Reduction of jaw opening (trismus) in giant cell arteritis.
OBJECTIVE
To study the prevalence and the clinical characterisation of jaw problems in patients with giant cell arteritis (GCA).


METHODS
the prevalence of such symptoms in patients with GCA was evaluated by performing a retrospective analysis of all patients with GCA and polymyalgia rheumatica who were diagnosed during admission to Hadassah University Hospital. Ten patients reported previously in the literature were also evaluated.


RESULTS
Six patients out of 88 (6.8%) had complaints of reduction in jaw opening. These six patients seemed to have a much more abrupt onset of disease with shorter duration until diagnosis, higher prevalence of eye involvement (50% v 27%), and a higher rate of positive pathology (100%).


CONCLUSIONS
Reduction in jaw opening in the appropriate setting may indicate the presence of GCA. This sign should not be overlooked in the presence of the claudication sign as it seems to reflect more severe GCA disease.
Nir-Paz
R
R
Department of Medicine, Hadassah University Hospital, Jerusalem, Israel.
Gross
A
A
Chajek-Shaul
T
T
D000368:Aged; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014313:Trismus / Q000150:complications*