Association of psoriatic arthritis and temporomandibular joint ankylosis

Abstract

Introduction: Psoriasis is a chronic autoinflammatory skin disease affecting 2–3% of global population, of whom 30% are known to have psoriatic arthritis. Psoriatic arthritis is a systemic disease involving the dermatosis along with inflammatory joint involvement. The association of psoriatic arthritis (PsA) and its clinical and radiological manifestations with the temporomandibular joint have been limited. Case Report: This case report aims to showcase the involvement of the temporomandibular joint with a long standing systemic psoriatic arthritis. Impaired quality of life is the primary concern which this case report attempts to highlight by enumerating the association of psoriatic arthritis with accurate diagnosis of temporomandibular joint ankylosis. Conclusion: The ambiguity in the nature of presentation of PsA can account for its lack of recognition when affecting the temporomandibular joint. A consistent preoperative evaluation and diagnostic approach toward the affected joint shall improve the patient’s quality of life.