Dtsch Arztebl Int
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Involvement of the temporomandibular joint can be shown in 40-90% of patients with rheumatoid arthritis and juvenile idiopathic arthritis (JIA), although it is often asymptomatic. Restricted jaw mobility and jaw pain can be found in approximately 20% of patients with JIA (prevalence: 70 per 100 000 persons). Early diagnosis and treatment of the underlying disease are essential for a good outcome, but uniform, consensus-based management is still lacking. ⋯ Oligosymptomatic and asymptomatic cases are common even with radiologic evidence of marked joint damage. The possibility of rheumatic involvement of the temporomandibular joint must be kept in mind so that serious complications can be avoided. Regular clinical evaluation of the temporomandibular joint is recommended, particularly for patients with juvenile idiopathic arthritis.
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For a number of reasons, the cause-of-death statistics of the city of Hamburg are one of the most valid sources of data for the study of secular trends in cancer mortality in Germany. In this article, cancer mortality in Hamburg over the period 1872-2019 is presented. ⋯ The high validity of cause-of-death statistics in Hamburg enabled an estimation of secular trends in cancer mortality. A steady decline in cancer mortality in all age groups and in both sexes was found in Hamburg, beginning in approximately 1990 at the latest.