Use of Ultrasonography in Patients with Inflammatory Bowel Disease and Spondyloarthritis: An UpdateFabiola Atzeni1, Alberto Batticciotto1, Salvatore Salli2, Marco Antivalle1 and Piercarlo Sarzi-Puttini1*
- *Corresponding Author:
- Piercarlo Sarzi-Puttini, MD
Consultant and Director, Rheumatology Unit
L. Sacco University Hospital of Milan
20127 Milano, Italy
E-mail: [email protected]; [email protected]
Received date: March 28, 2012; Accepted date: April 24, 2012; Published date: April 27, 2012
Citation: Atzeni F, Batticciotto A, Salli S, Antivalle M, Sarzi-Puttini P (2012) Use of Ultrasonography in Patients with Inflammatory Bowel Disease and Spondyloarthritis: An Update. Rheumatol Curr Res S2:008. doi:10.4172/2161-1149.S2-008
Copyright: © 2012 Atzeni F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Intestinal Bowel Diseases (IBDs) are inflammatory diseases of the gastrointestinal tract that are often associated with extra-intestinal manifestations, the most frequent of which are musculoskeletal symptoms. These are experienced by 6-46% of IBD patients, and include articular, peri-articular and muscular involvement, osteoporosis and the related fractures, and fibromyalgia. IBD-related SpondyloArthritis (SpA) is mainly characterised by axial involvement, but may also be associated with synovitis, dactylitis or signs of enthesopathy such as Achilles tendinitis, plantar fasciitis and chest wall pain. SpA-associated enthesitis is generally assessed by eliciting tenderness at the entheses. UltraSonography (US) is a non-invasive and easily reproducible means of diagnosing and following up SpA patients, but there are only a few published studies of its use in IBD patients with articular involvement. This review analysed all of the data available in the literature and our new findings.