Tophaceous Gout of the Temporomandibular Joint: A Report of 2 Cases

Suba, Zsuzsanna; Takács, Dániel; Gyulai-Gaál, Szabolcs; Fancsaly, A Joob; Szabó, György; Undt, Gerhard; Barabás, József

doi:10.1016/j.joms.2008.12.019

Cited by 12 publications

(11 citation statements)

References 17 publications

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“…Gouty arthritis is a metabolic illness that most often affects middle-aged men and presents with pain, swelling, local sensitivity, and, in the majority of cases, hyperuricemia. 2 3 Monosodium urate deposits are located mainly in some small joints of the upper and lower limbs. 3 4 Pain and limitations of mandibular functions may suggest some diagnoses such as arthritis, inflammatory diseases, or tumors of the TMJ.…”

Section: Discussionmentioning

confidence: 99%

“…Gout is an illness characterized by the deposition of monosodium urate crystals in the joints or in soft tissues, 1 2 leading to acute inflammation with associated pain, impaired movement of the affected joint, and hyperuricemia. 3 The small joints of the limbs and the elbows and knees are the usually affected sites. 3 4 5 The temporomandibular joint (TMJ) is rarely involved.…”

Section: Introductionmentioning

confidence: 99%

“… 3 The small joints of the limbs and the elbows and knees are the usually affected sites. 3 4 5 The temporomandibular joint (TMJ) is rarely involved. 3 4 5 There are currently few reports in the English medical literature relating gout and TMJ.…”

Section: Introductionmentioning

confidence: 99%

“… 3 4 5 The temporomandibular joint (TMJ) is rarely involved. 3 4 5 There are currently few reports in the English medical literature relating gout and TMJ. The article aims to report a presentation of gout in the TMJ and discuss the pertinence of the role of physical and complementary exams addressed to the case.…”

Section: Introductionmentioning

confidence: 99%

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Gout of the Temporomandibular Joint: Report of a Case

Oliveira

Gomes

Santos

et al. 2014

Int. Arch. Otorhinolaryngol.

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Introduction Gout is an illness characterized by the deposition of monosodium urate crystals in the joints or in soft tissues. The clinical manifestation results from inflammation of limb joints and pain with a rare presentation in the temporomandibular joint (TMJ). Case Report This study describes a 66-year-old white man with a chief complaint of “occasional pain in the left temporal muscle region.” The case disclosed a gout manifestation in the TMJ after physical, radiographic, and ultrasonographic exams, and the patient was referred to proper treatment. Conclusion Gout manifestation in the TMJ is an unusual presentation, and few reports in the English literature address to the subject. Gout in the TMJ should be included as a differential diagnosis for joint disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gout of the Temporomandibular Joint: Report of a Case

Oliveira

Gomes

Santos

et al. 2014

Int. Arch. Otorhinolaryngol.

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“…There are some diseases that can present with TMJ arthritis: rheumatoid arthritis 12) , psoriatic arthritis 13) , systemic lupus erythematosus 14) , familial Mediterranean fever 15) , gout 16) and Sjögren's syndrome [17][18] . As these diseases commonly present with polyarthritis, pain on jaw function, crepitus,…”

Section: Retrodiscitis On Lt Tmjmentioning

confidence: 99%

A Case Report : TMJ Osteoarthritis in a Patient with Renal Osteodystrophy

Lee¹

2013

Journal of Oral Medicine and Pain

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Renal osteodystrophy(RO) is characterized by skeletal changes in patients with renal disease and developed as a result of alterations in the metabolism of calcium, phosphate and secondary hyperparathyroidism. Bony changes in the craniofacial region include decreased bone density, radiolucent lesions(brown tumors), depletion of cortical bone and loss of lamina dura, but such changes rarely occur in the temporomandibular joint(TMJ). We report an uncommon case of bony changes and pain of both TMJs in a patient with RO. A 41-year-old man with RO came to our clinic due to TMJ pain and sounds. Occlusal change was also reported. Radiographs revealed degenerative changes of the both condyles. The patient had medical history of renal cancer therapy and hemodialysis. The patient was diagnosed with TMJ arthritis of RO and referred for systemic management through medication of calcium and vitamin D and parathyroidectomy. At 15-month follow-up, most of TMD symptoms disappeared and second radiographs revealed that bone density and cortical thickness of the mandible increased and the skeletal outline of the both condyles became relatively clear. As bony changes may begin in the early stage of the renal disease, dentists should be alert to detect the sign of the disease. In addition, it is important to differentiate TMJ arthritis of systemic cause because the treatment protocol is quite different.

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Concomitant Orthognathic and Temporomandibular Joint Surgery

Mehra

Henry²

2022

Peterson’s Principles of Oral and Maxillofacial Surgery

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Tophaceous Gout of the Temporomandibular Joint: A Report of 2 Cases

Cited by 12 publications

References 17 publications

Gout of the Temporomandibular Joint: Report of a Case

Gout of the Temporomandibular Joint: Report of a Case

A Case Report : TMJ Osteoarthritis in a Patient with Renal Osteodystrophy

Concomitant Orthognathic and Temporomandibular Joint Surgery

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