Psoriatic arthritis with temporomandibular joint involvement: case report

KILLIAN EVANDRO CRISTOFF, JOSÉ STECHMAN NETO, BIANCA LOPES CAVALCANTE-LEÃO, RODOLFO JORGE KUBIAK, MARINA PEREIRA SILVA, ALICE HELENA DE LIMA SANTOS CARDOSO

Introduction: Psoriatic arthritis (PA) is a chronic reactive inflammatory disease of the joints and skin. Severity can range from mild, non-destructive disease to severe, progressive and erosive arthropathy. The etiology of this disease is unknown, although studies report a strong genetic predisposition. The clinical manifestations of the PA rarely affect the temporomandibular joint (TMJ), these patients can suffer great joint degeneration, altering the movement of the joint, causing pain, reduced opening, articular noises. Case report: Female patient, 39 years old, who was referred to the ATM diagnosis and treatment center (CDATM), presenting severe facial pain, cracking, limited mouth opening. There was already a diagnosis of PA, involving the hip and elbow. The diagnosis of PA in ATM was given from the clinical exams, magnetic resonance imaging (MRI) and a cytopathological evaluation. The treatment of choice was conservative treatment. Conclusion: Follow-up showed an improvement in relation to orofacial pain and mandibular movements. It should be emphasized that this condition is relatively uncommon in the TMJ, and the clinician must make a correct diagnosis to make an appropriate treatment, thus returning an improvement in the functions of the stomatognathic system with a favorable prognosis.

Keywords: Arthritis, psoriatic. Temporomandibular joint disorders. Arthritis.

How to cite: Cristoff KE, Stechman Neto J, Cavalcante-Leão BL, Kubiak RJ, Silva MP, Cardoso AHLS. Psoriatic arthritis with temporomandibular joint involvement: case report. J Braz Coll Oral Maxillofac Surg. 2020 Sept-Dec;6(3):42-6.

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