Article
Approach to the Patient with Axial Spondyloarthritis and Suspected Inflammatory Bowel Disease
Fecha
2020Registro en:
Rheumatic Disease Clinics of North America, 2020
Autor
Ibáñez, Sebastián
Poblete, María Paz
Parra, Elisa
Institución
Resumen
-The evaluation of gastrointestinal symptoms in patients with axial spondyloarthritis requires careful evaluation, taking into account the increased risk of inflammatory bowel disease but not forgetting other causes, such as infections.
- Endoscopic studies remain fundamental in the diagnostic process.
The available fecal and serologic markers do not allow, by themselves, a good distinction
between the possible causes of intestinal inflammation.
- The treatment should be evaluated considering both the articular and intestinal manifestations and without forgetting the interactions and adverse effects of the different immunosuppressants available.