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To the Editor.—
Hyperuricemia due to reduced urate secretion in patients not overproducing uric acid is frequently encountered among Filipinos, Chinese, and Japanese. Temporomandibular joint pain appearing in this susceptible population, particularly after thiazide therapy as well as surgery and the other usual precipitating events, should suggest an episode of acute gouty arthritis. This is a very common and remediable cause of temporomandibular joint pain dysfunction syndrome (224:622, 1973) occurring among populations with these ethnic backgrounds.
Chun HH. Temporomandibular Joint Gout. JAMA. 1973;226(3):353. doi:10.1001/jama.1973.03230030065025