Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report

ABSTRACT Juvenile idiopathic arthritis is a term used to include all chronic childhood arthritis of unknown etiology. It is characterized by chronic inflammation persisting for at least 6 weeks, beginning before 16 years of age. The characteristics present are chronic synovitis, arthralgia, impaired...

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Main Authors: José Renato Ribeiro Pinto, Irineu Gregnanin Pedron, Estevam Rubens Utumi, Milton Edson Miranda, Elisa Cruz Pereira Pinto, Leopoldo Penteado Nucci
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082018000300500&lng=en&tlng=en
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author José Renato Ribeiro Pinto
Irineu Gregnanin Pedron
Estevam Rubens Utumi
Milton Edson Miranda
Elisa Cruz Pereira Pinto
Leopoldo Penteado Nucci
author_facet José Renato Ribeiro Pinto
Irineu Gregnanin Pedron
Estevam Rubens Utumi
Milton Edson Miranda
Elisa Cruz Pereira Pinto
Leopoldo Penteado Nucci
author_sort José Renato Ribeiro Pinto
collection DOAJ
description ABSTRACT Juvenile idiopathic arthritis is a term used to include all chronic childhood arthritis of unknown etiology. It is characterized by chronic inflammation persisting for at least 6 weeks, beginning before 16 years of age. The characteristics present are chronic synovitis, arthralgia, impaired joint mobility in at least one joint, and erosion with destruction of cartilage and subchondral bone, that could be associated or not with systemic involvement, according to each subtype of the disease. During the pathologic process, the temporomandibular joint can be involved by the juvenile idiopathic arthritis, resulting in severe mandibular dysfunction, with higher frequency in female patients. Initially, these lesions can show minor alterations like flattening of the condyle, erosions, and evolve to severe lesions, like destruction of the head of the condyle. We report a case of male patient who had destruction of both condyles, as a result from juvenile idiopathic arthritis. Proposed mechanisms to explain the juvenile idiopathic arthritis was reviewed. In this report the patient did not have pain or inflammatory process, and the temporomandibular diseases was the only manifestation.
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spelling doaj.art-92bfcdb8957941de8812d26744a67b962022-12-22T02:28:12ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638516310.1590/s1679-45082018rc4003S1679-45082018000300500Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case reportJosé Renato Ribeiro PintoIrineu Gregnanin PedronEstevam Rubens UtumiMilton Edson MirandaElisa Cruz Pereira PintoLeopoldo Penteado NucciABSTRACT Juvenile idiopathic arthritis is a term used to include all chronic childhood arthritis of unknown etiology. It is characterized by chronic inflammation persisting for at least 6 weeks, beginning before 16 years of age. The characteristics present are chronic synovitis, arthralgia, impaired joint mobility in at least one joint, and erosion with destruction of cartilage and subchondral bone, that could be associated or not with systemic involvement, according to each subtype of the disease. During the pathologic process, the temporomandibular joint can be involved by the juvenile idiopathic arthritis, resulting in severe mandibular dysfunction, with higher frequency in female patients. Initially, these lesions can show minor alterations like flattening of the condyle, erosions, and evolve to severe lesions, like destruction of the head of the condyle. We report a case of male patient who had destruction of both condyles, as a result from juvenile idiopathic arthritis. Proposed mechanisms to explain the juvenile idiopathic arthritis was reviewed. In this report the patient did not have pain or inflammatory process, and the temporomandibular diseases was the only manifestation.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082018000300500&lng=en&tlng=enArthritis, juvenileTemporomandibular joint disordersMandibular condyle
spellingShingle José Renato Ribeiro Pinto
Irineu Gregnanin Pedron
Estevam Rubens Utumi
Milton Edson Miranda
Elisa Cruz Pereira Pinto
Leopoldo Penteado Nucci
Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report
Einstein (São Paulo)
Arthritis, juvenile
Temporomandibular joint disorders
Mandibular condyle
title Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report
title_full Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report
title_fullStr Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report
title_full_unstemmed Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report
title_short Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report
title_sort temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis a case report
topic Arthritis, juvenile
Temporomandibular joint disorders
Mandibular condyle
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082018000300500&lng=en&tlng=en
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