Isolated temporomandibular synovitis as unique presentation of juvenile idiopathic arthritis

J Rheumatol. 2001 Jul;28(7):1689-92.

Abstract

Temporomandibular joint (TMJ) involvement is quite frequent in juvenile idiopathic arthritis (JIA). We describe a 15-year-old girl with isolated TMJ arthritis presenting as a unique manifestation of JIA, and its successful treatment. She underwent arthroscopic synovectomy followed by intraarticular steroid injection. Early use of synovectomy and intraarticular steroids in TMJ arthritis may reduce pain, improve jaw function, and prevent irreversible deformities.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anti-Inflammatory Agents / therapeutic use
  • Arthritis, Juvenile / complications*
  • Arthritis, Juvenile / diagnostic imaging*
  • Arthritis, Juvenile / drug therapy
  • Diagnosis, Differential
  • Female
  • Humans
  • Radionuclide Imaging
  • Synovitis / diagnostic imaging
  • Synovitis / etiology*
  • Temporomandibular Joint Disorders / diagnostic imaging
  • Temporomandibular Joint Disorders / etiology*
  • Triamcinolone Acetonide / analogs & derivatives*
  • Triamcinolone Acetonide / therapeutic use

Substances

  • Anti-Inflammatory Agents
  • Triamcinolone Acetonide
  • triamcinolone hexacetonide