1
|
Alqanatish JT, Alrewaithi BS, Alsewairi WM, Khan AH, Alsalman MJ, Alrasheed AA. Temporomandibular joint involvement in children with juvenile idiopathic arthritis: A single tertiary-center experience. Saudi Med J 2021; 42:399-404. [PMID: 33795495 PMCID: PMC8128629 DOI: 10.15537/smj.2021.42.4.20200470] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 03/10/2021] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVES To describe the clinical and laboratory characteristic, state the treatment and outcome of patients with juvenile idiopathic arthritis (JIA), and describe temporomandibular joint (TMJ) involvement as observed in a large tertiary center. METHODS A retrospective cross-sectional study of children diagnosed with JIA was assessed at King Abdullah Specialist Children's Hospital, Riyadh, Saudi Arabia (2015-2019), which included a descriptive analysis of children who had TMJ involvement among our study group. Subjects diagnosed with the TMJ arthritis were based either on clinical musculoskeletal examination or using contrast-enhanced MRI. RESULTS We reviewed 123 cases with different JIA subtypes (57% females). The most frequent subtype is the oligoarticular (36%). TMJ involvement was found in 16% (n=20/123) of the patients, of whom 45% had Polyarticular JIA. The rheumatoid factor was positive in 25%; antinuclear antibody (ANA) in 45% and none showed positivity to HLAB27. Treatment resulted in complete resolution in 95% of cases, while Micrognathia and obstructive sleep apnea were the complications reported in 5% of cases. CONCLUSION TMJ involvement in JIA is not uncommon. Females with polyarticular disease were more frequently affected with TMJ arthritis. Positive ANA could be a risk factor for TMJ involvement, while positive HLAB27 might have some protective effects. Early treatment for TMJ arthritis is essential to avoid possible complications.
Collapse
Affiliation(s)
- Jubran T Alqanatish
- From King Saud bin Abdulaziz University for Health Sciences (Alqanatish, Alrewaithi, Alsewairi, Alsalman, Alrasheed); from King Abdullah International Medical Research Center (Alqanatish, Alsewairi, Khan, Alsalman, Alrasheed); from King Abdullah Specialist Children's Hospital (Alqanatish, Alsewairi, Alrasheed); and from King Abdulaziz Medical City (Alsalman), Riyadh, Kingdom of Saudi Arabia
| | - Banan S Alrewaithi
- From King Saud bin Abdulaziz University for Health Sciences (Alqanatish, Alrewaithi, Alsewairi, Alsalman, Alrasheed); from King Abdullah International Medical Research Center (Alqanatish, Alsewairi, Khan, Alsalman, Alrasheed); from King Abdullah Specialist Children's Hospital (Alqanatish, Alsewairi, Alrasheed); and from King Abdulaziz Medical City (Alsalman), Riyadh, Kingdom of Saudi Arabia
| | - Wafaa M Alsewairi
- From King Saud bin Abdulaziz University for Health Sciences (Alqanatish, Alrewaithi, Alsewairi, Alsalman, Alrasheed); from King Abdullah International Medical Research Center (Alqanatish, Alsewairi, Khan, Alsalman, Alrasheed); from King Abdullah Specialist Children's Hospital (Alqanatish, Alsewairi, Alrasheed); and from King Abdulaziz Medical City (Alsalman), Riyadh, Kingdom of Saudi Arabia
| | - Altaf H Khan
- From King Saud bin Abdulaziz University for Health Sciences (Alqanatish, Alrewaithi, Alsewairi, Alsalman, Alrasheed); from King Abdullah International Medical Research Center (Alqanatish, Alsewairi, Khan, Alsalman, Alrasheed); from King Abdullah Specialist Children's Hospital (Alqanatish, Alsewairi, Alrasheed); and from King Abdulaziz Medical City (Alsalman), Riyadh, Kingdom of Saudi Arabia
| | - Mohammed J Alsalman
- From King Saud bin Abdulaziz University for Health Sciences (Alqanatish, Alrewaithi, Alsewairi, Alsalman, Alrasheed); from King Abdullah International Medical Research Center (Alqanatish, Alsewairi, Khan, Alsalman, Alrasheed); from King Abdullah Specialist Children's Hospital (Alqanatish, Alsewairi, Alrasheed); and from King Abdulaziz Medical City (Alsalman), Riyadh, Kingdom of Saudi Arabia
| | - Abdulrhman A Alrasheed
- From King Saud bin Abdulaziz University for Health Sciences (Alqanatish, Alrewaithi, Alsewairi, Alsalman, Alrasheed); from King Abdullah International Medical Research Center (Alqanatish, Alsewairi, Khan, Alsalman, Alrasheed); from King Abdullah Specialist Children's Hospital (Alqanatish, Alsewairi, Alrasheed); and from King Abdulaziz Medical City (Alsalman), Riyadh, Kingdom of Saudi Arabia
| |
Collapse
|