Enteropathic arthropathy

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Enteropathic arthropathy
Synonyms	Enteropathic arthritis
Pronounce	N/A
Specialty	N/A
Symptoms	Joint pain, swelling, stiffness
Complications	Joint damage, reduced mobility
Onset	Typically in adulthood
Duration	Chronic
Types	Peripheral arthritis, axial arthritis
Causes	Associated with inflammatory bowel disease
Risks	Crohn's disease, ulcerative colitis
Diagnosis	Clinical diagnosis, imaging studies
Differential diagnosis	Rheumatoid arthritis, ankylosing spondylitis
Prevention	N/A
Treatment	NSAIDs, DMARDs, biologics
Medication	Sulfasalazine, methotrexate, TNF inhibitors
Prognosis	N/A
Frequency	Common in patients with IBD
Deaths	N/A

Enteropathic Arthropathy is a form of chronic, inflammatory arthritis associated with the occurrence of an inflammatory bowel disease (IBD), the two best-known types being Ulcerative Colitis and Crohn's Disease. It is also known as Enteropathic Spondylitis.

Etiology

The exact cause of enteropathic arthropathy is unknown. However, it is believed to be caused by the body's immune system attacking healthy cells in the gut, leading to inflammation and the subsequent development of arthritis. This is similar to the process that occurs in other forms of autoimmune arthritis, such as rheumatoid arthritis.

Symptoms

The symptoms of enteropathic arthropathy can vary greatly from person to person. However, common symptoms include joint pain and stiffness, particularly in the spine and sacroiliac joints, inflammation of the eye (uveitis), skin rashes, and diarrhea. The severity of the arthritis is often related to the severity of the underlying IBD.

Diagnosis

Diagnosis of enteropathic arthropathy is typically made based on the presence of IBD and the characteristic symptoms of arthritis. Imaging tests, such as X-rays or MRI, may be used to confirm the diagnosis and assess the extent of the disease. Blood tests may also be used to check for markers of inflammation.

Treatment

Treatment for enteropathic arthropathy typically involves managing the underlying IBD and reducing inflammation to relieve joint pain and prevent joint damage. This may involve the use of medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or disease-modifying antirheumatic drugs (DMARDs). In severe cases, surgery may be required to repair damaged joints.

See Also

• Inflammatory Bowel Disease
• Arthritis
• Autoimmune Diseases
• Rheumatology

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