Ankylosing Spondylitis Associated With Bilateral TMJ Ankylosis.
- Author:
Ju Seop SONG
1
;
Kwang Joon KOH
Author Information
1. Department of Oral and Maxillofacial Radiology, School of Dentistry, Chonbuk National University Hospital, Korea. radkoh@moak.chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
bony ankylosis;
temporomandibular joint;
ankylosing spondylitis
- MeSH:
Adult;
Ankylosis*;
Dentition;
Diagnosis;
Head;
Histocompatibility Antigens;
HLA-B27 Antigen;
Humans;
Immunoglobulin A;
Immunoglobulin G;
Jeollabuk-do;
Joints;
Ligaments;
Male;
Mouth;
Osteogenesis;
Paresthesia;
Root Caries;
Spine;
Spondylitis, Ankylosing*;
Temporal Bone;
Temporomandibular Joint*;
Thorax;
Tooth
- From:Korean Journal of Oral and Maxillofacial Radiology
2000;30(3):217-222
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 31-year-old male with severe limitation of mouth opening was referred to our department of Chonbuk National University Hospital. The physical status of the patient was hyposthenic. Extraoral examination showed no condylar movement of the both temporomandibular joints, no pain, no faical swelling or paresthesia. Intraoral examination showed several cervical caries on the upper anterior teeth, and gingival swelling on the whole dentition. Transcranial view showed no condylar movement, and narrowing of joint spaces. Chest P-A view showed straightening of thoracic, lumbar spine, and squaring of vertebrae of the same spines. Conventional lateral radiograph of cervical spine showed calcification of the intervertebral ligament. Computed tomograph showed extensive bone formation between temporal bone and the both condylar heads. Labortory findings showed positive reaction on HLA-B27 histocompatibility antigen and increased level of IgA, IgG, ESR. Based on the clinical, radiographic, and the labortary findings, final diagnosis was made as bony ankylosis of the both temporomandibular joints secondary to ankylosing spondylitis.
