RT Journal Article
SR Electronic
T1 Isolated Arthritis of the Temporomandibular Joint as the Initial Manifestation of Juvenile Idiopathic Arthritis
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 1632
OP 1635
DO 10.3899/jrheum.170263
VO 44
IS 11
A1 Boris Hügle
A1 Lynn Spiegel
A1 Julia Hotte
A1 Stefan Wiens
A1 Troels Herlin
A1 Randy Q. Cron
A1 Matthew L. Stoll
A1 Surabhi Vinod
A1 Peter Stoustrup
A1 Thomas Klit Pedersen
A1 Marinka Twilt
YR 2017
UL http://www.jrheum.org/content/44/11/1632.abstract
AB Objective. To describe characteristics of patients with juvenile idiopathic arthritis (JIA) presenting with isolated arthritis of the temporomandibular joints (TMJ).Methods. Patients with JIA with isolated TMJ arthritis from 4 large tertiary pediatric rheumatology centers were included. Demographic and clinical data were analyzed using descriptive statistics.Results. Fifty-five patients were identified (65% bilateral presentation). Six patients developed arthritis in other joints (median time 6 mos); 4 patients developed uveitis, all prior to arthritis. At last followup, 9% were still taking antirheumatic medications.Conclusion. JIA TMJ arthritis can occur in isolation, and is probably underdiagnosed. Care providers including dentists and orthodontists should be aware of this presentation.