[Prevalence of axial manifestations among patients with inflammatory bowel disease: a prospective study about 50 cases].
BACKGROUND
Rheumatologic manifestations occurring during inflammatory bowel disease are the most frequent extra intestinal features. They are dominated by spondyloarthropathies, sacro-iliite and peripheral arthritis.


OBJECTIVE
To identify in a group of inflammatory bowel disease, the frequency of axial manifestations, to describe the clinical and the radiological features and to identify the risk factors of their occurrence and/or worseness.


METHODS
We have established a transversal prospective study including 50 cases of inflammatory bowel disease seen in the department of the internal medicine in the interior forces security hospital during a period of 5 years between January 2001 and December 2006.


RESULTS
The prevalence of axial involvement in the case of inflammatory bowel disease was 26% especially spondyloarthropathies which were diagnosed in 11 cases according to the criteria of European Spondyloarthropathy study Group (ESSG), 8 of them fulfilled the modified criteria of New York for the diagnosis of spondyloarthropathy. Isolated sacro-iliitis was found in 4% of cases. By univariate study, only the age under 35 years with a relative risk of 5,8 and the colic involvement in Chron's disease was significativelly associated with the presence of spondyloarthropathy.


CONCLUSIONS
Systematic checking of spondyloarthropathies in the course of inflammatory bowel disease through a clinical exam and systematic radiological should be recommended especially if we are in front of a man aged more than 35-years-old with a Chron disease involving the colon. This screening offers an early management and avoid ankylosis.
Saadallaoui Ben Hamida
Kaouther
K
Service de Médecine Interne, Service de Radiologie, Hôpital des Forces de sécurité Intérieure, La Marsa, Tunisie.
Dougui
Mohamed Hedi
MH
Ksontini
Iméne
I
Ben Yaghéléne
Lamia
L
Bouhaouala
Mohamed Habib
MH
D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D012216:Rheumatic Diseases / Q000453:epidemiology* / Q000209:etiology*; D055815:Young Adult