Temporomandibular Joint Involvement in Rheumatoid Arthritis: Relationship with Disease Activity

Involvement of temporomandibular joint (TMJ) in rheumatoid arthritis (RA) patients is described, but the incidence varies greatly. In this study our aim was to determine the frequency and character of TMJ involvement in RA patients asymptomatic for this joint, to investigate the relationship with di...

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Veröffentlicht in:Scandinavian journal of rheumatology 1995, Vol.24 (1), p.22-25
Hauptverfasser: Çeliker, R., Gökçe-kutsal, Y., Eryilmaz, M.
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container_title Scandinavian journal of rheumatology
container_volume 24
creator Çeliker, R.
Gökçe-kutsal, Y.
Eryilmaz, M.
description Involvement of temporomandibular joint (TMJ) in rheumatoid arthritis (RA) patients is described, but the incidence varies greatly. In this study our aim was to determine the frequency and character of TMJ involvement in RA patients asymptomatic for this joint, to investigate the relationship with disease activity, and to evaluate the early diagnostic value of imaging techniques. Twenty patients were included in this study, ten were evaluated with computed tomography (CT) and ten with magnetic resonance imaging (MRI). Among the 20 patients 45% had TMJ involvement detected by imaging techniques. The most frequent pathological signs were osteophyte formation, erosion of the mandibular condyle and decreased joint space (40%). Age, duration of disease, number of swollen joints, CRP and RF levels were found to be correlated with TMJ involvement. It is concluded that TMJ involvement may be detected even in asymptomatic patients with RA and there is a positive correlation between the severity of disease and involvement of TMJ.
doi_str_mv 10.3109/03009749509095149
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In this study our aim was to determine the frequency and character of TMJ involvement in RA patients asymptomatic for this joint, to investigate the relationship with disease activity, and to evaluate the early diagnostic value of imaging techniques. Twenty patients were included in this study, ten were evaluated with computed tomography (CT) and ten with magnetic resonance imaging (MRI). Among the 20 patients 45% had TMJ involvement detected by imaging techniques. The most frequent pathological signs were osteophyte formation, erosion of the mandibular condyle and decreased joint space (40%). Age, duration of disease, number of swollen joints, CRP and RF levels were found to be correlated with TMJ involvement. 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In this study our aim was to determine the frequency and character of TMJ involvement in RA patients asymptomatic for this joint, to investigate the relationship with disease activity, and to evaluate the early diagnostic value of imaging techniques. Twenty patients were included in this study, ten were evaluated with computed tomography (CT) and ten with magnetic resonance imaging (MRI). Among the 20 patients 45% had TMJ involvement detected by imaging techniques. The most frequent pathological signs were osteophyte formation, erosion of the mandibular condyle and decreased joint space (40%). Age, duration of disease, number of swollen joints, CRP and RF levels were found to be correlated with TMJ involvement. It is concluded that TMJ involvement may be detected even in asymptomatic patients with RA and there is a positive correlation between the severity of disease and involvement of TMJ.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - diagnostic imaging</subject><subject>Arthritis, Rheumatoid - epidemiology</subject><subject>Arthritis, Rheumatoid - pathology</subject><subject>Biological and medical sciences</subject><subject>computed tomography</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>rheumatoid arthritis</subject><subject>Severity of Illness Index</subject><subject>temporomandibular joint</subject><subject>Temporomandibular Joint Disorders - diagnostic imaging</subject><subject>Temporomandibular Joint Disorders - epidemiology</subject><subject>Temporomandibular Joint Disorders - pathology</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><issn>0300-9742</issn><issn>1502-7732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtr3DAUhUVpSadpf0AXBS9Kd24lS7asNpshfSQhEAjpWlzL11hBlqaSPGH-fT3MNFACWd0L5zv3cQh5z-hnzqj6QjmlSgpVU0VVzYR6QVasplUpJa9ektVeLxegek3epHRPKRVKqhNyItuGV5KviL7DaRNimMD3tpsdxOIqWJ-LS78NbosTLr31xe2I8wQ52L5YxzxGm236Wtyig2yDT6PdFA82j8V3mxASFmuT7dbm3VvyagCX8N2xnpLfP3_cnV-U1ze_Ls_X16URnOaStZ2BbqC1gKptFOv7Bhuseyo7pfoB20oOCildfmNtDcJULWug7bDmLR-A81Py6TB3E8OfGVPWk00GnQOPYU5aSiYaKtkCsgNoYkgp4qA30U4Qd5pRvQ9VPwl18Xw4Dp-7CftHxzHFRf941CEZcEMEb2x6xLgQlWD71WcHzPohxAkeQnS9zrBzIf7z8Oeu-PaffURweTQQUd-HOfol3md--AuMy6Ul</recordid><startdate>1995</startdate><enddate>1995</enddate><creator>Çeliker, R.</creator><creator>Gökçe-kutsal, Y.</creator><creator>Eryilmaz, M.</creator><general>Informa UK Ltd</general><general>Taylor &amp; 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In this study our aim was to determine the frequency and character of TMJ involvement in RA patients asymptomatic for this joint, to investigate the relationship with disease activity, and to evaluate the early diagnostic value of imaging techniques. Twenty patients were included in this study, ten were evaluated with computed tomography (CT) and ten with magnetic resonance imaging (MRI). Among the 20 patients 45% had TMJ involvement detected by imaging techniques. The most frequent pathological signs were osteophyte formation, erosion of the mandibular condyle and decreased joint space (40%). Age, duration of disease, number of swollen joints, CRP and RF levels were found to be correlated with TMJ involvement. It is concluded that TMJ involvement may be detected even in asymptomatic patients with RA and there is a positive correlation between the severity of disease and involvement of TMJ.</abstract><cop>Colchester</cop><pub>Informa UK Ltd</pub><pmid>7863273</pmid><doi>10.3109/03009749509095149</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN
subjects Adult
Age Factors
Aged
Arthritis, Rheumatoid - diagnostic imaging
Arthritis, Rheumatoid - epidemiology
Arthritis, Rheumatoid - pathology
Biological and medical sciences
computed tomography
Diseases of the osteoarticular system
Female
Humans
Inflammatory joint diseases
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
rheumatoid arthritis
Severity of Illness Index
temporomandibular joint
Temporomandibular Joint Disorders - diagnostic imaging
Temporomandibular Joint Disorders - epidemiology
Temporomandibular Joint Disorders - pathology
Time Factors
Tomography, X-Ray Computed
title Temporomandibular Joint Involvement in Rheumatoid Arthritis: Relationship with Disease Activity
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