慢性関節リウマチ症状が顎関節に初発したと考えられる症例

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  • A case report of chronic rheumatoid arthritis patient having initial symptom in TMJ

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The clinical course of a 28-year-old female rheumatism patient showing a symptom of temporomandibular disorder as an initial symptom is reported. She visited our hospital in 1991 with chief complaints of pain and clicking on right TMJ during mastication and limitation on jaw opening. Her right TMJ was found to be articular disc displacement with reduction. A splint, muscle relaxant, or physical therapy had little effect on her mandibular function or TMJ pain. Osseous degenerative change was found in 1994, then progressive bony change resulted in anterior open bite in 1996. Occlusal stabilization was acquired by crown treatment in molar regions in 1998. At a regular check-up at an orthopedic clinic in 1999, her symptoms met the diagnostic criteria for rheumatism including a rheumatoid factor, an erosive change in an interphalangeal joint of the right thumb. From the findings above, she was diagnosed as rheumatoid arthritis showing initial symptom in TMJ.

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