Ankylosing spondylitis associated with bilateral ankylosis of the temporomandibular joint. 2013

Jiang-Ming Li, and Xue-Wu Zhang, and Yi Zhang, and Yu-Hui Li, and Jin-Gang An, and E Xiao, and Ying-Bin Yan
Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Peking University, Beijing, China.

OBJECTIVE The objective of this study was to analyze the clinical and laboratory features, treatments, and prognosis of ankylosing spondylitis (AS) associated with bilateral temporomandibular joint ankylosis (TMJA). METHODS A PubMed search was conducted from 1966 to date, and the references of published studies were also checked to identify additional cases. Information from these reports and our report were compared and analyzed. RESULTS Published literature in the past 36 years, which included 8 cases, were reviewed. The mean (SD) age at diagnosis of AS and bilateral TMJA was 21.00 (6.35) and 32.50 (13.43) years, respectively. Ankylosis of cervical vertebra was described in all patients. Total alloplastic joints and artificial condyle replacements were also reported in recent years. The slices of ankylotic mass showed the marrow was infiltrated by eosinophilic granulocytes. CONCLUSIONS Evaluating temporomandibular joint (TMJ) function is strongly recommended in patients who have a long history of AS, particularly in cases involving cervical vertebrae disease.

UI MeSH Term Description Entries
D002574 Cervical Vertebrae The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK. Cervical Spine,Cervical Spines,Spine, Cervical,Vertebrae, Cervical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000844 Ankylosis Fixation and immobility of a joint. Ankyloses
D013167 Spondylitis, Ankylosing A chronic inflammatory condition affecting the axial joints, such as the SACROILIAC JOINT and other intervertebral or costovertebral joints. It occurs predominantly in young males and is characterized by pain and stiffness of joints (ANKYLOSIS) with inflammation at tendon insertions. Ankylosing Spondylitis,Bechterew Disease,Marie-Struempell Disease,Rheumatoid Spondylitis,Spondylarthritis Ankylopoietica,Ankylosing Spondylarthritis,Ankylosing Spondyloarthritis,Bechterew's Disease,Spondylitis Ankylopoietica,Spondyloarthritis Ankylopoietica,Ankylosing Spondylarthritides,Ankylosing Spondyloarthritides,Bechterews Disease,Marie Struempell Disease,Spondylarthritides, Ankylosing,Spondylarthritis, Ankylosing,Spondylitis, Rheumatoid,Spondyloarthritides, Ankylosing,Spondyloarthritis, Ankylosing
D013705 Temporomandibular Joint Disorders A variety of conditions affecting the anatomic and functional characteristics of the temporomandibular joint. Factors contributing to the complexity of temporomandibular diseases are its relation to dentition and mastication and the symptomatic effects in other areas which account for referred pain to the joint and the difficulties in applying traditional diagnostic procedures to temporomandibular joint pathology where tissue is rarely obtained and x-rays are often inadequate or nonspecific. Common diseases are developmental abnormalities, trauma, subluxation, luxation, arthritis, and neoplasia. (From Thoma's Oral Pathology, 6th ed, pp577-600) TMJ Disorders,TMJ Diseases,Temporomandibular Disorders,Temporomandibular Joint Diseases,Disease, TMJ,Disease, Temporomandibular Joint,Diseases, TMJ,Diseases, Temporomandibular Joint,Disorder, TMJ,Disorder, Temporomandibular,Disorder, Temporomandibular Joint,Disorders, TMJ,Disorders, Temporomandibular,Disorders, Temporomandibular Joint,Joint Disease, Temporomandibular,Joint Diseases, Temporomandibular,Joint Disorder, Temporomandibular,Joint Disorders, Temporomandibular,TMJ Disease,TMJ Disorder,Temporomandibular Disorder,Temporomandibular Joint Disease,Temporomandibular Joint Disorder

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