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Juvenile idiopathische Arthritis

Der leise Zerstörer kindlicher Kiefergelenke

Juvenile idiopathic arthritis

The silent killer of pediatric temporomandibular joints

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Zusammenfassung

Kinder und Jugendliche mit juveniler idiopathischer Arthritis (JIA) haben in bis zu 87% der Fälle einen Befall der Kiefergelenke. Fast die Hälfte dieser Patienten weisen keine klinischen Symptome auf, sodass die Diagnosestellung mittels kontrastmittelverstärkter Magnetresonanztomographie erfolgt. Die Behandlung gründet sich auf medikamentöse, orthodontische und physiotherapeutische Maßnahmen, allerdings gibt es zur Wirkung der verschiedenen therapeutischen Ansätze kaum Daten. In den letzten Jahren wurde immer häufiger über die erfolgreiche Anwendung der bildgebend gesteuerten intraartikulären Steroidtherapie berichtet.

Abstract

Temporomandibular joint involvement occurs in up to 87% of the children with juvenile idiopathic with half of the patients being asymptomatic. In these cases the only option to diagnose arthritis of the temporomandibular joints is the gadolinium enhanced magnetic resonance imaging. Therapeutic approaches include drugs, orthodontic and physiotherapeutic management, although only scant data on the effectiveness of these treatments are available. Several reports in recent years have pointed to imaging guided intraarticular steroids as efficient treatment.

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Abbreviations

JIA:

Juvenile idiopathische Arthritis

TMJ:

„Temporomandibular joint(s)“, Kiefergelenk(e)

MRT:

Magnetresonanztomographie

CT:

Computertomographie

MIO:

Maximale Inzisoröffnung, der Abstand zwischen der okklusalen Flächen der Inzisoren

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Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung hin: Die Erforschung der Kiefergelenkarthritis wird finanziert im Rahmen eines „Investor originated Proposal“ durch Wyeth Pharma.

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Authors and Affiliations

  1. Department für Kinderrheumatologie, Klinikum Bad Bramstedt, Oskar-Alexander Str. 26, 24576, Bad Bramstedt, Deutschland

    N. Tzaribachev

  2. Klinik für Kinder- und Jugendmedizin, Neonatologie und Intensivmedizin, Klinikum Itzehoe, Itzehoe, Deutschland

    N. Tzaribachev

  3. Deutsches Zentrum für Dentaldiagnostik, Frankfurt, Deutschland

    D. Weber

  4. Abteilung für diagnostische und interventionelle Radiologie, Universitätsklinikum Tübingen, Tübingen, Deutschland

    M. Horger

Authors
  1. N. Tzaribachev
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  2. D. Weber
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  3. M. Horger
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Correspondence to N. Tzaribachev.

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Tzaribachev, N., Weber, D. & Horger, M. Juvenile idiopathische Arthritis. Z. Rheumatol. 69, 124–129 (2010). https://doi.org/10.1007/s00393-009-0562-z

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  • DOI: https://doi.org/10.1007/s00393-009-0562-z

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