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Bilateral temporomandibular joint pseudogout.

S Greaves1, A Fordyce

  • 1SHO, Department of Oral and Maxillofacial Surgery, Torbay Hospital, Torquay. csarahgreaves@hotmail.com

British Dental Journal
|February 15, 2002
PubMed
Summary

Pseudogout, a crystal deposition disease, can affect the temporomandibular joint. This case highlights acute pseudogout symptoms in a 56-year-old male, impacting jaw function.

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Area of Science:

  • Rheumatology
  • Crystal Deposition Diseases

Background:

  • Pseudogout, also known as calcium pyrophosphate dihydrate (CPPD) crystal deposition disease, is characterized by the deposition of CPPD crystals in synovial joints.
  • It typically presents as acute, self-limiting attacks of joint inflammation, often mimicking gout.
  • While commonly affecting large joints like the knee and wrist, it can occur in smaller joints.

Observation:

  • A 56-year-old Caucasian male presented with acute onset of right-sided preauricular swelling.
  • The patient also reported temporomandibular joint (TMJ) arthralgia (pain) and significant restriction in mouth opening.
  • Two days later, identical symptoms developed on the left side of his face.

Findings:

  • The clinical presentation strongly suggested an acute inflammatory process within the temporomandibular joints.
  • The symptoms, including swelling, pain, and limited jaw mobility, are consistent with pseudogout affecting the TMJ.
  • The bilateral and sequential development of symptoms points towards a systemic crystal deposition process.

Implications:

  • This case underscores the importance of considering pseudogout in the differential diagnosis of acute temporomandibular joint disorders.
  • Early recognition and diagnosis of TMJ pseudogout can prevent misdiagnosis and ensure appropriate management.
  • Further research may elucidate the specific factors contributing to TMJ involvement in CPPD deposition disease.

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