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Enthesitis in IBD Patients.
Ivna Akrapovic Olic1,2, Jonatan Vukovic1,2, Mislav Radic1,3
1Internal Medicine Department, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia.
Journal of Clinical Medicine
|August 10, 2024
Summary
Inflammatory bowel disease (IBD) patients often have spondyloarthritis (SpA) with enthesitis. Early ultrasound detection of this underappreciated extraintestinal manifestation in IBD can guide timely treatment.
Area of Science:
- Gastroenterology
- Rheumatology
- Medical Imaging
Background:
- Inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, is characterized by chronic gastrointestinal inflammation.
- Extraintestinal manifestations (EIMs) are common in IBD, with spondyloarthritis (SpA) being the most frequent.
- Enthesitis, inflammation at the insertion sites of tendons and ligaments, is a key feature of SpA but often overlooked in IBD.
Purpose of the Study:
- To review current knowledge on enthesitis in IBD patients within IBD-SpA cohorts.
- To highlight the significance of enthesitis as an underappreciated EIM in IBD.
- To emphasize the potential of ultrasound for early detection of subclinical enthesitis.
Main Methods:
- Narrative review of existing literature on IBD-SpA cohorts.
- Focus on studies reporting enthesitis as an EIM.
- Assessment of ultrasound's role in detecting enthesitis.
Main Results:
- SpA is a common comorbidity in IBD patients.
- Enthesitis is a prevalent but often underestimated EIM in IBD.
- Ultrasound is a feasible and accessible tool for identifying enthesitis.
Conclusions:
- Early detection of enthesitis in IBD patients using ultrasound is crucial.
- Timely intervention for enthesitis can potentially improve outcomes for IBD patients.
- Further research on IBD-SpA cohorts focusing on enthesitis is warranted.
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