title: Is it bowel-associated dermatosis-arthritis syndrome induced by small intestinal bacteria overgrowth?
abstract: BACKGROUND
  Bowel-associated dermatosis-arthritis syndrome is rare systemic diseases characterized by a prodrome of fever, chills, and influenza-like symptoms with subsequent skin eruptions, myalgias, and polyarthralgias. It is reported to be occurred in Intestinal bypass surgery and inflammatory bowel disease.
  
  
  METHODS
  Herein, we described a 29-years-old man with Bowel-associated dermatosis-arthritis syndrome. He had no history of gastrointestinal surgery and inflammatory bowel disease. Distribution of the gut bacterial flora showed small intestinal bacterial overgrowth.
  
  
  RESULTS
  It is rarely form as Non-intestinal bypass road and non-inflammatory bowel disease was induced by small intestinal bacteria overgrowth.
  
  
  CONCLUSIONS
  We concluded that Immuno-inflammatory response to overgrowth of intestinal bacterial antigen induce the clinical symptoms of bowel-associated dermatosis-arthritis syndrome.
authors.affiliation: Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan Province 410008 People's Republic of China.
authors.forename: Hongjun
authors.initials: H
authors.lastname: Zhao
authors.affiliation: Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan Province 410008 People's Republic of China.
authors.forename: Lijuan
authors.initials: L
authors.lastname: Zhao
authors.affiliation: Departments of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan Province 410008 People's Republic of China.
authors.forename: Wei
authors.initials: W
authors.lastname: Shi
authors.affiliation: Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan Province 410008 People's Republic of China.
authors.forename: Hui
authors.initials: H
authors.lastname: Luo
authors.affiliation: Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan Province 410008 People's Republic of China.
authors.forename: Liping
authors.initials: L
authors.lastname: Duan
authors.affiliation: Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan Province 410008 People's Republic of China.
authors.forename: Yunhui
authors.initials: Y
authors.lastname: You
authors.affiliation: Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan Province 410008 People's Republic of China.
authors.forename: Yisha
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Rheumatology and Immunology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan Province 410008 People's Republic of China.
authors.forename: Xiaoxia
authors.initials: X
authors.lastname: Zuo
keywords: Arthritis; Dermatosis; Inflammatory bowel disease