Frequency of extraintestinal manifestations in patients with inflammatory bowel disease in Northwest Greece and review of the literature

Dig Liver Dis. 2002 Nov;34(11):781-6. doi: 10.1016/s1590-8658(02)80071-8.

Abstract

Background: Inflammatory bowel disease mainly affects the bowel but also has extraintestinal manifestations.

Aims: To report the frequency of extraintestinal manifestations in patients with inflammatory bowel disease in Northwest Greece. PATIENTS; The data files of 256 inflammatory bowel disease patients (diagnosis between 1983-19971 were analysed.

Methods: Retrospective investigation of patient files.

Results: In patients with ulcerative colitis: 13.9% (30/215) had developed skin manifestations, 6% (13/215) had kidney stones, 1.39% (3/215) had iridocyclitis, 1.86% (4/215) had primary sclerosing cholangitis, 4.18% (9/215) had sacroiliitis, 8.31% (18/215) had peripheral arthalgias, 2.3% (5/215) had colitic arthritis and finally 1.39% (3/215) had deep vein thrombosis). In patients with Crohn's disease: 24.3% (9/37) had developed skin manifestations, 5.4% (2/37) had kidney stones, 2.7% (1/37) had iridocyclitis, 16.2% (6/37) had sacroiliitis, 8.1% (3/37) had peripheral arthralgias, 5.4% (2/37) had colitic arthritis and, finally, 8.1% (3/37) had deep vein thrombosis. Sacroiliitis (p = 0.01), deep vein thrombosis (p = 0.04) and erythmema nodosum (p = 0.01) were more common in patients with Crohn's disease.

Conclusions: Extraintestinal manifestations are not rare in patients with inflammatory bowel disease, especially in Crohn's disease patients, in our area, but have, generally, a mild profile.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adult
  • Colitis, Ulcerative / epidemiology*
  • Colitis, Ulcerative / physiopathology
  • Comorbidity
  • Crohn Disease / epidemiology*
  • Crohn Disease / physiopathology
  • Female
  • Greece / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Retrospective Studies