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ORIGINAL ARTICLE
Year : 2015  |  Volume : 29  |  Issue : 3  |  Page : 135-138

Pattern of peripheral arthritis in fifteen patients with ulcerative colitis


1 Department of Rheumatology, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
2 Department of Inflammatory Disease of Upper Gastrointestinal Research Center, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran

Correspondence Address:
Aref Hosseinian Amiri
Department of Rheumatology, Faculty of Medicine, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.170780

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Background: Inflammatory bowel disease (IBD) including Ulcerative colitis (UC) and Crohn's disease (CD) are an immune-mediated chronic intestinal condition. The arthritis accompanying the inflammatory bowel diseases are included in the family of spondyloarthritis. Peripheral arthritis develops in about 15-20% of IBD patients. Asymetric oligoarthicular large joint involvement have inflammatory characteristics at this patients and occurs in upper and lower extremities. Aim: The aim of this retrospective study was analysis of acute inflammation of joints in 15 patients with ulcerative colitis during 2 years from January 2011 to December 2013. Materials and Methods: This is a retrospective study of ulcerative colitis patients with acute arthritis during two years from January 2011 to December 2013 that refers to rheumatologic clinic of Mazandaran University of medical sciences. Data were analyzed using the SPSS version 20. Variables analyzed include age, sex, presence of arthritis/periarthritis, the number of involved joints, kind and pattern of arthritis. Results: At these study 15 patients with ulcerative colitis and acute arthritis refers to BAGHBAN rheumatologic clinic. All of patients were adults between 18 to 42 years old with median age of 31.5 years old. Ten patients (66%) were female and five patients (33%) were male. The media duration of ulcerative colitis was 3.9 years. Periarthrtis occurs in 7 (46%) patients in association with arthritis. The most commonly involved join was ankle in 11 (73%) cases. Another involved joints were knee in 5(33%), wrist in 2 (12%), MTPs in 3(20%), MCPs in 1(6%) and hip in 1(6%) of cases. In 4 (27%) patients arthritis were monoarthicular and eight (53%) of patients arthritis were oligoathicular in 3 (20%) cases, arthritis were polyarthicular. All of arthritis were inflammatory. In 2(13%) of patients, arthritis were symmetric and in 9(60%) of cases were asymmetric. Conclusion: Inflammatory joint disease including arthritis and periarthrtis are important findings in ulcerative colitis. Asymmetric lower extremity large joint arthritis especially in ankles are common kind of peripheral arthritis of this disease.


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