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颞下颌关节紊乱患者首次诊断为类风湿关节炎:一例报告

First diagnosis of rheumatoid arthritis in a patient with temporomandibular disorder: a case report.

作者信息

Malliari Maria, Bakopoulou Athina, Koidis Petros

出版信息

Int J Prosthodont. 2015 Mar-Apr;28(2):124-6. doi: 10.11607/ijp.4182.

DOI:10.11607/ijp.4182
PMID:25822296
Abstract

Rheumatoid arthritis (RA) is a chronic disease of unknown etiology, characterized by synovitis of the diarthroidal joints, gradual bone erosion, and cartilage destruction. Temporomandibular joint (TMJ) arthritis is frequent in patients with RA, but it is seldom the first joint to be affected. This report presents a case of a female patient with undiagnosed RA who first presented with signs and symptoms of the disease in the TMJs. It highlights the importance of professional awareness and provides a roadmap for clinical and radiologic examination followed by biochemical and genetic monitoring for early diagnosis of RA.

摘要

类风湿性关节炎(RA)是一种病因不明的慢性疾病,其特征为滑膜关节滑膜炎、渐进性骨侵蚀和软骨破坏。颞下颌关节(TMJ)关节炎在RA患者中很常见,但很少是首个受影响的关节。本报告介绍了一例未确诊RA的女性患者,该患者最初在颞下颌关节出现该疾病的体征和症状。它强调了专业意识的重要性,并为临床和放射学检查提供了路线图,随后进行生化和基因监测以早期诊断RA。

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