单中心经验:炎症性肠病的肠病性关节炎

IF 1 Q4 RHEUMATOLOGY Egyptian Rheumatologist Pub Date : 2024-07-04 DOI:10.1016/j.ejr.2024.07.001
Barış Çabuk , Dilara Bulut Gökten , Tevfik Solakoğlu , Rafet Mete , Nurten Türkel Küçükmetin , Rıdvan Mercan
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引用次数: 0

摘要

工作目的确定炎症性肠病(IBD)患者中肠病性关节炎的发病率,并研究脊柱关节炎(SpA)与接受 IBD 治疗的患者之间的关系。评估包括轴性和周围性脊柱关节炎。研究汇编了患者的年龄、性别、诊断 IBD 和 SpA 时的年龄、炎性腰背痛(iLBP)症状、趾关节炎、外周关节炎、葡萄膜炎病史、骨盆 X 光片、骶髂关节磁共振成像(MRI)、强直性脊柱炎疾病活动度评分(ASDAS)和巴斯强直性脊柱炎疾病活动度指数(BASDAI)等相关信息。结果 82 名 IBD 患者患有溃疡性结肠炎(UC),42 名患有克罗恩病(CD)。女性 58 人(46.8%),男性 66 人(53.2%)。36人(29%)被诊断患有SpA,其中男性18人,女性18人。患者年龄为 49 ± 11.2 岁(18-74 岁)。IBD 病程为 5.96 ± 5.54 年(1-29 年)。60名患者(48.3%)通过磁共振成像评估了骶髂关节炎。没有一名患者患有银屑病或葡萄膜炎。IBD 患者中有 1.6% 患有趾关节炎,8% 患有趾关节内炎。在 UC 组中,18 人(21.9%)被诊断为 SpA,在 CD 组中,18 人(42.8%)被诊断为 SpA。结论相当多的 IBD 患者也患有 SpA。肠病性关节炎诊断的任何延误都可能导致功能受限。因此,及时诊断对优化治疗至关重要。
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A single-center experience: Enteropathic arthritis in inflammatory bowel diseases

Aim of the work

To ascertain the frequency of enteropathic arthritis among patients diagnosed with inflammatory bowel disease (IBD) and to investigate the relation between spondyloarthritis (SpA) and patients treated for IBD.

Patients and methods

This study examined 124 adult patients with IBD. The evaluation encompassed both axial and peripheral SpA. Information pertaining to the patients’ age, gender, age at the time of IBD and SpA diagnosis, symptoms of inflammatory low back pain (iLBP), dactylitis, peripheral arthritis, history of uveitis, pelvic X-ray, sacroiliac joint magnetic resonance imaging (MRI), ankylosing spondylitis disease actviity score (ASDAS) and Bath ankylosing spondylitis disease actvity index (BASDAI) were compiled.

Results

The IBD patients were 82 having ulcerative colitis (UC) and 42 Crohns disease (CD). 58 (46.8 %) were female and 66 (53.2 %) males. 36 (29 %) were diagnosed with SpA, 18 males and 18 females. The age of the patients was 49 ± 11.2 years (18–74 years). The duration of IBD was 5.96 ± 5.54 years (1–29 years). Sacroiliitis was assessed in 60 (48.3 %) patients using MRI. None of the patients had psoriasis or uveitis. Dactylitis was present in 1.6 % and enthesitis in 8 % of patients with IBD. In UC group, 18 (21.9 %) were diagnosed with SpA and in CD group, 18 (42.8 %) had SpA. No significant relationship was found between the diagnosis of UC/CD and the general SpA group.

Conclusion

A considerable number of individuals with IBD also experience SpA. Any delay in diagnosing enteropathic arthritis could lead to functional limitations. Therefore, timely diagnosis is crucial to facilitate optimal treatment.

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来源期刊
Egyptian Rheumatologist
Egyptian Rheumatologist RHEUMATOLOGY-
CiteScore
2.00
自引率
22.20%
发文量
77
审稿时长
39 weeks
期刊最新文献
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