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Temporomandibular joint synovitis with effusion in familial Mediterranean fever
Abstract:
A unique case of TMJ synovitis with effusion associated with FMF is described. This effusion was treated by aspiration, once the diagnosis was established. It is believed that aspiration is the most effective way of avoiding aseptic necrosis and should be carried out as soon as the diagnosis is established. The posterior portion of the compartment is easier to find with the aspirating needle. The use of a corticosteroid in conjunction with aspiration is of questionable benefit in FMF but may play a more important part in effusion from other causes.
Insights
This case study details treating temporomandibular joint (TMJ) synovitis with effusion linked to Familial Mediterranean Fever (FMF). Aspiration is recommended for effusion management to prevent aseptic necrosis, with corticosteroids offering questionable benefit in FMF cases.
Area of Science:
- Rheumatology
- Orthopedics
- Internal Medicine
Background:
- Temporomandibular joint (TMJ) synovitis with effusion can be a rare manifestation of systemic inflammatory conditions.
- Familial Mediterranean Fever (FMF) is a genetic autoinflammatory disorder primarily affecting serosal membranes.