PMID- 18097711 OWN - NLM STAT- MEDLINE DCOM- 20080617 LR - 20211020 IS - 0770-3198 (Print) IS - 0770-3198 (Linking) VI - 27 IP - 4 DP - 2008 Apr TI - A cross-sectional study of 130 Brazilian patients with Crohn's disease and ulcerative colitis: analysis of articular and ophthalmologic manifestations. PG - 503-9 AB - This is a cross-sectional study that analyzed the pattern and frequency of articular and ophthalmologic manifestations in patients with Crohn's disease (CD) and ulcerative colitis (UC), with or without signs of active bowel inflammation. One hundred and thirty consecutive patients with CD (n = 71) and UC (n = 59) were examined. Simple X-rays of lumbar spine, sacroiliac joints, and calcaneal bone were performed and human leukocyte antigen (HLA)-B27 was typed. Joint manifestations occurred in 41 (31.5%) patients, 27 (38%) with CD and 14 (23.7%) with UC. Peripheral involvement occurred in 22 patients, axial involvement in five, and mixed involvement in 14. The most frequently involved joints were knees (56.1%), ankles (29.3%), and hips (29.3%), while the predominant pattern was oligoarticular (84.6%) and asymmetrical (65.6%). Enthesitis was identified in seven (5.4%) patients and inflammatory lumbar pain in 13 (10%). Eight of these patients fulfilled the diagnostic criteria for ankylosing spondylitis (6.2%). Radiographic sacroiliitis occurred in 12 patients (9.2%). Ocular abnormalities were present in six patients (6.2%), and HLA-B27 was positive in five (5.8%). In conclusion, the articular manifestations in the present study were predominantly oligoarticular and asymmetric, with a low frequency of ophthalmologic involvement and positive HLA-B27. FAU - Lanna, Cristina Costa Duarte AU - Lanna CC AD - Unit of Rheumatology, Department of Locomotor System, Federal University of Minas Gerais, Belo Horizonte, Brazil. lanna@medicina.ufmg.br FAU - Ferrari, Maria de Lourdes Abreu AU - Ferrari Mde L FAU - Rocha, Sidney Lemos AU - Rocha SL FAU - Nascimento, Evaldo AU - Nascimento E FAU - de Carvalho, Marco Antonio Parreiras AU - de Carvalho MA FAU - da Cunha, Aloisio Sales AU - da Cunha AS LA - eng PT - Journal Article DEP - 20071221 PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 RN - 0 (HLA-B27 Antigen) SB - IM MH - Adult MH - Ankle Joint/diagnostic imaging/physiopathology MH - Brazil MH - Colitis, Ulcerative/*complications/diagnosis/immunology MH - Crohn Disease/*complications/diagnosis/immunology MH - Cross-Sectional Studies MH - Eye Diseases/diagnosis/*etiology/immunology MH - Female MH - HLA-B27 Antigen/blood MH - Hip Joint/diagnostic imaging/physiopathology MH - Humans MH - Knee Joint/diagnostic imaging/physiopathology MH - Male MH - Middle Aged MH - Prevalence MH - Radiography MH - Sacroiliac Joint/diagnostic imaging MH - Spondylarthropathies/diagnosis/*etiology/immunology EDAT- 2007/12/22 09:00 MHDA- 2008/06/18 09:00 CRDT- 2007/12/22 09:00 PHST- 2007/09/03 00:00 [received] PHST- 2007/11/09 00:00 [accepted] PHST- 2007/11/07 00:00 [revised] PHST- 2007/12/22 09:00 [pubmed] PHST- 2008/06/18 09:00 [medline] PHST- 2007/12/22 09:00 [entrez] AID - 10.1007/s10067-007-0797-5 [doi] PST - ppublish SO - Clin Rheumatol. 2008 Apr;27(4):503-9. doi: 10.1007/s10067-007-0797-5. Epub 2007 Dec 21.