enteric arthropathy

Question 1

what is enteric arthropathy

Answer 1

inflammatory arthritis associated with IBD.

Question 2

patterns of joint disease in enteric arthritis

Answer 2

axial spondyloarthritis - lower back pain worse in the morning better with exercise
Acute peripehral arthritis of IBD - asymmetric oligoarticular arthritis predominantly in lower limbs,.
Chronic peripheral arthritis of IBD - dependent on IBD activity, symmetrical and affects the metacarpophalangeal joints, knees and ankles.
Enthesopathy of IBD - severe localised pain in specific areas of tendon insertion

Question 3

investigations of enteric arthritis

Answer 3

CRP and ESR, RF and ANA negative, p-ANCE seen in 55-70% and HLAB27 positive
XRAY, MRI

Question 4

Management of enteric arthritis

Answer 4

csDMARDs and TNF and IL12/23 inhibitors