Enteropathic arthropathy

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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


References

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