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[Arthritic manifestations in ulcerative colitis].

S Momohara1

  • 1Department of Orthopaedic Surgery, Tokyo Women's Medical University.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|November 26, 1999
PubMed
Summary

Ulcerative colitis (UC) often involves joint issues like peripheral arthritis, spondylitis, and sacroiliitis. These rheumatologic manifestations correlate with UC activity and extent, sometimes becoming destructive.

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Area of Science:

  • Gastroenterology and Rheumatology
  • Inflammatory Bowel Disease (IBD) Research
  • Enteropathic Arthritis Etiology

Context:

  • Ulcerative colitis (UC) is frequently accompanied by peripheral joint disease.
  • The association between UC and rheumatologic conditions is significant and warrants detailed review.
  • Understanding these comorbidities is crucial for comprehensive patient management.

Purpose:

  • To review the occurrence and characteristics of rheumatologic manifestations in ulcerative colitis patients.
  • To categorize the different types of joint disease associated with UC, including peripheral arthritis, spondylitis, and sacroiliitis.
  • To discuss the pathogenesis and clinical course of enteropathic arthritis in the context of UC.

Summary:

  • Peripheral joint disease in UC typically presents as pauciarticular, asymmetric, transient, and nondestructive arthritis.
  • While usually non-destructive, UC-associated peripheral arthritis can occasionally become chronic and destructive.
  • Enteropathic arthritis is defined by direct gastrointestinal tract involvement in the pathogenesis of inflammatory joint disease.

Impact:

  • This review provides a comprehensive overview of the rheumatologic manifestations linked to ulcerative colitis.
  • It highlights the correlation between joint disease activity and the extent of the inflammatory bowel disorder.
  • The findings aid in understanding and managing the complex interplay between UC and associated arthritis.

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