www.wikidata.org/wiki/Q1136935","display_name":"Phlegmon","level":2,"score":0.3140999972820282},{"id":"https://openalex.org/C2780079024","wikidata":"https://www.wikidata.org/wiki/Q1752891","display_name":"Polymyalgia rheumatica","level":5,"score":0.313400000333786},{"id":"https://openalex.org/C77076574","wikidata":"https://www.wikidata.org/wiki/Q2152526","display_name":"Giant cell","level":2,"score":0.31299999356269836},{"id":"https://openalex.org/C2778903070","wikidata":"https://www.wikidata.org/wiki/Q2211240","display_name":"Triamcinolone acetonide","level":2,"score":0.3089999854564667},{"id":"https://openalex.org/C2777560053","wikidata":"https://www.wikidata.org/wiki/Q503629","display_name":"Avascular necrosis","level":3,"score":0.3077000081539154},{"id":"https://openalex.org/C2909425871","wikidata":"https://www.wikidata.org/wiki/Q19929566","display_name":"Temporal artery","level":5,"score":0.28290000557899475},{"id":"https://openalex.org/C2779433908","wikidata":"https://www.wikidata.org/wiki/Q2146228","display_name":"Amaurosis fugax","level":3,"score":0.25600001215934753}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/rap/rkag113.077","doi":"https://doi.org/10.1093/rap/rkag113.077","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.077","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.077/72372126/rkag113.077.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13728558","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728558/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728558/pdf/rkag113.077.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatol Adv Pract","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/rap/rkag113.077","doi":"https://doi.org/10.1093/rap/rkag113.077","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.077","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.077/72372126/rkag113.077.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225199299.pdf","grobid_xml":"https://content.openalex.org/works/W7225199299.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2047435020","https://openalex.org/W2248974788","https://openalex.org/W7119017315","https://openalex.org/W2980416384","https://openalex.org/W2170256068","https://openalex.org/W2984624223","https://openalex.org/W2167808580","https://openalex.org/W1605990954","https://openalex.org/W2075801518","https://openalex.org/W2150394387"],"abstract_inverted_index":{"Abstract":[0],"Introduction":[1],"Cutaneous":[2],"manifestations":[3,39,357],"of":[4,27,69,84,122,158,247,251,279,316,358,424,465,482,491],"giant":[5],"cell":[6,260],"arteritis":[7],"(GCA)":[8],"are":[9,40,364],"considered":[10],"to":[11,108,114,117,139,213,341,350,366,374,385,456,484],"be":[12,367,375,386,414,433,463,500,509],"rare.":[13,368],"There":[14,215],"is":[15,360,372,447,475,478],"limited":[16],"evidence":[17],"on":[18,202,354,488],"scalp":[19,370,411,430,452,473],"necrosis":[20,371,412,431,453,474,507],"and":[21,46,76,96,120,129,148,225,249,257,284,286,313,323,337,440,458],"its":[22],"treatment":[23],"in":[24,71,104,119,208],"the":[25,105,172,209,226,308,314,334,342,347,355,393,466,489,492,496],"context":[26],"GCA.":[28,351],"Current":[29],"literature":[30],"only":[31,294],"describes":[32],"case":[33,394,426],"reports.":[34],"Reports":[35],"suggest":[36,428],"that":[37,110,429,449],"cutaneous":[38,356],"often":[41],"associated":[42,434,510],"with":[43,64,244,435,442,511],"later":[44],"presentations":[45],"other":[47,301],"ischaemic":[48,297,377],"phenomena":[49],"such":[50],"as":[51],"visual":[52,444],"disturbance.":[53],"Case":[54],"description":[55],"In":[56,171],"June":[57],"2025,":[58],"a":[59,65,82,123,197,245,339,387],"75-year-old":[60],"female":[61],"patient":[62],"attended":[63],"several":[66,102,134,156,403],"month":[67],"history":[68],"pain":[70],"her":[72,115,175,203,258,317],"jaw":[73,146],"when":[74,78],"eating":[75],"occasionally":[77],"talking.":[79],"She":[80,99,125,152,181,231,239,275],"had":[81,100,101,126,127,142,153,155,206,240,310,325,329,399,400],"background":[83],"vitamin":[85],"B12":[86],"deficiency,":[87],"previous":[88],"humeral":[89],"head":[90,292],"fracture,":[91],"left":[92],"total":[93],"knee":[94],"replacement":[95],"laparoscopic":[97],"cholecystectomy.":[98],"falls":[103],"weeks":[106,137,211],"prior":[107,138,212],"diagnosis":[109],"were":[111,216,222,229],"put":[112],"down":[113],"struggling":[116],"get":[118],"out":[121],"chair.":[124],"shoulder":[128],"hip":[130],"girdle":[131],"stiffness":[132],"for":[133,333,383,395,402,502],"months.":[135,404],"Two":[136],"presentation,":[140],"she":[141],"bilateral":[143,268],"temporal":[144,219,227],"headaches,":[145],"claudication":[147],"modest":[149],"weight":[150],"loss.":[151,445],"also":[154,462],"episodes":[157],"short-lived":[159],"horizontal":[160],"diplopia":[161],"but":[162,271,299,362],"ophthalmology":[163],"review":[164],"did":[165,182,232],"not":[166,183,223,233],"yield":[167],"any":[168,235],"specific":[169],"concerns.":[170],"preceding":[173],"months,":[174],"family":[176],"noted":[177,196],"slight":[178],"cognitive":[179],"decline.":[180],"have":[184,234],"limb":[185],"claudication,":[186,320],"fevers":[187],"or":[188],"night":[189],"sweats.":[190],"On":[191],"initial":[192],"rheumatology":[193],"review,":[194],"we":[195],"2x3cm":[198],"right-sided":[199],"erythematous":[200],"ulcer":[201],"scalp.":[204],"This":[205,391,417],"progressed":[207],"2":[210,306],"presentation.":[214,390],"no":[217,300],"bruits,":[218],"artery":[220,265],"pulsations":[221],"palpable,":[224],"areas":[228],"tender.":[230],"cranial":[236],"nerve":[237],"palsies.":[238],"raised":[241],"inflammatory":[242],"markers":[243],"CRP":[246],"51":[248],"ESR":[250],"68.":[252],"Her":[253,327],"haemoglobin":[254],"was":[255,262,392,408,419],"119":[256],"white":[259],"count":[261],"12.4.":[263],"Temporal":[264],"ultrasound":[266],"demonstrated":[267,295],"halo":[269],"sign":[270],"normal":[272],"axillary":[273],"vessels.":[274],"commenced":[276],"60":[277],"mg":[278],"prednisolone,":[280],"lansoprazole,":[281],"calcium":[282],"carbonate":[283],"colecalciferol,":[285],"alendronate.":[287],"We":[288],"requested":[289],"an":[290,376,479],"MRI":[291],"which":[293],"chronic":[296],"foci":[298],"concerning":[302],"vascular":[303],"phenomena.":[304],"Within":[305],"weeks,":[307],"lesion":[309,407,418],"healed":[311],"over,":[312],"rest":[315],"symptoms,":[318],"including":[319,438],"double":[321],"vision":[322],"stiffness,":[324],"improved.":[326],"GP":[328],"started":[330],"topical":[331],"antibiotics":[332],"ulcerated":[335],"area":[336],"made":[338],"referral":[340],"Dermatology":[343],"team,":[344],"without":[345],"making":[346],"potential":[348],"connection":[349],"Discussion":[352],"Evidence":[353],"GCA":[359,450,483],"limited,":[361],"they":[363,460],"thought":[365],"As":[369],"felt":[373],"complication,":[378],"it":[379,477],"would":[380],"make":[381],"sense":[382],"this":[384,396,406],"reasonably":[388,409],"late":[389],"patient,":[397],"who":[398],"symptoms":[401],"While":[405,472],"small,":[410],"can":[413,432,508],"very":[415],"extensive.":[416],"steroid":[420],"responsive.":[421],"Limited":[422],"reviews":[423],"collected":[425],"reports":[427],"poor":[436],"prognosis,":[437],"mortality":[439],"association":[441],"irreversible":[443],"It":[446],"possible":[448],"causing":[451],"could":[454],"present":[455],"Dermatology,":[457],"so":[459],"should":[461],"aware":[464],"problem.":[467],"Key":[468],"learning":[469],"points":[470],"1.":[471],"rare,":[476],"important":[480],"manifestation":[481],"recognise.":[485],"2.":[486],"Depending":[487],"size":[490],"lesion,":[493],"support":[494],"from":[495],"multidisciplinary":[497],"team":[498],"may":[499],"beneficial":[501],"optimal":[503],"management.":[504],"3.":[505],"Scalp":[506],"worse":[512],"clinical":[513],"outcomes.":[514]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-04T00:00:00"}