Extra-intestinal manifestations in inflammatory bowel disease

Anna Viola, Francesco Marino, Fabiola Atzeni, Walter Fries

Abstract


Extraintestinal manifestations (EIMs) in patients with inflammatory bowel diseases (IBD) are immuno-mediated conditions that may occur in up to 50% of IBD patients. Several organ systems may be involved such as joints, skin, liver, and eyes. EIMs may occur before or after the diagnosis of IBD but the pathogenic mechanisms are still poorly defined. Some of them such as peripheral arthritis, erythema nodosum, aphthous stomatitis, episcleritis, and uveitis are associated to IBD activity and are responsive to IBD-therapies while others like pyoderma gangrenosum, axial spondylarthropathy or primary sclerosing cholangitis follow an independent course and require specific treatments. The present review provides an overview on the classification of the main groups of EIMs occurring in IBD patients.


Keywords


Crohn’s disease, ulcerative colitis, spondiloarthropathies, episcleritis, uveitis, pyoderma gangrenosum

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References


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DOI: https://doi.org/10.6092/1828-6550/APMB.108.1.2020.SD1

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