Enteropathic arthropathy
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