From the German Center for Pediatric and Adolescent Rheumatology; Praxisklinik für Mund-Kiefer-Gesichts-Chirurgie and Implantologie, Garmisch-Partenkirchen, Germany; Division of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Pediatrics, and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital; Section of Orthodontics, Aarhus University, Aarhus, Denmark; Children's of Alabama, Division of Pediatric Rheumatology, Birmingham, Alabama, USA; Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Calgary, Alberta, Canada.
B. Hügle, MD, MSc, German Center for Pediatric and Adolescent Rheumatology; L. Spiegel, MD, Division of Rheumatology, The Hospital for Sick Children; J. Hotte, MD, German Center for Pediatric and Adolescent Rheumatology; S. Wiens, MSc, DDS, Praxisklinik für Mund-Kiefer-Gesichts-Chirurgie and Implantologie; T. Herlin, MD, DMSc, Department of Pediatrics, Aarhus University Hospital; R.Q. Cron, MD, PhD, Children's of Alabama, Division of Pediatric Rheumatology; M.L. Stoll, MD, PhD, MSCS, Children's of Alabama, Division of Pediatric Rheumatology; S. Vinod, BS, Children's of Alabama, Division of Pediatric Rheumatology; P. Stoustrup, DDS, PhD, Section of Orthodontics, Aarhus University; T.K. Pedersen, DDS, PhD, Section of Orthodontics, Aarhus University, Department of Oral and Maxillofacial Surgery, and Aarhus University Hospital; M. Twilt, MD, MSc, PhD, Department of Pediatrics, Aarhus University Hospital, and Department of Pediatrics, Alberta Children's Hospital, University of Calgary.
J Rheumatol. 2017 Nov;44(11):1632-1635. doi: 10.3899/jrheum.170263. Epub 2017 Sep 1.
To describe characteristics of patients with juvenile idiopathic arthritis (JIA) presenting with isolated arthritis of the temporomandibular joints (TMJ).
Patients with JIA with isolated TMJ arthritis from 4 large tertiary pediatric rheumatology centers were included. Demographic and clinical data were analyzed using descriptive statistics.
Fifty-five patients were identified (65% bilateral presentation). Six patients developed arthritis in other joints (median time 6 mos); 4 patients developed uveitis, all prior to arthritis. At last followup, 9% were still taking antirheumatic medications.
JIA TMJ arthritis can occur in isolation, and is probably underdiagnosed. Care providers including dentists and orthodontists should be aware of this presentation.
描述以颞下颌关节（TMJ）孤立性关节炎为表现的幼年特发性关节炎（JIA）患者的特征。
纳入来自 4 家大型三级儿科风湿病中心的 JIA 伴孤立性 TMJ 关节炎患者。使用描述性统计分析人口统计学和临床数据。
共确定了 55 例患者（65%为双侧表现）。6 例患者在其他关节发生关节炎（中位数时间为 6 个月）；4 例患者发生葡萄膜炎，均在关节炎之前。最后一次随访时，9%的患者仍在服用抗风湿药物。
JIA TMJ 关节炎可孤立发生，可能被漏诊。包括牙医和正畸医生在内的医疗保健提供者都应该了解这种表现。
