Boris Hügle1,2, Lynn Spiegel3,4, Julia Hotte3,4, Stefan Wiens3,4, Troels Herlin3,4, Randy Q Cron3,4, Matthew L Stoll3,4, Surabhi Vinod3,4, Peter Stoustrup3,4, Thomas Klit Pedersen3,4, Marinka Twilt3,4. 1. From the German Center for Pediatric and Adolescent Rheumatology; Praxisklinik für Mund-Kiefer-Gesichts-Chirurgie and Implantologie, Garmisch-Partenkirchen, Germany; Division of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Pediatrics, and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital; Section of Orthodontics, Aarhus University, Aarhus, Denmark; Children's of Alabama, Division of Pediatric Rheumatology, Birmingham, Alabama, USA; Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Calgary, Alberta, Canada. huegle.boris@rheuma-kinderklinik.de. 2. B. Hügle, MD, MSc, German Center for Pediatric and Adolescent Rheumatology; L. Spiegel, MD, Division of Rheumatology, The Hospital for Sick Children; J. Hotte, MD, German Center for Pediatric and Adolescent Rheumatology; S. Wiens, MSc, DDS, Praxisklinik für Mund-Kiefer-Gesichts-Chirurgie and Implantologie; T. Herlin, MD, DMSc, Department of Pediatrics, Aarhus University Hospital; R.Q. Cron, MD, PhD, Children's of Alabama, Division of Pediatric Rheumatology; M.L. Stoll, MD, PhD, MSCS, Children's of Alabama, Division of Pediatric Rheumatology; S. Vinod, BS, Children's of Alabama, Division of Pediatric Rheumatology; P. Stoustrup, DDS, PhD, Section of Orthodontics, Aarhus University; T.K. Pedersen, DDS, PhD, Section of Orthodontics, Aarhus University, Department of Oral and Maxillofacial Surgery, and Aarhus University Hospital; M. Twilt, MD, MSc, PhD, Department of Pediatrics, Aarhus University Hospital, and Department of Pediatrics, Alberta Children's Hospital, University of Calgary. huegle.boris@rheuma-kinderklinik.de. 3. From the German Center for Pediatric and Adolescent Rheumatology; Praxisklinik für Mund-Kiefer-Gesichts-Chirurgie and Implantologie, Garmisch-Partenkirchen, Germany; Division of Rheumatology, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Pediatrics, and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital; Section of Orthodontics, Aarhus University, Aarhus, Denmark; Children's of Alabama, Division of Pediatric Rheumatology, Birmingham, Alabama, USA; Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Calgary, Alberta, Canada. 4. B. Hügle, MD, MSc, German Center for Pediatric and Adolescent Rheumatology; L. Spiegel, MD, Division of Rheumatology, The Hospital for Sick Children; J. Hotte, MD, German Center for Pediatric and Adolescent Rheumatology; S. Wiens, MSc, DDS, Praxisklinik für Mund-Kiefer-Gesichts-Chirurgie and Implantologie; T. Herlin, MD, DMSc, Department of Pediatrics, Aarhus University Hospital; R.Q. Cron, MD, PhD, Children's of Alabama, Division of Pediatric Rheumatology; M.L. Stoll, MD, PhD, MSCS, Children's of Alabama, Division of Pediatric Rheumatology; S. Vinod, BS, Children's of Alabama, Division of Pediatric Rheumatology; P. Stoustrup, DDS, PhD, Section of Orthodontics, Aarhus University; T.K. Pedersen, DDS, PhD, Section of Orthodontics, Aarhus University, Department of Oral and Maxillofacial Surgery, and Aarhus University Hospital; M. Twilt, MD, MSc, PhD, Department of Pediatrics, Aarhus University Hospital, and Department of Pediatrics, Alberta Children's Hospital, University of Calgary.
Abstract
OBJECTIVE: To describe characteristics of patients with juvenile idiopathic arthritis (JIA) presenting with isolated arthritis of the temporomandibular joints (TMJ). METHODS: Patients with JIA with isolated TMJ arthritis from 4 large tertiary pediatric rheumatology centers were included. Demographic and clinical data were analyzed using descriptive statistics. RESULTS: Fifty-five patients were identified (65% bilateral presentation). Six patients developed arthritis in other joints (median time 6 mos); 4 patients developed uveitis, all prior to arthritis. At last followup, 9% were still taking antirheumatic medications. CONCLUSION: JIA TMJ arthritis can occur in isolation, and is probably underdiagnosed. Care providers including dentists and orthodontists should be aware of this presentation.
OBJECTIVE: To describe characteristics of patients with juvenile idiopathic arthritis (JIA) presenting with isolated arthritis of the temporomandibular joints (TMJ). METHODS:Patients with JIA with isolated TMJ arthritis from 4 large tertiary pediatric rheumatology centers were included. Demographic and clinical data were analyzed using descriptive statistics. RESULTS: Fifty-five patients were identified (65% bilateral presentation). Six patients developed arthritis in other joints (median time 6 mos); 4 patients developed uveitis, all prior to arthritis. At last followup, 9% were still taking antirheumatic medications. CONCLUSION:JIA TMJ arthritis can occur in isolation, and is probably underdiagnosed. Care providers including dentists and orthodontists should be aware of this presentation.