Giant Cell Arteritis Presenting with Intermittent Tongue Ischaemia

Giant Cell Arteritis (GCA) is a vasculitic condition that primarily affects medium and large arteries in the head and neck region. The disease is uncommon in patients under 50 years of age and is more frequently observed in females. GCA classically presents with headache, jaw claudication scalp tenderness and less commonly with visual disturbance. GCA presenting with lingual ischaemia or necrosis is rare. We report a case of GCA that presented with lingual involvement and discuss the diagnosis, investigation and treatment strategies of GCA.