Psoriatic arthritis and temporomandibular joint involvement – literature review with a reported case
Autor: | Badel, Tomislav, Savić Pavičin, Ivana, Krapac, Ladislav, Zadravec, Dijana, Rosić, Davorka |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: | |
Zdroj: | Acta Dermatovenerologica Croatica Volume 22 Issue 2 |
ISSN: | 1847-6538 1330-027X |
Popis: | In addition to psoriasis, between five and twenty- four percent of patients will develop psoriatic arthritis simultaneously, after, or even prior to, skin manifestations. Psoriatic arthritis belongs to the group of seronegative spondyloarthritis. Collaboration between a dermatologist and a rheumatologist plays a more important role in cases there is a complete absence of the clinical signs of psoriasis. Since rheumatic diseases may also involve the temporomandibular joints (TMJs), psoriatic arthritis can cause problems that are an aspect of systemic disease. In general, the clinical and radiological description of population of patients suffering from psoriasis and/or psoriatic arthritis does not mention TMJ involvement. However, as is the case with intraoral psoriasis, psoriatic changes to the TMJ also show characteristic signs of erosion, deplaned condyles and articular effusion. Magnetic resonance has shown itself to be the gold standard in the diagnostics of joints afflicted by psoriatic arthritis and also by TMJ disorders, regardless of the existence of a systemic disease. This paper aims to present a review of the relevant literature describing different epidemiological, clinical and radiological characteristics of psoriasis as a disease and psoriatic arthritis, with the emphasis on the involvement of TMJs in the general manifestation of the disease, which is illustrated by a description of the clinical case of a seventy- seven-year-old female patient. |
Databáze: | OpenAIRE |
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