风湿病学家应了解的自身免疫性风湿疾病的口面部表现。
What rheumatologists should know about orofacial manifestations of autoimmune rheumatic diseases.
作者信息
Abrão Aline Lauria Pires, Santana Caroline Menezes, Bezerra Ana Cristina Barreto, Amorim Rivadávio Fernandes Batista de, Silva Mariana Branco da, Mota Licia Maria Henrique da, Falcão Denise Pinheiro
机构信息
Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade de Brasília (UnB), Brasília, DF, Brasil.
Programa de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília (UnB), Brasília, DF, Brasil.
出版信息
Rev Bras Reumatol. 2016 Feb 11. doi: 10.1016/j.rbr.2015.08.011.
Orofacial manifestations occur frequently in rheumatic diseases and usually represent early signs of disease or of its activity that are still neglected in clinical practice. Among the autoimmune rheumatic diseases with potential for oral manifestations, rheumatoid arthritis (RA), inflammatory myopathies (IM), systemic sclerosis (SSc), systemic lupus erythematosus (SLE), relapsing polychondritis (RP) and Sjögren's syndrome (SS) can be cited. Signs and symptoms such as oral hyposalivation, xerostomia, temporomandibular joint disorders, lesions of the oral mucosa, periodontal disease, dysphagia, and dysphonia may be the first expression of these rheumatic diseases. This article reviews the main orofacial manifestations of rheumatic diseases that may be of interest to the rheumatologist for diagnosis and monitoring of autoimmune rheumatic diseases.
口面部表现频繁出现在风湿性疾病中，通常代表疾病或其活动的早期迹象，但在临床实践中仍被忽视。在具有口腔表现潜力的自身免疫性风湿性疾病中，可以列举类风湿关节炎（RA）、炎性肌病（IM）、系统性硬化症（SSc）、系统性红斑狼疮（SLE）、复发性多软骨炎（RP）和干燥综合征（SS）。诸如口腔唾液分泌减少、口干、颞下颌关节紊乱、口腔黏膜病变、牙周病、吞咽困难和发音障碍等体征和症状可能是这些风湿性疾病的首发表现。本文综述了风湿性疾病的主要口面部表现，这些表现可能对风湿病学家诊断和监测自身免疫性风湿性疾病具有重要意义。
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