Systematic ileocolonoscopy and bowel biopsy study in spondylarthropathy.
In order to evaluate the frequency of ileitis in a population of patients with spondylarthropathy, an ileocolonoscopy with biopsies was performed in 88 consecutive patients with back pain and/or asymmetric oligoarthritis. Ileitis was more frequent in both the oligoarthritis group (7/36), especially in the non-Reiter's subgroup without known distant infection (5/17), and in the spondylitis group (12/28), when compared to the control group (1/24). This was statistically significant only in the latter group (chi squared 10.317, df1, p less than 0.005). These results do not confirm the very high frequency of ileitis in oligoarthritis reported by others. The clinical significance of this ileitis needs further research.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001168:Arthritis / Q000150:complications / Q000276:immunology / Q000473:pathology*; D001170:Arthritis, Infectious / Q000150:complications / Q000276:immunology / Q000473:pathology; D001706:Biopsy; D002432:Cecum / Q000473:pathology; D003113:Colonoscopy; D005260:Female; D006680:HLA Antigens / Q000032:analysis; D015796:HLA-B27 Antigen; D006801:Humans; D007079:Ileitis / Q000150:complications / Q000473:pathology; D007082:Ileum / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012446:Sacroiliac Joint; D013166:Spondylitis / Q000150:complications / Q000276:immunology / Q000473:pathology*
D006680:HLA Antigens; D015796:HLA-B27 Antigen