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Musculoskeletal manifestations of inflammatory bowel disease

✍ Scribed by Leonidas A. Bourikas; Konstantinos A. Papadakis


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
522 KB
Volume
15
Category
Article
ISSN
1078-0998

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✦ Synopsis


Extraintestinal manifestations develop in 25% of patients with inflammatory bowel disease (IBD). Musculoskeletal symptoms are the most common extraintestinal manifestations of IBD, often associated with colonic involvement, and present as either articular (arthritis) or periarticular inflammation including enthesitis, myositis, or soft tissue rheumatism (fibromyalgia). Musculoskeletal manifestations can precede or be synchronous with the development of bowel disease or develop following the diagnosis of IBD. Their clinical course often correlates with IBD activity but it can also be independent of the activity of bowel disease. Controlling intestinal inflammation remains the cornerstone therapeutic approach for the musculoskeletal manifestations of IBD.


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