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Psoriatic Temporomandibular Joint Arthritis Treated with Multidisciplinary Clinical Treatment : A case study

다학문적 임상 접근으로 치료된 건선 측두하악골관절염 증례

  • Cho, Eunae (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University) ;
  • Ahn, Hyung Joon (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University) ;
  • Park, Ju Hyun (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University) ;
  • Kim, Seong Taek (Department of Orofacial Pain and Oral Medicine, College of Dentistry, Yonsei University)
  • 조은애 (연세대학교 치과대학 구강내과학교실) ;
  • 안형준 (연세대학교 치과대학 구강내과학교실) ;
  • 박주현 (연세대학교 치과대학 구강내과학교실) ;
  • 김성택 (연세대학교 치과대학 구강내과학교실)
  • Received : 2013.05.02
  • Accepted : 2013.06.25
  • Published : 2013.06.30

Abstract

Psoriatic arthritis is a chronic inflammatory form of arthritis that is associated with psoriasis. A 54-yr-old male with chronic psoriatic temporomandibular joint arthritis and myofascial pain was treated using methotrexate and a myofascial pain protocol. Jaw pain improved after 3 weeks, however, tenderness to palpation of muscles remained. Comprehensive evaluation and multidisciplinary clinical treatment is required for the treatment of patients with psoriatic temporomandibular joint arthritis.

건선 관절염은 건선과 관련된 만성 염증성 골관절염이다. 만성 건선 측두하악골관절염과 근막통증에 이환된 54세 남환이 메토트렉세이트와 근막통증 치료 프로토콜에 준한 치료를 적용했다. 3주후, 턱의 통증은 완화 되었으나 턱의 근육 촉진시 불편감은 잔존 하였다. 건선 측두하악골관절염의 경우, 종합적인 평가 및 다학문적 임상 치료가 필요하다.

Keywords

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