📚 Volume 28, Issue 8 📋 ID: gdVK8XW

Authors

Toru Shizuma

Department of Physiology, Tokai University School of Medicine

Abstract

Inflammatory bowel disease (IBD) mainly comprises ulcerative colitis (UC) and Crohn’s disease (CD). Arthropathies are common extraintestinal manifestations in patients with IBD. Apart from IBD-associated arthropathies, few cases of concomitant IBD and rheumatoid arthritis (RA) have been reported. This article provides a review of concomitant cases of IBD and RA reported in the literature. There were 28 cases of IBD (21 UC cases and 7 CD cases) and RA, excluding cases of drug-induced IBD in patients with RA. Female patients were dominant [71.4% (20/28)]. RA preceded IBD in 23 cases (82.1%), whereas IBD preceded RA in 4 cases (14.3%), and one case (3.6%) was nearly simultaneously diagnosed. In concomitant cases of UC and RA, all cases were pancolitis (60%) or left-sided colitis type (40%) (no cases of proctitis were found), excluding one case whose type of UC was unknown. Although the RA stages according to the Steinbrocker classification varied from stage Ⅰ to Ⅳ, the functional classification of the 8 identified cases were assessed as class Ⅱ. Vital prognosis may be relatively favorable in these concomitant cases.
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📝 How to Cite

Toru Shizuma (2021). "Concomitant cases of inflammatory bowel disease and rheumatoid arthritis: A literature review". Wulfenia, 28(8).