Journal
MINERVA GASTROENTEROLOGY
Volume 67, Issue 1, Pages 79-90Publisher
EDIZIONI MINERVA MEDICA
DOI: 10.23736/S1121-421X.20.02726-9
Keywords
Inflammatory bowel diseases; Spondyloarthritis; Arthritis
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Rheumatic manifestations are common extra-intestinal manifestations in patients with inflammatory bowel disease, causing a significant reduction in quality of life. Various imaging techniques can aid in identifying the nature of these manifestations, while a multidisciplinary approach can lead to early diagnosis and better clinical outcomes.
Rheumatic manifestations are the most frequent extra-intestinal manifestations (EIMs) in inflammatory bowel disease (IBD) patients. and they are responsible for a relevant reduction of quality of life. IBD is associated with a variety of musculoskeletal manifestations such as arthritis and non-inflammatory pain as well as with metabolic diseases, such as osteoporosis. Different imaging techniques (primarily ultrasound, magnetic resonance imaging and X-rays) can help the clinician to correctly identify the nature of manifestations and to treat the patient accordingly. Nowadays, in the setting of IBD-related arthritides, different drugs are available and can be effective on both articular and intestinal involvement. Therefore, a multi-disciplinary approach provides an early diagnosis and a better clinical outcome that can only be given from the recognition and consideration of the different EIMs. As for rheumatic manifestations, namely IBD-related arthritis, an early intervention allows to control disease activity and to prevent structural damage.
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