Enteropathic arthritis
Citation, DOI, disclosures and article data
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosuresAt the time the article was last revised Daniel J Bell had no financial relationships to ineligible companies to disclose.
View Daniel J Bell's current disclosures- Enteropathic arthritis (EA)
- Enteropathic spondyloarthritis
- Enteropathic arthropathy
- Enteropathic spondyloarthropathy
- Enteropathy-associated arthritis
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.
Epidemiology
Approximately 20% of people with Crohn disease or ulcerative colitis may develop enteropathic arthritis 1.
Associations
Miscellaneous changes such as digital clubbing and hypertrophic osteoarthropathy can occur as associated manifestations.
Pathology
While enteropathic arthritis has been classically described with ulcerative colitis and Crohn disease, other gastrointestinal diseases, such as Whipple disease, coeliac 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 2.
Location
At least three forms of joint abnormalities are recognised in patients with inflammatory bowel diseases according to locations 2,3:
- peripheral joint arthritis
- sacroiliitis
- spondylitis identical to ankylosing spondylitis
Quiz questions
References
- 1. Yüksel I, Ataseven H, Başar O et al. Peripheral Arthritis in the Course of Inflammatory Bowel Diseases. Dig Dis Sci. 2011;56(1):183-7. doi:10.1007/s10620-010-1260-z - Pubmed
- 2. Finch W. Arthritis and the Gut. Postgrad Med. 1989;86(2):229-30, 233. doi:10.1080/00325481.1989.11704368 - Pubmed
- 3. Mester A, Makó E, Karlinger K et al. Enteropathic Arthritis in the Sacroiliac Joint. Imaging and Differential Diagnosis. Eur J Radiol. 2000;35(3):199-208. doi:10.1016/s0720-048x(00)00243-6 - Pubmed
- 4. Peluso R, Di Minno M, Iervolino S et al. Enteropathic Spondyloarthritis: From Diagnosis to Treatment. Clin Dev Immunol. 2013;2013:631408. doi:10.1155/2013/631408 - Pubmed
- 5. Varkas G, Van Praet L, Cypers H, Elewaut D. Spondyloarthritis and Inflammatory Bowel Disease. Comorbidity and Treatment Implications. Z Rheumatol. 2013;72(6):524-9. doi:10.1007/s00393-012-1114-5 - Pubmed
- 6. Holden W, Orchard T, Wordsworth P. Enteropathic Arthritis. Rheum Dis Clin North Am. 2003;29(3):513-30, viii. doi:10.1016/s0889-857x(03)00043-7 - Pubmed
- 7. Wright V. Enteropathic Arthritis. Cleve Clin J Med. 1994;61(1):14-6; quiz 80. doi:10.3949/ccjm.61.1.14 - Pubmed
- 8. Björkengren A, Resnick D, Sartoris D. Enteropathic Arthropathies. Radiol Clin North Am. 1987;25(1):189-98. - Pubmed
- 9. Colombo E, Latiano A, Palmieri O, Bossa F, Andriulli A, Annese V. Enteropathic Spondyloarthropathy: A Common Genetic Background with Inflammatory Bowel Disease? World J Gastroenterol. 2009;15(20):2456-62. doi:10.3748/wjg.15.2456 - Pubmed
Incoming Links
- Synovitis
- Inflammatory arthritis
- Seronegative spondyloarthritis (mnemonic)
- Ankylosing spondylitis
- Causes of sacroiliitis - symmetric vs asymmetric (mnemonic)
- Seronegative spondyloarthritis
- Arthritis
- Syndesmophyte
- Romanus lesion (vertebral bodies)
- Connective tissue disease
- Sacroiliitis (differential)
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