Ulcerative colitis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
As ulcerative colitis is a systemic disease, patients may present with symptoms and complications outside the colon. These include the following:
- aphthous ulcers of the mouth
- Ophthalmic (involving the eyes):
- Musculoskeletal:
- Seronegative arthritis, which can be a large-joint oligoarthritis (affecting one or two joints), or may affect many small joints of the hands and feet
- Ankylosing spondylitis, arthritis of the spine
- Sacroiliitis, arthritis of the lower spine
- Cutaneous (related to the skin):
- Erythema nodosum, which is a panniculitis, or inflammation of subcutaneous tissue involving the lower extremities
- Pyoderma gangrenosum, which is a painful ulcerating lesion involving the skin
- Deep venous thrombosis and pulmonary embolism
- Autoimmune hemolytic anemia
- clubbing, a deformity of the ends of the fingers
- Primary sclerosing cholangitis, or inflammation of the bile ducts
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Patients with ulcerative colitis can occasionally have Aphthous ulcers involving the tongue, lips, palate and pharynx
