Abstract
Musculoskeletal disorders represent the commonest extraintestinal manifestations of Ulcerative Colitis. Arthritis associated with chronic inflammatory bowel diseases may involve the peripheral joints, spine, sacroiliac joints, or a combination of these. Peripheral arthritis is mostly a clinical diagnosis. Inflammation of the axial skeleton belongs to the group of spondyloarthropathies, which share most clinical manifestation and imaging appearances. MRI is currently the preferred imaging modality to investigate suspected spinal and sacroiliac involvement, since it allows to detect inflammation before radiographically detectable osseous lesions develop. Familiarity with spondyloarthritis features is needed to maximize sensitivity and specificity when interpreting MRI studies, thereby allowing correct classification and staging of bone involvement.
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References
Levine JS, Burakoff R (2011) Extraintestinal manifestations of inflammatory bowel disease. Gastroenterol Hepatol (N Y) 7:235–241
Salvarani C, Fries W (2009) Clinical features and epidemiology of spondyloarthritides associated with inflammatory bowel disease. World J Gastroenterol 15:2449–2455
Van Assche G, Dignass A, Bokemeyer B et al (2013) Second European evidence-based consensus on the diagnosis and management of ulcerative colitis Part III: special situations. J Crohns Colitis 7:1–33
Canella C, Schau B, Ribeiro E et al (2013) MRI in seronegative spondyloarthritis: imaging features and differential diagnosis in the spine and sacroiliac joints. AJR Am J Roentgenol 200:149–157
Kellgren JH, Jeffrey MR, Ball J (1963) The epidemiology of chronic rheumatism. Blackwell, Oxford, 623–627
Biancone L, Michetti P, Travis S et al (2008) European evidence-based consensus on the management of ulcerative colitis: special situations. J Crohns Colitis 2:63–92
de Vlam K, Mielants H, Cuvelier C et al (2000) Spondyloarthropathy is underestimated in inflammatory bowel disease: prevalence and HLA association. J Rheumatol 27:2860–2865
Garlaschi G, Martino F (2007) Artrite reumatoide e spondiloentesoartriti: diagnostica per immagini e imaging follow-up. Springer Verlag Italia
Calin A, Porta J, Fries JF et al (1977) Clinical history as a screening test for ankylosing spondylitis. JAMA 237:2613–2614
Queiro R, Maiz O, Intxausti J et al (2000) Subclinical sacroiliitis in inflammatory bowel disease: a clinical and follow-up study. Clin Rheumatol 19:445–449
Orchard TR, Wordsworth BP, Jewell DP (1998) Peripheral arthropathies in inflammatory bowel disease: their articular distribution and natural history. Gut 42:387–391
AGA (2003) American gastroenterological association medical position statement: guidelines on osteoporosis in gastrointestinal diseases. Gastroenterology 124:791–794
Lacout A, Rousselin B, Pelage JP (2008) CT and MRI of spine and sacroiliac involvement in spondyloarthropathy. AJR Am J Roentgenol 191:1016–1023
Hermann KG, Althoff CE, Schneider U et al (2005) Spinal changes in patients with spondyloarthritis: comparison of MR imaging and radiographic appearances. Radiographics 25:559–569; discussion 569–570
Guglielmi G, Cascavilla A, Scalzo G et al (2011) Imaging findings of sacroiliac joints in spondyloarthropathies and other rheumatic conditions. Radiol Med 116:292–301
Sieper J, Rudwaleit M, Baraliakos X et al (2009) The assessment of spondylogrthritis international society (ASAS) handbook: a guide to assess spondyloarthritis. Ann Rheum Dis 68:ii1-ii44, (Suppl 2)
Longo M, Granata F, Ricciardi K et al (2003) Contrast-enhanced MR imaging with fat suppression in adult-onset septic spondylodiscitis. Eur Radiol 13:626–637
Rahme R, Moussa R (2008) The modic vertebral endplate and marrow changes: pathologic significance and relation to low back pain and segmental instability of the lumbar spine. AJNR Am J Neuroradiol 29:838–842
Jacobson JA, Girish G, Jiang Y et al (2008) Radiographic evaluation of arthritis: inflammatory conditions. Radiology 248:378–389
Jacobson JA, Girish G, Jiang Y et al (2008) Radiographic evaluation of arthritis: degenerative joint disease and variations. Radiology 248:737–747
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Bianco, R., Tonolini, M. (2014). Musculoskeletal Manifestations of Ulcerative Colitis. In: Tonolini, M. (eds) Imaging of Ulcerative Colitis. Springer, Milano. https://doi.org/10.1007/978-88-470-5409-7_11
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DOI: https://doi.org/10.1007/978-88-470-5409-7_11
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