Dysphagia and micrognathia in a patient with juvenile rheumatoid arthritis.
This report describes the case of a 35-year-old man with juvenile rheumatoid arthritis. The patient experienced swallowing difficulties that were initially thought to be a result of the disease affecting the cervical spine. A maxillofacial examination, however, showed a total loss of the mandibular condyles, short rami and bodies, and a retrusion of the jaw. This was considered to be the main cause of the dysphagia, and not a glossopharyngeal nerve compression. The surgical-orthodontic management of these difficult cases is discussed.
D000328:Adult; D001171:Arthritis, Juvenile / Q000150:complications* / Q000000981:diagnostic imaging; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D003680:Deglutition Disorders / Q000209:etiology*; D006801:Humans; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging; D008844:Micrognathism / Q000209:etiology*; D011859:Radiography; D013705:Temporomandibular Joint Disorders / Q000209:etiology