title: Isolated temporomandibular synovitis as unique presentation of juvenile idiopathic arthritis.
abstract: Temporomandibular joint (TMJ) involvement is quite frequent in juvenile idiopathic arthritis (JIA). We describe a 15-year-old girl with isolated TMJ arthritis presenting as a unique manifestation of JIA, and its successful treatment. She underwent arthroscopic synovectomy followed by intraarticular steroid injection. Early use of synovectomy and intraarticular steroids in TMJ arthritis may reduce pain, improve jaw function, and prevent irreversible deformities.
authors.affiliation: Department of Pediatrics, University of Padua, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Martini
authors.forename: U
authors.initials: U
authors.lastname: Bacciliero
authors.forename: A
authors.initials: A
authors.lastname: Tregnaghi
authors.forename: M C
authors.initials: MC
authors.lastname: Montesco
authors.forename: F
authors.initials: F
authors.lastname: Zulian
mesh_terms: D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001171:Arthritis, Juvenile / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011877:Radionuclide Imaging; D013585:Synovitis / Q000000981:diagnostic imaging / Q000209:etiology*; D013705:Temporomandibular Joint Disorders / Q000000981:diagnostic imaging / Q000209:etiology*; D014222:Triamcinolone Acetonide / Q000031:analogs & derivatives* / Q000627:therapeutic use
chemical_list: D000893:Anti-Inflammatory Agents; D014222:Triamcinolone Acetonide; C005900:triamcinolone hexacetonide