title: Inflammatory Bowel Disease: Joint Management in Gastroenterology and Dermatology.
abstract: Inflammatory bowel disease (IBD) is a complex entity that includes Crohn disease and ulcerative colitis. It is characterized by a chronic proinflammatory state of varying intensity that often leads to considerable morbidity. In the last decade, several therapeutic targets have been identified that are susceptible to the use of biological agents, including anti-tumor necrosis factor alpha antibodies, which are associated with paradoxical psoriasiform reactions in 5% of patients. Decision-making in the management of these cases requires close collaboration between the dermatologist and gastroenterologist. Inflammatory bowel disease is also associated with various other dermatologic and rheumatologic manifestations, and presents a genetic and pathogenic association with psoriasis that justifies both the interdisciplinary approach to these patients and the present review.
authors: Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España. Electronic address: msanchezmart@santpau.cat.
authors: M A
authors: MA
authors: Sánchez-Martínez
authors: Servicio de Patología Digestiva, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors: E
authors: E
authors: Garcia-Planella
authors: Unidad de Reumatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors: A
authors: A
authors: Laiz
authors: Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors: L
authors: L
authors: Puig
mesh_terms: D003880:Dermatology; D005762:Gastroenterology; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications / Q000628:therapy*; D010348:Patient Care Team; D012871:Skin Diseases / Q000209:etiology / Q000628:therapy
keywords: Anti-tumor necrosis factor; Antifactor de necrosis tumoral; Enfermedad inflamatoria intestinal; Inflammatory bowel disease; Paradoxical reaction; Reacción paradójica