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Case Reports
. 2021 Feb 11:2021:6638638.
doi: 10.1155/2021/6638638. eCollection 2021.

A Female Psoriatic Arthritis Patient Involving the TMJ

Giovanni Falisi  1 , Roberto Gatto  1 , Carlo Di Paolo  2 , Alberto De Biase  2 , Carlo Franceschini  2 , Annalisa Monaco  1 , Sofia Rastelli  1 , Gianluca Botticelli  1
Affiliations
Case Reports

A Female Psoriatic Arthritis Patient Involving the TMJ

Giovanni Falisi et al. Case Rep Dent. .

Abstract

Psoriatic arthritis (PsA) is an inflammatory chronic arthritis associated with psoriasis. Currently, data about gender differences in clinical manifestation and therapeutic outcomes of PsA are limited. Frequently, women manifest a peripheral disease while men have an axial localization. Moreover, women display higher disease activity and physical activity limitations, if compared to men. Although the involvement of the temporomandibular joint (TMJ) is quite rare, it can seriously impact the quality of life. The morpho-functional peculiarities of TMJ require a multidisciplinary approach to perform a correct diagnosis and a successful treatment. Here, we report a case of a woman affected by PsA involving TMJ treated by combining pharmacological therapy and an occlusal splint. The coordination between different specialties led to a complete remission of clinical symptoms and a regression of lesions.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Psoriasis lesion on the patient's hair scalp.
Figure 2
Figure 2
Limited open mouth measured by means of a mechanical calliper. Presence of laterodeviation towards the right side.
Figure 3
Figure 3
Stratigraphy of right TMJ. The arrows indicate the erosive changes on the surface of the condyle with interruption of cortical lining. When the articular eminence and the condyles are in contact, the joint space is narrow. Condyles and articular eminence appear both flattened.
Figure 4
Figure 4
Reposition appliance DITRA.
Figure 5
Figure 5
Pivot mandibular advancement.
Figure 6
Figure 6
Representative MNR scan at 5-month follow-up. The erosive lesions on the condyle surfaces regressed, and interruption of cortical lining disappeared.
See this image and copyright information in PMC

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