[The involvement of the temporomandibular joints in multiple myeloma].
Four patients with myeloma disease were examined. The debut was characterized by stubborn strong pain in the temporomandibular joint (TMJ). Involvement of the TMJ presents as arthralgia but not arthritis. A specific feature of the disease is possibility of rather long functioning of the joint and absence of any inflammatory changes. X-Ray examinations show multiple round clearly seen 1 to 5 mm defects in the bone without any destructive or degenerative changes. Myeloma disease is to be differentiated from TMJ involvement in systemic lupus erythematosus, rheumatoid arthritis, Bechterew's disease, in elderly patients or patients with a long disease standing from involution involvement of the TMJ (Costen's syndrome) or osteoarthrosis deformans.
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D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications* / Q000175:diagnosis; D011859:Radiography; D013704:Temporomandibular Joint / Q000000981:diagnostic imaging; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000175:diagnosis / Q000209:etiology*