Enteropathic arthritis

Enteropathic arthritis (EA) is a form of chronic, inflammatory arthritis associated with the occurrence of an inflammatory bowel disease (IBD), and is classified as a form of seronegative spondyloarthropathy.

Epidemiology

Approximately 20% of people with Crohn disease or ulcerative colitis may develop enteropathic arthritis (ref required).

Pathology

While EA has been classically described with ulcerative colitis and Crohn disease, other gastrointestinal diseases, such as Whipple diseaseceliac disease, and intestinal bypass surgery can also be associated with an enteropathic arthritis. It can also be rarely trigger by enteritis due to Salmonella, Shigella or Yersinia 7.

Location

A least three forms of joint abnormalities are recognised in patients with inflammatory bowel diseases according to location 7:

Associations

Miscellaneous changes such as digital clubbing and hypertrophic osteoarthropathy can occur as associated manifestations.


Arthritides
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Article Information

rID: 34060
Section: Pathology
Tag: cases
Synonyms or Alternate Spellings:
  • Enteropathic arthritis (EA)
  • Enteropathic spondyloarthritis
  • Enteropathic spondyloarthropathy
  • Enteropathic arthropathy

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Cases and Figures

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    Case 1: sacrolieitis with Crohn's disease
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    Case 2: sacroilietis with ulcerative colitis
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    Case 3: sacroilieitis with ulcerative colitis
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