Enteropathic arthropathy: Difference between revisions
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**[[Pyoderma gangrenosum]] | **[[Pyoderma gangrenosum]] | ||
**[[Erythema nodosum]] | **[[Erythema nodosum]] | ||
==Physical Examination== | |||
The physical examination findings of a patient with crohn's disease include:<ref name="pmid26557891">{{cite journal |vauthors=Ha F, Khalil H |title=Crohn's disease: a clinical update |journal=Therap Adv Gastroenterol |volume=8 |issue=6 |pages=352–9 |year=2015 |pmid=26557891 |pmc=4622286 |doi=10.1177/1756283X15592585 |url=}}</ref><ref name="pmid22230271">{{cite journal |vauthors=Wilkins T, Jarvis K, Patel J |title=Diagnosis and management of Crohn's disease |journal=Am Fam Physician |volume=84 |issue=12 |pages=1365–75 |year=2011 |pmid=22230271 |doi= |url=}}</ref><ref name="pmid23634187">{{cite journal |vauthors=Donnellan CF, Yann LH, Lal S |title=Nutritional management of Crohn's disease |journal=Therap Adv Gastroenterol |volume=6 |issue=3 |pages=231–42 |year=2013 |pmid=23634187 |pmc=3625021 |doi=10.1177/1756283X13477715 |url=}}</ref><ref name="pmid19568370">{{cite journal |vauthors=Baumgart DC |title=The diagnosis and treatment of Crohn's disease and ulcerative colitis |journal=Dtsch Arztebl Int |volume=106 |issue=8 |pages=123–33 |year=2009 |pmid=19568370 |pmc=2695363 |doi=10.3238/arztebl.2009.0123 |url=}}</ref> | |||
===General Appearance=== | |||
*[[Weakness]] | |||
*[[Fatigue]] | |||
===Vitals=== | |||
*[[Fever]] | |||
*[[Tachycardia]] | |||
===HEENT=== | |||
*[[Aphthous ulcers]] | |||
*[[Episcleritis]] and [[uveitis]] | |||
===Cardiovascular System=== | |||
*Normal S1 and S2 sounds | |||
*[[Tachycardia]] | |||
===Gastrointestinal System=== | |||
*Abdominal tenderness in the right lower quadrant | |||
*Abdominal distension | |||
===Skin=== | |||
*[[Erythema nodosum]] | |||
*[[Pyoderma gangrenosum]] | |||
===Musculoskeletal System=== | |||
*Inflammation of the joints. | |||
*[[Enthesitis]] | |||
*[[Dactilitis]] | |||
Revision as of 21:13, 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
Physical Examination
The physical examination findings of a patient with crohn's disease include:[1][2][3][4]
General Appearance
Vitals
HEENT
Cardiovascular System
- Normal S1 and S2 sounds
- Tachycardia
Gastrointestinal System
- Abdominal tenderness in the right lower quadrant
- Abdominal distension
Skin
Musculoskeletal System
- Inflammation of the joints.
- Enthesitis
- Dactilitis
References
- ↑ Ha F, Khalil H (2015). "Crohn's disease: a clinical update". Therap Adv Gastroenterol. 8 (6): 352–9. doi:10.1177/1756283X15592585. PMC 4622286. PMID 26557891.
- ↑ Wilkins T, Jarvis K, Patel J (2011). "Diagnosis and management of Crohn's disease". Am Fam Physician. 84 (12): 1365–75. PMID 22230271.
- ↑ Donnellan CF, Yann LH, Lal S (2013). "Nutritional management of Crohn's disease". Therap Adv Gastroenterol. 6 (3): 231–42. doi:10.1177/1756283X13477715. PMC 3625021. PMID 23634187.
- ↑ Baumgart DC (2009). "The diagnosis and treatment of Crohn's disease and ulcerative colitis". Dtsch Arztebl Int. 106 (8): 123–33. doi:10.3238/arztebl.2009.0123. PMC 2695363. PMID 19568370.