IBD with associated spondyloarthritis &/or peripheral arthritis
Enthesopathy = enthesophytes due to rheumatologic disorder
Enthesophytosis = enthesophyte production due to chronic attrition
Enthesitis = erosions; edema-like signal intensity and enhancement at entheses
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Evans J et al: Prevalence of axial spondyloarthritis in patients with inflammatory bowel disease using cross-sectional imaging: a systematic literature review. Ther Adv Musculoskelet Dis. 13:1759720X21996973, 2021
Sepriano A et al: Tumor necrosis factor inhibitors reduce spinal radiographic progression in patients with radiographic axial spondyloarthritis: a longitudinal analysis from the Alberta Prospective Cohort. Arthritis Rheumatol. 73(7):1211-9, 2021
Fragoulis GE et al: Inflammatory bowel diseases and spondyloarthropathies: from pathogenesis to treatment. World J Gastroenterol. 25(18):2162-76, 2019
Eshed I et al: Imaging to differentiate the various forms of seronegative arthritis. Semin Musculoskelet Radiol. 22(2):189-96, 2018
Ossum AM et al: Ankylosing spondylitis and axial spondyloarthritis in patients with long-term inflammatory bowel disease: results from 20 years of follow-up in the IBSEN Study. J Crohns Colitis. 12(1):96-104, 2018
Karreman MC et al: The prevalence and incidence of axial and peripheral spondyloarthritis in inflammatory bowel disease: a systematic review and meta-analysis. J Crohns Colitis. 11(5):631-42, 2017
Malaty HM et al: Characterization and prevalence of spondyloarthritis and peripheral arthritis among patients with inflammatory bowel disease. Clin Exp Gastroenterol. 10:259-63, 2017
Olpin JD et al: Beyond the bowel: extraintestinal manifestations of inflammatory bowel disease. Radiographics. 37(4):1135-60, 2017
Harbord M et al: The first European evidence-based consensus on extra-intestinal manifestations in inflammatory bowel disease. J Crohns Colitis. 10(3):239-54, 2016
Bazsó A et al: Importance of intestinal microenvironment in development of arthritis. A systematic review. Immunol Res. 61(1-2):172-6, 2015
Gamsjaeger S et al: Altered bone material properties in HLA-B27 rats include reduced mineral to matrix ratio and altered collagen cross-links. J Bone Miner Res. 29(11):2382-91, 2014
Paparo F et al: Seronegative spondyloarthropathies: what radiologists should know. Radiol Med. 119(3):156-63, 2014
van Sommeren S et al: Extraintestinal manifestations and complications in inflammatory bowel disease: from shared genetics to shared biological pathways. Inflamm Bowel Dis. 20(6):987-94, 2014
Wallis D et al: Elevated serum anti-flagellin antibodies implicate subclinical bowel inflammation in ankylosing spondylitis: an observational study. Arthritis Res Ther. 15(5):R166, 2013
Jose FA et al: Development of extraintestinal manifestations in pediatric patients with inflammatory bowel disease. Inflamm Bowel Dis. 15(1):63-8, 2009
Jacques P et al: Joint expedition: linking gut inflammation to arthritis. Mucosal Immunol. 1(5):364-71, 2008
Karimi O et al: Indications and challenges of probiotics, prebiotics, and synbiotics in the management of arthralgias and spondyloarthropathies in inflammatory bowel disease. J Clin Gastroenterol. 42 Suppl 3 Pt 1:S136-41, 2008
Ricker JM et al: Inflammatory bowel disease: thinking outside of the intestines (Part 1). J Miss State Med Assoc. 49(12):359-64, 2008
Rodriguez VE et al: Prevalence of spondyloarthropathy in Puerto Rican patients with inflammatory bowel disease. Ethn Dis. 18(2 Suppl 2):S2-225-9, 2008
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Inflammatory bowel disease (IBD)
Synonyms
Enteropathic arthritis
Definitions
IBD with associated spondyloarthritis &/or peripheral arthritis
Enthesopathy = enthesophytes due to rheumatologic disorder
Enthesophytosis = enthesophyte production due to chronic attrition
Enthesitis = erosions; edema-like signal intensity and enhancement at entheses
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Evans J et al: Prevalence of axial spondyloarthritis in patients with inflammatory bowel disease using cross-sectional imaging: a systematic literature review. Ther Adv Musculoskelet Dis. 13:1759720X21996973, 2021
Sepriano A et al: Tumor necrosis factor inhibitors reduce spinal radiographic progression in patients with radiographic axial spondyloarthritis: a longitudinal analysis from the Alberta Prospective Cohort. Arthritis Rheumatol. 73(7):1211-9, 2021
Fragoulis GE et al: Inflammatory bowel diseases and spondyloarthropathies: from pathogenesis to treatment. World J Gastroenterol. 25(18):2162-76, 2019
Eshed I et al: Imaging to differentiate the various forms of seronegative arthritis. Semin Musculoskelet Radiol. 22(2):189-96, 2018
Ossum AM et al: Ankylosing spondylitis and axial spondyloarthritis in patients with long-term inflammatory bowel disease: results from 20 years of follow-up in the IBSEN Study. J Crohns Colitis. 12(1):96-104, 2018
Karreman MC et al: The prevalence and incidence of axial and peripheral spondyloarthritis in inflammatory bowel disease: a systematic review and meta-analysis. J Crohns Colitis. 11(5):631-42, 2017
Malaty HM et al: Characterization and prevalence of spondyloarthritis and peripheral arthritis among patients with inflammatory bowel disease. Clin Exp Gastroenterol. 10:259-63, 2017
Olpin JD et al: Beyond the bowel: extraintestinal manifestations of inflammatory bowel disease. Radiographics. 37(4):1135-60, 2017
Harbord M et al: The first European evidence-based consensus on extra-intestinal manifestations in inflammatory bowel disease. J Crohns Colitis. 10(3):239-54, 2016
Bazsó A et al: Importance of intestinal microenvironment in development of arthritis. A systematic review. Immunol Res. 61(1-2):172-6, 2015
Gamsjaeger S et al: Altered bone material properties in HLA-B27 rats include reduced mineral to matrix ratio and altered collagen cross-links. J Bone Miner Res. 29(11):2382-91, 2014
Paparo F et al: Seronegative spondyloarthropathies: what radiologists should know. Radiol Med. 119(3):156-63, 2014
van Sommeren S et al: Extraintestinal manifestations and complications in inflammatory bowel disease: from shared genetics to shared biological pathways. Inflamm Bowel Dis. 20(6):987-94, 2014
Wallis D et al: Elevated serum anti-flagellin antibodies implicate subclinical bowel inflammation in ankylosing spondylitis: an observational study. Arthritis Res Ther. 15(5):R166, 2013
Jose FA et al: Development of extraintestinal manifestations in pediatric patients with inflammatory bowel disease. Inflamm Bowel Dis. 15(1):63-8, 2009
Jacques P et al: Joint expedition: linking gut inflammation to arthritis. Mucosal Immunol. 1(5):364-71, 2008
Karimi O et al: Indications and challenges of probiotics, prebiotics, and synbiotics in the management of arthralgias and spondyloarthropathies in inflammatory bowel disease. J Clin Gastroenterol. 42 Suppl 3 Pt 1:S136-41, 2008
Ricker JM et al: Inflammatory bowel disease: thinking outside of the intestines (Part 1). J Miss State Med Assoc. 49(12):359-64, 2008
Rodriguez VE et al: Prevalence of spondyloarthropathy in Puerto Rican patients with inflammatory bowel disease. Ethn Dis. 18(2 Suppl 2):S2-225-9, 2008
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