Summary
Avascular necrosis of temporomandibular joint (TMJ) in sickle cell disease was not reported in patients suffering from this disease. In this report, we present a case of a young Saudi female with avascular necrosis of the left temporomandibular joint associated with avascular necrosis of head of left femur, and early changes of infarction of the humeral head of the left shoulder. Clinical examination, laboratory investigations, tomography and computerized tomography scanning, confirmed the diagnosis of sickle cell disease, and the development of avascular necrosis of the left temporomandibular joint.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Shafer, W.G., Hines, M.N.K., Levy, B.M. In: Sickle Cell Anemia, Textbook of Oral Pathology, 3rd ed. W.B. Saunders Company 1974, p. 672.
Perutz, M.F., Lehmann, H. “Molecular Pathology of Human Haemoglobin”, Nature 1968, 219, 902.
The abnormal hemoglobins: General principles. In: Clinical Haematology, Eds: Maxwell M. Wintrobe, et al., Philadelphia: Lea & Febiger 1981 p. 822.
Chung, S.M.K., Ralston, EL. Necrosis of the femoral head associated with sickle cell anemia and its genetic variants, J Bone Joint Surg 1969, 51-A.
Smith, E.W., Conley, C.L. Clinical features of the genetic variants of sickle cell disease, Bull, John Hopkins Hosp 1984, 94, 289.
Diggs, J.W. Bone and joint lesions in sickle cell disease. Clin Orthop 1967, 52, 119.
Reynolds, J. The roentgenological features of sickle cell disease and related hemoglobinopathies Charles C. Thomas Publishers, Springfield, Mass., 1965, pp. 65–87.
Middlemiss, H. Aseptic necrosis of bone. In: Review of osteonecrosis in the haemoglobinopathies. Ed: J.K. Davidson, Amsterdam Excerpta Medica, 1976.
Roberts, G.T., El Badawi, S., Padmos, M.A., Sackey, K. Regional variants in sickle cell anemia in Saudi Arabia. Ann Saudi Med 1988, 8, 5, 320–327.
Perrine, R.P. et al. Natural history of sickle cell anemia in Saudi Arabia. A study of 270 subjects. Ann Intern Med 1978, 88, 1–6.
Ericson, S., Landberg, M. Alteration in the temporomandibular joint at various states of rheumatoid arthritis. Acta Rheum Scand 1967, 13, 257.
Marbach, J.J., Spiera, H. Rheumatoid arthritis of the temporomandibular joints. Ann Rheum Dis 1967, 26, 538.
Barret-Connor, E. Bacterial infection and sickle cell anemia. An analysis of 250 infections in 166 patients and a review of the literature. Medicine 1971, 50, 97.
Palmer, D.W., Ellman, M.H., Jacobelli, S. Septic arthritis in sickle cell states: Pathophysiology of impaired response to infection and implications for management. Ann Intern Med 1972, 76, 870.
Schumacher, H.R., Andrews, R., McLaughlin, G. Arthropathy in sickle cell disease. Ann Intern Med 1973, 78, 203.
Kelly, W.N. Gout and related disorders of purine metabolism. In: Textbook of Rheumatology, Ed: W.B. Saunders Company, Philadelphia, 1981, 1399.
Navakari, K. “Elapsio Pracenticularis” of the temporomandibular joint. A pantomographic study of the so-called physiological subluxation. Acta Odontol Scand 1960, 18–123.
Mac Kinney, A.A. et al. Ascertaining genetic carriers of hereditary spherocytosis by statistical analysis of multiple laboratory test. J Clin Invest 1962, 41, 554.
Gilmer, P.R., Koeple, J.A. The reticulocyte. An approach to definition. Am J Clin Pathol 1976, 66, 262.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
El-Sabbagh, A.M., Kamel, M. Avascular necrosis of temporomandibular joint in sickle cell disease. Clin Rheumatol 8, 393–397 (1989). https://doi.org/10.1007/BF02030354
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02030354