Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, 1600 Archer Road, Gainesville, FL 32610, USA.
J Am Dent Assoc. 2010 Aug;141(8):979-85. doi: 10.14219/jada.archive.2010.0311.
Gout is a common metabolic disorder that leads to elevated serum uric acid levels and deposition of urate crystals in tissues, leading to conditions such as arthritis and neuropathy.
Although the prevalence of gout has been increasing during the past two decades, temporomandibular joint (TMJ) involvement is rare, with only 10 reports in the English-language literature. The authors present a rare case of gout involving the TMJ in a 51-year-old woman. They also review reported cases of gout involving the TMJ, including the clinical, radiographic and microscopic diagnostic criteria. The patient was treated primarily with anti-inflammatory drugs and colchicine but refused to undergo surgery. To date, she continues to be free of symptoms despite the presence of gouty deposits.
Because of its rarity, a clinician may overlook gout involving the TMJ in the differential diagnosis of facial pain even when the patient has received a diagnosis of gout in other joints.
痛风是一种常见的代谢紊乱疾病，会导致血清尿酸水平升高，并在组织中沉积尿酸盐晶体，从而导致关节炎和神经病等病症。
尽管在过去二十年中，痛风的患病率一直在增加，但颞下颌关节（TMJ）受累很少见，在英语文献中仅有 10 篇报道。作者报告了一例罕见的痛风累及 51 岁女性 TMJ 的病例。他们还回顾了报告的痛风累及 TMJ 的病例，包括临床、影像学和显微镜下的诊断标准。该患者主要接受了抗炎药物和秋水仙碱治疗，但拒绝手术。迄今为止，尽管存在痛风沉积物，她仍无症状。
由于其罕见性，即使患者在其他关节中已被诊断出痛风，临床医生在鉴别诊断面部疼痛时也可能忽略累及 TMJ 的痛风。
