Dervis E, Dervis E
Department of Prosthodontics, Faculty of Dentistry, Istanbul University, 34390 Capa-Istanbul, Turkey.
J Oral Rehabil. 2005 Nov;32(11):786-93. doi: 10.1111/j.1365-2842.2005.01521.x.
Psoriasis is a chronic, genetic, non-contagious skin disorder that appears in many different forms and can affect any part of the body, including the nails and scalp. It may affect the quality of life by causing psychosocial stress. Psoriatic arthritis (PA) is considered to be a spondyloarthropathy, and has spinal and peripheral joint involvement associated with psoriasis. The purpose of this study was to evaluate the prevalence of signs and symptoms of temporomandibular disorders (TMD) in patients with psoriasis without PA and in patients with PA and compare with a healthy group. Signs and symptoms of TMD were evaluated by means of Helkimo's Anamnestic (Ai) and Dysfunction indices (Di). In the present study, patients with psoriasis without arthritis did not report TMD signs and symptoms significantly more often than healthy subjects. A statistically significant increase was found in patients with PA when compared with psoriasis patients without arthritis and healthy patients in Di. In patients with PA, muscle tenderness on palpation, temporomandibular joint sounds and stiffness/tiredness in jaws in the morning were the most frequent findings. It is concluded that the signs and symptoms of TMD in PA is caused mainly by related joint involvement that directly affects the masticatory system.
银屑病是一种慢性、遗传性、非传染性皮肤病，有多种不同表现形式，可累及身体任何部位，包括指甲和头皮。它可能通过引起心理社会压力而影响生活质量。银屑病关节炎（PA）被认为是一种脊柱关节炎，伴有与银屑病相关的脊柱和外周关节受累。本研究的目的是评估无PA的银屑病患者和PA患者中颞下颌关节紊乱症（TMD）的体征和症状的患病率，并与健康组进行比较。通过赫尔基莫记忆指数（Ai）和功能障碍指数（Di）评估TMD的体征和症状。在本研究中，无关节炎的银屑病患者报告TMD体征和症状的频率并不比健康受试者高很多。与无关节炎的银屑病患者和健康患者相比，PA患者的Di有统计学显著增加。在PA患者中，触诊时肌肉压痛、颞下颌关节弹响以及早晨下颌僵硬/疲劳是最常见的表现。结论是，PA中TMD的体征和症状主要由直接影响咀嚼系统的相关关节受累引起。
