Enteropathic arthropathy: Difference between revisions
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{{CMG}} {{AE}} {{KD}} | {{CMG}} {{AE}} {{KD}} | ||
==Overview== | ==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. | '''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== | ==Pathophysiology== | ||
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==Causes== | ==Causes== | ||
* [[Reactive arthritis]] (Reactive to enteric infection) | * [[Reactive arthritis]] (Reactive to enteric infection) | ||
* Spondyloarthropathies associated with inflammatory bowel disease (Crohn disease and ulcerative colitis) | * [[Spondyloarthropathies]] associated with [[inflammatory bowel disease]] ([[Crohn disease]] and [[ulcerative colitis]]) | ||
* Malabsorption related: Intestinal bypass (jejunoileal), Celiac disease, Whipple disease | * [[Malabsorption]] related: Intestinal bypass ([[Jejuno-ileal bypass|jejunoileal]]), [[Celiac disease]], [[Whipple's disease|Whipple disease]] | ||
* Collagenous colitis | * [[Collagenous colitis]] | ||
==Signs and Symptoms== | ==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'''- | *'''[[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 Arthropathy''' | *'''Type I Arthropathy''' | ||
**Less than five joints involved | **Less than five joints involved | ||
**Acute | **[[Acute]] | ||
**Less than 10 weeks | **Less than 10 weeks | ||
**Asymmetrical | **Asymmetrical | ||
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*'''Type II Arthropathy''' | *'''Type II Arthropathy''' | ||
**More than five joints involved | **More than five joints involved | ||
**Chronic | **[[Chronic (medical)|Chronic]] | ||
**Months to years | **Months to years | ||
**Symmetrical | **Symmetrical | ||
**Small joints are involved. | **Small joints are involved. | ||
*'''Extra Articular''' | *'''Extra Articular''' | ||
**Aphthous ulcers | **[[Aphthous ulcer|Aphthous ulcers]] | ||
**Uveitis | **[[Uveitis]] | ||
**Fever | **Fever | ||
**Weight loss | **Weight loss | ||
**Abdominal pain | **Abdominal pain | ||
**Diarrhea | **[[Diarrhea]] | ||
**Pyoderma | **[[Pyoderma gangrenosum]] | ||
**Erythema nodosum | **[[Erythema nodosum]] | ||
Revision as of 20:59, 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 gangrenosum
- Erythema nodosum