Aseptic Arthritis of the Bilateral Temporomandibular Joint Mimicking Rheumatological Diseases

©2016 Turkish League Against Rheumatism. All rights reserved. A 24-year-old male patient was admitted to the Otorhinolaryngology Department with complaints of pain for three days in the bilateral preauricular region. The pain was constant, severe, and increased when he reclined, chewed or talked. There was no medical history of fever or trauma. Physical examination findings included mild edema, allodynia, and hyperalgesia in the bilateral preauricular area and bilateral masseter muscle. Panoramic radiograph showed limited interincisal mouth opening (12 mm) (Figure 1a). A written informed consent was obtained from the patient.