Articular participation in inflammatory intestinal diseases

ABSTRACT

The association between chronic inflammatory bowel diseases (ulcerative colitis, regional enteritis, Whipple's disease) with articular had their studies expanded at the end of the 50's decade. The purpose of this study is to show the incidence and presentation form of the articular involvemente in our patients, excluding bearer of intestinal inflammatory disease, and leaving out the reactive forms to intestinal infections by Yersinia, Salmonella or Shigella. It has been analyzed a whole of 25 cases of ulcerative colitis, 2 of Whipple's disease and 2 of IgA deficiency, all of then with confirmed diagnosis by radiologic alterations, endoscopy, biopsy and immuno-electrophoresis. We noticed the articular involvement in 9 cases (4 ulcerative colitis, 3 regional enterites, 1 in Whipple's disease and 1 in IgA deficiency), aware that the most common presentation was the fugacious and migrant articular pain (arthralgy), having its beginning in most cases after the intestinal disease, with sporadic arthritis in knees and ankles. Classic participation of sacro-ileitis occured in 2 cases, one on left side and other participation, even before the intestinal occurred in 2 cases, one on left side and other sides participation, even before the intestinal manifestation