Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

IBD

IBD and spondyloarthritis: joint management

Spondyloarthritis (SpA) is the most common extraintestinal manifestation of IBD. SpA symptoms are not always recognized in patients with IBD. Subsequently, patients with symptoms of SpA can be underdiagnosed, with effective treatment delayed. Cooperation between gastroenterologists and rheumatologists is necessary and, ideally, an integrated management of these patients should be adopted.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Arvikar, S. L. & Fisher, M. C. Inflammatory bowel disease associated arthropathy. Curr. Rev. Musculoskelet. Med. 4, 123–131 (2011).

    Article  Google Scholar 

  2. van Erp, S. J. H. et al. Classifying back pain and peripheral joint complaints in inflammatory bowel disease patients: a prospective longitudinal follow up study. J. Crohns Colitis http://dx.doi.org/10.1093/ecco-jcc/jjv195.

  3. Rudwaleit, M. The Assessment of SpondyloArthritis International Society classification criteria for peripheral spondyloarthritis and for spondyloarthritis in general. Ann. Rheum. Dis. 70, 25–31 (2011).

    Article  CAS  Google Scholar 

  4. Salvarani, C. & Fries, W. Clinical features and epidemiology of spondyloarthritides associated with inflammatory bowel disease. World J. Gastroenterol. 15, 2449–2455 (2009).

    Article  Google Scholar 

  5. Dougados, M. et al. The European Spondylarthropathy Study Group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum. 34, 1218–1227 (1991).

    Article  CAS  Google Scholar 

  6. Rodríguez-Reyna, T. S., Martínez-Reyes, C. & Yamamoto-Furusho, J. K. Rheumatic manifestations of inflammatory bowel disease. World J. Gastroenterol. 15, 5517–5524 (2009).

    Article  Google Scholar 

  7. Smale, S., Natt, R. S., Orchard, T. R., Russell, A. S. & Bjarnason, I. Inflammatory bowel disease and spondylarthropathy. Arthritis Rheum. 44, 2728–2736 (2001).

    Article  CAS  Google Scholar 

  8. Mandl, P. et al. EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann. Rheum. Dis. 74, 1327–1339 (2015).

    Article  CAS  Google Scholar 

  9. Stolwijk, C. et al. Prevalence of self-reported spondyloarthritis features in a cohort of patients with inflammatory bowel disease. Can. J. Gastroenterol. 27, 199–205 (2013).

    Article  Google Scholar 

  10. Olivieri, I. et al. Italian Expert Panel on the management of patients with coexisting spondyloarthritis and inflammatory bowel disease. Autoimmun. Rev. 13, 822–830 (2014).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paolo Gionchetti.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gionchetti, P., Rizzello, F. IBD and spondyloarthritis: joint management. Nat Rev Gastroenterol Hepatol 13, 9–10 (2016). https://doi.org/10.1038/nrgastro.2015.208

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrgastro.2015.208

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing