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Journal of Oral & Facial Pain and Headache



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J Orofac Pain 23 (2009), No. 4     17. Dec. 2009
J Orofac Pain 23 (2009), No. 4  (17.12.2009)

Page 360-365

Giant Cell Arteritis Misdiagnosed as Temporomandibular Disorder: A Case Report and Review of the Literature
Reiter, Shoshana / Winocur, Ephraim / Goldsmith, Carole / Emodi-Perlman, Alona / Gorsky, Meir
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