[Prevalence of axial manifestations among patients with inflammatory bowel disease: a prospective study about 50 cases]. / Prévalence des manifestations axiales au cours des maladies inflammatoires chroniques de l'intestin: à propos d'une étude prospective de 50 cas.
Tunis Med
; 87(6): 386-90, 2009 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-19927784
ABSTRACT
BACKGROUND:
Rheumatologic manifestations occurring during inflammatory bowel disease are the most frequent extra intestinal features. They are dominated by spondyloarthropathies, sacro-iliite and peripheral arthritis.AIM:
To identify in a group of inflammatory bowel disease, the frequency of axial manifestations, to describe the clinical and the radiological features and to identify the risk factors of their occurrence and/or worseness.METHODS:
We have established a transversal prospective study including 50 cases of inflammatory bowel disease seen in the department of the internal medicine in the interior forces security hospital during a period of 5 years between January 2001 and December 2006.RESULTS:
The prevalence of axial involvement in the case of inflammatory bowel disease was 26% especially spondyloarthropathies which were diagnosed in 11 cases according to the criteria of European Spondyloarthropathy study Group (ESSG), 8 of them fulfilled the modified criteria of New York for the diagnosis of spondyloarthropathy. Isolated sacro-iliitis was found in 4% of cases. By univariate study, only the age under 35 years with a relative risk of 5,8 and the colic involvement in Chron's disease was significativelly associated with the presence of spondyloarthropathy.CONCLUSION:
Systematic checking of spondyloarthropathies in the course of inflammatory bowel disease through a clinical exam and systematic radiological should be recommended especially if we are in front of a man aged more than 35-years-old with a Chron disease involving the colon. This screening offers an early management and avoid ankylosis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Inflamatórias Intestinais
/
Doenças Reumáticas
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Ano de publicação:
2009
Tipo de documento:
Article