Abstract
BackgroundOne of the most important complications in inflammatory Bowel Disease (IBD) are musculoskeletal manifestations that are reported in more than 50% of patients.ObjectivesIn this study, we aimed to evaluate the musculoskeletal and radiologic manifestations in our IBD patients.MethodsIn this cross-sectional study on 96 mild-to-moderate IBD patients (76 UC, 18 CD and 2 undifferentiated IBD) with mean (SD) age of 39.28 (11.42) years, 44 (45.8%) were males and 52 were (54.2%) females. Patients were examined by an expert rheumatologist and their musculoskeletal symptoms were assessed. The musculoskeletal system was evaluated by Modified Schober test, Thoracic expansion (TE), Occiput to wall distance (OWD), and Patrick’s or FABER test. Peripheral joints were also examined in all four extremities. Then patients were referred for pelvic and lumbosacral x-ray. Sacroiliitis grading was performed using the New York criteria.ResultsInflammatory low back pain was reported in 5 (5.2%), enthesopathy in 6 (6.5%) and dactylitis in 1 (1.1%). Positive Schober test was recorded in 5 (5.2%) and Patrick test in 3 (3.1%). Forty-nine (51%) cases had normal imaging with no sacroiliitis, endplate sclerosis was seen in 33 cases (34.4%), grade 3 and grade 4 were seen in 10 cases (10.4%).ConclusionsIn the present study, 34.4% of the IBD patients had mild radiologic changes as endplate sclerosis and 95% had a normal physical examination.
Highlights
One of the most important complications in inflammatory Bowel Disease (IBD) are musculoskeletal manifestations that are reported in more than 50% of patients
The etiology of IBD remains unknown but it is believed that the interaction of genetics, environment and immune system play a major role [1]
We aimed to evaluate the musculoskeletal and radiologic manifestations in IBD patients
Summary
One of the most important complications in inflammatory Bowel Disease (IBD) are musculoskeletal manifestations that are reported in more than 50% of patients. Inflammatory bowel disease (IBD) is a chronic inflammatory disease composed of Crohn’s disease (CD) and ulcerative colitis. The etiology of IBD remains unknown but it is believed that the interaction of genetics, environment and immune system play a major role [1]. Extra intestinal manifestations (EIM) are common in IBD patients. More than half of the patients experience at least one extra intestinal symptom during their lifetime [3]. The incidence of EIM varies from 6 to 47%. Extraintestinal manifestations of IBD can affect many systems in the body such as musculoskeletal, ocular, dermatologic, hepatobiliary and etc. One of the most common complications of IBD is musculoskeletal (MSK) manifestations.
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