| Gout of the temporomandibular joint: a review of the literature. | |
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MedLine Citation:
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PMID: 20675423 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Gout is a common metabolic disorder that leads to elevated serum uric acid levels and deposition of urate crystals in tissues, leading to conditions such as arthritis and neuropathy. CASE DESCRIPTION: Although the prevalence of gout has been increasing during the past two decades, temporomandibular joint (TMJ) involvement is rare, with only 10 reports in the English-language literature. The authors present a rare case of gout involving the TMJ in a 51-year-old woman. They also review reported cases of gout involving the TMJ, including the clinical, radiographic and microscopic diagnostic criteria. The patient was treated primarily with anti-inflammatory drugs and colchicine but refused to undergo surgery. To date, she continues to be free of symptoms despite the presence of gouty deposits. CLINICAL IMPLICATIONS: Because of its rarity, a clinician may overlook gout involving the TMJ in the differential diagnosis of facial pain even when the patient has received a diagnosis of gout in other joints. |
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Authors:
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Indraneel Bhattacharyya; Hardeep Chehal; Henry Gremillion; Madhu Nair |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Journal of the American Dental Association (1939) Volume: 141 ISSN: 1943-4723 ISO Abbreviation: J Am Dent Assoc Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-02 Completed Date: 2010-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503060 Medline TA: J Am Dent Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 979-85 Citation Subset: D; IM |
Affiliation:
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Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, 1600 Archer Road, Gainesville, FL 32610, USA. ibhattacharyya@dental.ufl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Inflammatory Agents
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therapeutic use Arthritis, Gouty / diagnosis* Biopsy Colchicine / therapeutic use Diagnosis, Differential Female Follow-Up Studies Gout Suppressants / therapeutic use Humans Mandibular Condyle / radiography Middle Aged Osteolysis / radiography Temporal Bone / radiography Temporomandibular Joint Disorders / diagnosis* Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 0/Gout Suppressants; 64-86-8/Colchicine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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