What rheumatologists should know about orofacial manifestations of autoimmune rheumatic diseases.
Orofacial manifestations occur frequently in rheumatic diseases and usually represent early signs of disease or of its activity that are still neglected in clinical practice. Among the autoimmune rheumatic diseases with potential for oral manifestations, rheumatoid arthritis (RA), inflammatory myopathies (IM), systemic sclerosis (SSc), systemic lupus erythematosus (SLE), relapsing polychondritis (RP) and Sjögren's syndrome (SS) can be cited. Signs and symptoms such as oral hyposalivation, xerostomia, temporomandibular joint disorders, lesions of the oral mucosa, periodontal disease, dysphagia, and dysphonia may be the first expression of these rheumatic diseases. This article reviews the main orofacial manifestations of rheumatic diseases that may be of interest to the rheumatologist for diagnosis and monitoring of autoimmune rheumatic diseases.
Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade de Brasília (UnB), Brasília, DF, Brazil. Electronic address: alinelauria@hotmail.com.
Aline Lauria Pires
AL
Abrão
Programa de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília (UnB), Brasília, DF, Brazil.
Caroline Menezes
CM
Santana
Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade de Brasília (UnB), Brasília, DF, Brazil.
Ana Cristina Barreto
AC
Bezerra
Programa de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília (UnB), Brasília, DF, Brazil.
Rivadávio Fernandes Batista de
RF
Amorim
Faculdade de Ciências da Saúde, Universidade de Brasília (UnB), Brasília, DF, Brazil.
Mariana Branco da
MB
Silva
Serviço de Reumatologia, Hospital Universitário de Brasília (UnB), Brasília, DF, Brazil.
Licia Maria Henrique da
LM
Mota
Programa de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília (UnB), Brasília, DF, Brazil.
Denise Pinheiro
DP
Falcão
D001327:Autoimmune Diseases / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D008180:Lupus Erythematosus, Systemic; D012216:Rheumatic Diseases / Q000175:diagnosis / Q000473:pathology*; D000072140:Rheumatologists / Q000523:psychology*; D012720:Severity of Illness Index; D012859:Sjogren's Syndrome
Autoimmune rheumatic diseases; Doença periodontal; Doenças reumáticas autoimunes; Lesões bucais; Manifestações orofaciais; Oral lesions; Orofacial manifestations; Periodontal disease; Saliva