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Giant Cell Arteritis Misdiagnosed as Temporomandibular Disorder: A Case Report and Review of the Literature

  • Shoshana Reiter1,*,
  • Ephraim Winocur1
  • Carole Goldsmith1
  • Alona Emodi-Perlman1
  • Meir Gorsky2

1Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel

2Department of Oral Pathology and Oral Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel

DOI: 10.11607/ofph.23.4.13 Vol.23,Issue 4,December 2009 pp.360-365

Published: 30 December 2009

*Corresponding Author(s): Shoshana Reiter E-mail: shosh5@bezeqint.net

Abstract

Giant cell arteritis (GCA) is a systemic vasculitis involving medium and large-sized arteries, most commonly the extracranial branches of the carotid artery. Early diagnosis and treatment are essential to avoid severe complications. This article reports on a GCA case and discusses how the orofacial manifestations of GCA can lead to misdiagnosis of GCA as temporomandibular disorder. GCA should be included in the differential diagnosis of orofacial pain in the elderly based on the knowledge of related signs and symptoms, mainly jaw claudication, hard end-feel limitation of range of motion, and temporal headache.

Keywords

Giant cell arteritis; jaw claudication; temporomandibular disorders; trismus

Cite and Share

Shoshana Reiter,Ephraim Winocur,Carole Goldsmith,Alona Emodi-Perlman,Meir Gorsky. Giant Cell Arteritis Misdiagnosed as Temporomandibular Disorder: A Case Report and Review of the Literature. Journal of Oral & Facial Pain and Headache. 2009. 23(4);360-365.

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