Enteropathic arthritis

Last revised by Dr Rohit Sharma on 28 Oct 2020

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


Approximately 20% of people with Crohn disease or ulcerative colitis may develop enteropathic arthritis 1.


While enteropathic arthritis 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 it. It can also be rarely triggered by enteritis due to Salmonella, Shigella or Yersinia 7.


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


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

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Cases and figures

  • Case 1: sacroiliitis with Crohn's disease
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  • Case 2: sacroiliitis with ulcerative colitis
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  • Case 3: sacroiliitis with ulcerative colitis
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