Crohn's disease in rheumatology clinic--an Indian experience.
J Postgrad Med
;
2005 Oct-Dec; 51(4): 269-72; discussion 272-4
Article
in English
| IMSEAR
| ID: sea-117523
ABSTRACT
BACKGROUND:
Prevalence of Crohn's disease (CD) among patients with rheumatic illnesses in India is grossly under estimated, especially when it has overtaken that of Ulcerative Colitis in the West.AIM:
To study the frequency of histologically unequivocal CD amongst clinically suspected patients with enteropathic arthropathy and to ascertain if the arthritics with CD have any independent clinical predictor. Settings and designs Retrospective datasheet analysis from a Rheumatology clinic of a large tertiary care centre. MATERIALS ANDMETHODS:
Patients of suspected enteropathic arthropathy were studied by ileocolonoscopy and segmental colonic biopsy for histological evidence of Crohn's disease and followed up. STATISTICALANALYSIS:
Logistic regression analysis was done to find out any clinical predictor of histologically proven CD.RESULTS:
Fourteen of the twenty-nine patients studied had histologically confirmed CD. Those with CD were younger than those without (34.7 yr vs 41.6 yrs, p=0.057). The CD group also had significantly higher number of people with loss of weight (12 vs 1), fever (11 vs 0), perianal fistula (4 vs 0), abdominal pain (8 vs 2), history of dysentery (4 vs 0) and uveitis (6 vs 1) (p=0.00002, 0.00001, 0.026, 0.013, 0.026 & 0.01 respectively). However logistic regression analysis of the most relevant ones among these, namely, loss of weight, fever, and perianal fistula showed loss of weight as only independent predictor of CD in this subset of patients (p=0.03 with odds ratio of 28).CONCLUSION:
Presence of significant loss of weight in an Indian patient with clinically suspected enteropathic arthropathy is an independent predictor of CD.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Outpatient Clinics, Hospital
/
Arthritis
/
Female
/
Humans
/
Male
/
Weight Loss
/
Crohn Disease
/
Retrospective Studies
/
Adult
/
India
Type of study:
Observational study
/
Prognostic study
Country/Region as subject:
Asia
Language:
English
Journal:
J Postgrad Med
Year:
2005
Type:
Article
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