具有颞下颌关节表现的罕见疾病:系统综述

Mayank Shrivastava, Gabriel Tian, Liang Ye
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摘要

背景:罕见病(RDs)是一种严重的慢性进展性疾病,只影响少数人。罕见病可以在身体的任何部位表现出来,并对个人健康产生有害的全身性影响。虽然罕见病在个体上是罕见的,但罕见病会导致各种衰弱性疾病。颞下颌关节紊乱症(TMD)就是对 RD 患者健康产生负面影响的疾病之一。有关 TMD 的罕见疾病和潜在表现的数据十分匮乏。本系统综述旨在概述罕见疾病和颞下颌关节 (TMJ) 的表现。 方法:罕见病和颞下颌关节表现的分析标准是罕见病的Orphanet分类和/或国家罕见疾病组织(NORD)/遗传与罕见疾病(GARD)数据库中包含的罕见病。仅记录了有颞下颌关节表现的罕见病。 结果:共记录了 54 种具有颞下颌关节表现和不同 TMD 诊断的罕见病。从 Pubmed 搜索到的研究有 35 项,从 Orphanet 搜索到的结果有 19 项。总体而言,罕见病中记录了 13 种不同类型的颞下颌关节表现和 TMD 诊断。 结论与罕见病相关的颞下颌关节表现并不少见。医疗保健专业人员可在诊断和管理具有颞下颌关节表现的复杂罕见病方面发挥重要作用。建议对患有罕见疾病的 TMD 患者采取多学科方法。
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Rare diseases with temporomandibular joint manifestations: a systematic review
Background: Rare diseases (RDs) are serious often chronic progressive diseases that affect a smaller number of individuals. RDs can manifest in any region of the body and have systemic effects that are detrimental to individual health. Although RDs are individually rare, there are various debilitating disorders arising from RDs. One of the disorders that have been shown to have a negative impact on the health of RD patients is temporomandibular disorders (TMD). There is a dearth of data on the rare diseases and potential manifestations of TMD. The objective of this systematic review is to provide an overview of rare diseases and temporomandibular joint (TMJ) manifestations. Method: The criterion for analysis of a rare disease and temporomandibular manifestations was inclusion in the Orphanet Classification of Rare Diseases and/or the National Organization for Rare Disorders (NORD)/The Genetic and Rare Diseases (GARD) databases. Only rare diseases with TMJ manifestations were recorded. Results: A total of 54 RDs with TMJ manifestations and different TMD diagnoses were recorded. There were thirty-five studies derived from the Pubmed search, and the Orphanet input had 19 results. Overall, 13 different types of TMJ manifestations and TMD diagnoses were recorded in rare diseases. Conclusion: TMJ manifestations associated with rare diseases are not uncommon. Healthcare professionals can play an important role in diagnosing and managing the complexity of RDs with TMJ manifestations. A multidisciplinary approach to TMD patients with rare diseases is advisable.
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