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Inflammatory Bowel Disease Arthritis
Eva M. Escobedo, MD; B. J. Manaster, MD, PhD, FACR
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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

                                      1. 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
                                      2. 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
                                      3. Fragoulis GE et al: Inflammatory bowel diseases and spondyloarthropathies: from pathogenesis to treatment. World J Gastroenterol. 25(18):2162-76, 2019
                                      4. Eshed I et al: Imaging to differentiate the various forms of seronegative arthritis. Semin Musculoskelet Radiol. 22(2):189-96, 2018
                                      5. 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
                                      6. 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
                                      7. 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
                                      8. Olpin JD et al: Beyond the bowel: extraintestinal manifestations of inflammatory bowel disease. Radiographics. 37(4):1135-60, 2017
                                      9. 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
                                      10. Bazsó A et al: Importance of intestinal microenvironment in development of arthritis. A systematic review. Immunol Res. 61(1-2):172-6, 2015
                                      11. 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
                                      12. Paparo F et al: Seronegative spondyloarthropathies: what radiologists should know. Radiol Med. 119(3):156-63, 2014
                                      13. 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
                                      14. 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
                                      15. Jose FA et al: Development of extraintestinal manifestations in pediatric patients with inflammatory bowel disease. Inflamm Bowel Dis. 15(1):63-8, 2009
                                      16. Jacques P et al: Joint expedition: linking gut inflammation to arthritis. Mucosal Immunol. 1(5):364-71, 2008
                                      17. 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
                                      18. Ricker JM et al: Inflammatory bowel disease: thinking outside of the intestines (Part 1). J Miss State Med Assoc. 49(12):359-64, 2008
                                      19. 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

                                                                          1. 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
                                                                          2. 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
                                                                          3. Fragoulis GE et al: Inflammatory bowel diseases and spondyloarthropathies: from pathogenesis to treatment. World J Gastroenterol. 25(18):2162-76, 2019
                                                                          4. Eshed I et al: Imaging to differentiate the various forms of seronegative arthritis. Semin Musculoskelet Radiol. 22(2):189-96, 2018
                                                                          5. 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
                                                                          6. 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
                                                                          7. 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
                                                                          8. Olpin JD et al: Beyond the bowel: extraintestinal manifestations of inflammatory bowel disease. Radiographics. 37(4):1135-60, 2017
                                                                          9. 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
                                                                          10. Bazsó A et al: Importance of intestinal microenvironment in development of arthritis. A systematic review. Immunol Res. 61(1-2):172-6, 2015
                                                                          11. 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
                                                                          12. Paparo F et al: Seronegative spondyloarthropathies: what radiologists should know. Radiol Med. 119(3):156-63, 2014
                                                                          13. 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
                                                                          14. 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
                                                                          15. Jose FA et al: Development of extraintestinal manifestations in pediatric patients with inflammatory bowel disease. Inflamm Bowel Dis. 15(1):63-8, 2009
                                                                          16. Jacques P et al: Joint expedition: linking gut inflammation to arthritis. Mucosal Immunol. 1(5):364-71, 2008
                                                                          17. 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
                                                                          18. Ricker JM et al: Inflammatory bowel disease: thinking outside of the intestines (Part 1). J Miss State Med Assoc. 49(12):359-64, 2008
                                                                          19. 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