Arthritis or vasculitis as presenting symptoms of Crohn's disease

The aim of this study was to describe arthritis or vasculitis as initial manifestations of Crohn's disease (CD). We describe three cases in which the rheumatological manifestations preceded the bowel disease and one with rheumatological manifestation and asymptomatic gut inflammation. The infor...

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Veröffentlicht in:Rheumatology international 2005-09, Vol.25 (6), p.401-405
Hauptverfasser: MADER, Reuven, SEGOL, Ori, ADAWI, Muhammed, TROUGOBOFF, Philippe, NUSSINSON, Elchanan
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container_end_page 405
container_issue 6
container_start_page 401
container_title Rheumatology international
container_volume 25
creator MADER, Reuven
SEGOL, Ori
ADAWI, Muhammed
TROUGOBOFF, Philippe
NUSSINSON, Elchanan
description The aim of this study was to describe arthritis or vasculitis as initial manifestations of Crohn's disease (CD). We describe three cases in which the rheumatological manifestations preceded the bowel disease and one with rheumatological manifestation and asymptomatic gut inflammation. The information on clinical manifestations, laboratory examination results, imaging procedures, and histological data were gathered from the patients' medical charts. A MEDLINE search for the associations of extraintestinal manifestations of inflammatory bowel disease was performed. Arthritis or vasculitis preceded the bowel disease by 3 to 15 months. In one case, the bowel disease remained asymptomatic throughout the follow-up period. Rheumatological presentations of CD such as arthritis and vasculitis are uncommon. The diagnosis of CD without evident bowel symptoms might offer explanations and treatment options for puzzling symptoms and signs. Recognition, early diagnosis, and treatment of the underlying gut disease might prove useful for both the bowel disease and the rheumatological manifestations.
doi_str_mv 10.1007/s00296-004-0470-0
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We describe three cases in which the rheumatological manifestations preceded the bowel disease and one with rheumatological manifestation and asymptomatic gut inflammation. The information on clinical manifestations, laboratory examination results, imaging procedures, and histological data were gathered from the patients' medical charts. A MEDLINE search for the associations of extraintestinal manifestations of inflammatory bowel disease was performed. Arthritis or vasculitis preceded the bowel disease by 3 to 15 months. In one case, the bowel disease remained asymptomatic throughout the follow-up period. Rheumatological presentations of CD such as arthritis and vasculitis are uncommon. The diagnosis of CD without evident bowel symptoms might offer explanations and treatment options for puzzling symptoms and signs. 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subjects Adolescent
Adult
Arthritis
Arthritis - diagnosis
Arthritis - etiology
Biological and medical sciences
Crohn Disease - complications
Crohn Disease - diagnosis
Diagnosis, Differential
Diseases of the osteoarticular system
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Inflammatory bowel disease
Inflammatory Bowel Diseases - complications
Inflammatory Bowel Diseases - diagnosis
Male
Medical research
Medical sciences
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Other diseases. Semiology
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Time Factors
Vasculitis - diagnosis
Vasculitis - etiology
title Arthritis or vasculitis as presenting symptoms of Crohn's disease
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