Characteristics of the articular syndrome in patients with infl ammatory bowel disease
https://doi.org/10.31146/1682-8658-ecg-178-6-95-100
Abstract
The aim to study: To study the structure and clinical features of the course of joint damage as an extra-intestinal manifestation in patients with infl ammatory bowel diseases.
Materials and methods: 332 patients with infl ammatory bowel diseases were questioned and examined, who applied to the gastroenterological offi ce and were hospitalized at the Chelyabinsk Regional Clinical Hospital from October 2017 to November 2019.
Results: Joint syndrome was found in 94 (28.3%) patients with IBD, more often had an oligoarticular character (79 (84%) patients) with localization mainly in the joints of the lower extremities. When examining patients, peripheral arthritis was diagnosed in 41 (43.6%) patients, osteoarthrosis was detected in 38 (40.4%), 13 (13.8%) patients did not have objective signs of infl ammation.
About the Authors
G. M. Khusainova
Federal State Budgetary Educational Institution of Higher Education “South-Ural State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Assistant of the Department of Hospital Therapy,
64, Vorovsky street, Chelyabinsk, 454092
A. I. Dolgushina
Federal State Budgetary Educational Institution of Higher Education “South-Ural State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
MD, PhD, Head of the Department of Hospital Therapy,
64, Vorovsky street, Chelyabinsk, 454092
A. S. Kuznetcova
Federal State Budgetary Educational Institution of Higher Education “South-Ural State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
MD, PhD, Associate Professor of the Department of Hospital Therapy,
64, Vorovsky street, Chelyabinsk, 454092
References
1. Ivashkin V. T., Shelygin Yu. A., Khalif I. L. et al. Clinical recommendations of the Russian Gastroenterological Association and the Association of Coloproctologists of Russia on the diagnosis and treatment of ulcerative colitis, 2017.
2. Ivashkin V. T., Shelygin Yu. A., Khalif I. L. Clinical recommendations of the Russian Gastroenterological Association and the Association of Coloproctologists of Russia for the diagnosis and treatment of Crohn's disease, 2017.
3. Karreman M. C ., Luime J. J., Haz e s J. M. W., Weel A. E. A. M. The prevalence and incidence of axial and peripheral spondyloarthritis in inflammatory bowel disease: a systematic review and meta-analysis. J Crohns Colitis 2017; 11:631–642
4. Sadygova G. H. Extraintestinal manifestations of inflammatory bowel diseases: arthropathy and arthritis. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2016;26(6):101-105. (In Russ.) https://doi.org/10.22416/1382-4376-2016-26-6-101-105
5. Fatenkov O. V., Pirogova Yu. Yu., Tumi M. M., Yurchenko I. N. Features of extraintestinal manifestations of ulcerative colitis and Crohn's disease. Diary of the Kazan Medical School. 2019 3 (20)
6. Vavricka S.R., Schoepfer A., Scharl M., et al. Extraintestinal Manifestations of Inflammatory Bowel Disease. Inflamm Bowel Dis. 2015 Aug;21(8):1982–92. doi: 10.1097/MIB.0000000000000392
7. Greuter T., Vavricka S. R. Extraintestinal manifestations in inflammatory bowel disease – epidemiology, genetics, and pathogenesis. Expert Rev Gastroenterol Hepatol. 2019 Apr;13(4):307–317. doi: 10.1080/17474124.2019.1574569.
8. Yamamoto-Furusho J.K., Sarmiento-Aguilar A. Joint involvement in Mexican patients with ulcerative colitis: a hospital-based retrospective study. Clin Rheumatol. 2018 Mar;37(3):677–682. doi: 10.1007/s10067-017-3834-z.
9. Hiller A., Biedermann L., Fournier N., et al. The appearance of joint manifestations in the Swiss inflammatory bowel disease cohort. PLoS One. 2019 Apr 30;14(4): e0211554. doi: 10.1371/journal.pone.0211554.
10. Nasonov E. L. Rheumatology. Moscow. GEOTAR-Media, 2010, 720 p. 11. Levine J.S., Burakoff R. Extraintestinal manifestations of inflammatory bowel disease. Gastroenterol Hepatol (N Y). 2011;7:235‐241.
11. Mukhin N. A. Propaedeutics of internal diseases: a textbook. – 2nd ed., Ext. and reslave. Moscow. GEOTARMedia, 2012, 848 p.
12. Svistov A. S., Malov Yu. S., Shulenin S. N. et al. Propae deutics of internal diseases: a textbook. Moscow. Medicine, 2005, 536 p.
13. Varkas G., Ribbens C., Louis E., et al. Expert consensus: practical algorithms for management of inflammatory bowel disease patients presenting with back pain or peripheral arthropathies. Aliment Pharmacol Th er. 2019;00:1–10. https://doi.org/10.1111/apt.15519
14. Erdes Sh. F., Galushko E. A., Bakhtina L. A. et al. Th e prevalence of arthralgia and swelling of joints in residents of different regions of the Russian Federation (preliminary results). Scientific and practical rheumatology. 2004. No. 4.
15. Secrets of Rheumatology / Ed. Sterling J. West; per. from English under the editorship of O.M. Lesnyak.-M. GEOTAR-Media, 2018, 760 p.
16. Orchard T. R., Thiyagaraja S., Welsh K. L., et al. “Clinical phenotype is related to HLA genotype in the peripheral arthropathies of inflammatory bowel disease”, Gastroenterology. 2000, vol 118, 274–278
17. Harbord M., Annese V., Vavricka S. R., et al. The First European Evidence-based Consensus on Extra-intestinal Manifestations in Inflammatory Bowel Disease. J Crohns Colitis. 2016 Mar;10(3):239–54. doi: 10.1093/ecco-jcc/jjv213
18. Al-Jarallah K., Shehab D., Al-Azmi W., Al-Fadli A. Rheumatic complications of inflammatory bowel disease among Arabs: A hospital-based study in Kuwait. Int J Rheum Dis 2013;16(2):134–38.
19. Pezerovic D., Zulj M., Klarin I., et al. Clinical expression of inflammatory bowel diseases–a retrospective population-based cohort study; Vukovarsko-Srijemska County, Croatia, 2010. Coll Antropol 2013;37(3):919–27
20. Bandyopadhyay D., Bandyopadhyay S., Ghosh P., et al. Extraintestinal manifestations in inflammatory bowel disease: Prevalence and predictors in Indian patients. Indian J Gastroenterol 2015;34(5):387–94
21. Gotler J., Amitai M. M., Lidar M., et al. Utilizing MR enterography for detection of sacroiliitis in patients with inflammatory bowel disease. J Magn Reson Imaging 2015;42(1):121–27
22. Nguyen G.C, Torres E. A., Regueiro M., et al. Inflammatory bowel disease characteristics among African Americans, Hispanics, and non-Hispanic whites: Characterization of a large North American cohort. Am J Gastroenterol 2006;101(5):1012–23
23. Palm O., Moum B., Ongre A., Gran J. T. Prevalence of ankylosing spondylitis and other spondyloarthropathies among patients with inflammatory bowel disease: A population study (the IBSEN study). J Rheumatol 2002;29(3):511–15
24. Bernstein C.N, Blanchard J.F, Rawsthorne P., Yu. N. Th e prevalence of extraintestinal diseases in inflammatory bowel disease: A population-based study. Am J Gastroenterol 2001;96(4):1116–22. 26. Beslek A., Onen F., Birlik M., et al. Prevalence of spondyloarthritis in Turkish patients with inflammatory bowel disease. Rheumatol Int 2009;29(8):955–57.
25. Palm O., Moum B., Jahnsen J., Gran J. T. The prevalence and incidence of peripheral arthritis in patients with inflammatory bowel disease, a prospective population-based study (the IBSEN study). Rheumatology 2001;40(11):1256–61.
Review
For citations:
Khusainova G.M., Dolgushina A.I., Kuznetcova A.S. Characteristics of the articular syndrome in patients with infl ammatory bowel disease. Experimental and Clinical Gastroenterology. 2020;(6):95-100. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-178-6-95-100
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