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Lyme disease misdiagnosed as a temporomandibular joint disorder.

Abstract
Craniomandibular disorders cause many pleomorphic and seemingly unrelated clinical manifestations that mimic other more serious medical problems and thus can present physicians and dentists with a challenge that invites misdiagnosis and improper treatment planning. Conversely, misdiagnosis and ineffective treatment planning are facilitated when serious medical problems manifest a range of signs and symptoms that are clinically similar to temporomandibular joint muscle dysfunction. At times, the patient's response to therapy may be the best method of corroborating a diagnosis, as illustrated in this report of a patient with Lyme disease that was misdiagnosed as a temporomandibular joint disorder. Lyme disease has already reached epidemic proportions in several parts of the United States and its geographic distribution is spreading. Because Lyme disease is a life-threatening illness whose clinical manifestations can mimic temporomandibular joint/myofascial pain-dysfunction, it is the responsibility of every dentist who treats craniomandibular disorders to become familiar with the clinical presentations of Lyme disease and more proficient in its differential diagnosis.
AuthorsE Lader
JournalThe Journal of prosthetic dentistry (J Prosthet Dent) Vol. 63 Issue 1 Pg. 82-5 (Jan 1990) ISSN: 0022-3913 [Print] United States
PMID2295991 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Penicillins
Topics
  • Adult
  • Diagnosis, Differential
  • Female
  • Humans
  • Lyme Disease (diagnosis, drug therapy)
  • Penicillins (therapeutic use)
  • Temporomandibular Joint Dysfunction Syndrome (diagnosis)

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