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Prevalence of extraintestinal manifestations in ulcerative colitis and associated risk factors
Krishn Kant Rawal1, Varun P Shukla2, Shabbir Chikani3
1Prime Institute of Digestive Sciences, Panchvati Main Road, Rajkot, 360 004, India. kkrawal@gmail.com.
Background:
The data on prevalence of extraintestinal manifestations (EIM) in ulcerative colitis (UC) are scanty and highly variable.
Methods:
Consecutive patients with UC were prospectively evaluated from November 2016 to August 2017. A detailed history was obtained and physical examination was done. Presence of EIM was confirmed by a consultant rheumatologist, ophthalmologist and dermatologist. Tests performed were hemogram, liver function test, abdominal ultrasound, slit lamp examination, X-ray and magnetic resonance imaging when deemed necessary.
Results:
A total of 227 patients with UC were enrolled in this study. The prevalence of EIM was 7.92%. Mucocutaneous (4.84%) manifestations were the commonest, followed by musculoskeletal (1.32%) and ocular (0.88%). Hepatobiliary (0.44%) and vascular (0.44) manifestations were present in equal frequency. History of appendicectomy was associated with EIM.
Conclusion:
The prevalence of EIM in UC was low in our study. History of appendicectomy was a risk factor for EIM.
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