Enteropathic arthropathy: Difference between revisions
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* Collagenous colitis | * Collagenous colitis | ||
== | ==Signs and Symptoms== | ||
*'''Sacroiliitis and Spondylitis'''- Low back pain exacerbated on sitting and standing for a prolonged period and relieved by activity. | *'''Sacroiliitis and Spondylitis'''- Low back pain exacerbated on sitting and standing for a prolonged period and relieved by activity. | ||
*'''Enthesitis'''- Inflammation of the tendon at the insertion of the bone such as tibial tuberosity, achilles tendon at the heel. | *'''Enthesitis'''- Inflammation of the tendon at the insertion of the bone such as tibial tuberosity, achilles tendon at the heel. | ||
*'''Dactilitis'''- Inflammation of the digit. | *'''Dactilitis'''- Inflammation of the digit. | ||
*'''Type I | *'''Type I Arthropathy''' | ||
**Less than five joints involved | **Less than five joints involved | ||
**Acute | **Acute | ||
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**Asymmetrical | **Asymmetrical | ||
**Shoulder, hips and knee joints are involved | **Shoulder, hips and knee joints are involved | ||
*'''Type II | *'''Type II Arthropathy''' | ||
** | **More than five joints involved | ||
**Chronic | |||
**Months to years | |||
**Symmetrical | |||
**Small joints are involved. | |||
*'''Extra Articular''' | |||
**Aphthous ulcers | |||
**Uveitis | |||
**Fever | |||
**Weight loss | |||
**Abdominal pain | |||
**Diarrhea | |||
**Pyoderma gangreosum | |||
**Erythema nodosum | |||
Revision as of 19:27, 19 April 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]
Overview
Enteropathic arthropathy or Enteropathic arthritis refers to acute or subacute arthritis in association with or as a reaction to an enteric (usually colonic) inflammatory condition.
Pathophysiology
Causes
- Reactive arthritis (Reactive to enteric infection)
- Spondyloarthropathies associated with inflammatory bowel disease (Crohn disease and ulcerative colitis)
- Malabsorption related: Intestinal bypass (jejunoileal), Celiac disease, Whipple disease
- Collagenous colitis
Signs and Symptoms
- Sacroiliitis and Spondylitis- Low back pain exacerbated on sitting and standing for a prolonged period and relieved by activity.
- Enthesitis- Inflammation of the tendon at the insertion of the bone such as tibial tuberosity, achilles tendon at the heel.
- Dactilitis- Inflammation of the digit.
- Type I Arthropathy
- Less than five joints involved
- Acute
- Less than 10 weeks
- Asymmetrical
- Shoulder, hips and knee joints are involved
- Type II Arthropathy
- More than five joints involved
- Chronic
- Months to years
- Symmetrical
- Small joints are involved.
- Extra Articular
- Aphthous ulcers
- Uveitis
- Fever
- Weight loss
- Abdominal pain
- Diarrhea
- Pyoderma gangreosum
- Erythema nodosum