염증성 장질환의 근골격계 증상
Musculoskeletal Manifestation in Inflammatory Bowel Disease
김윤성, 이준,
소속 상세정보
김윤성 ( Kim Yun-Sung )
조선대학교 의과대학 류마티스내과학교실
이준 ( Lee Jun )
조선대학교 의과대학 소화기내과학교실
Abstract
Almost 50% of patients with inflammatory bowel disease (IBD) exhibit at least one extra-intestinal manifestation in their lifetime. Extra-intestinal manifestations of IBD are often associated with the intestinal disease activity, reducing the quality of life of the patient but rarely leading to fatal complications. Musculoskeletal involvement is the most frequent extra-intestinal manifestation of patients with IBD but this rarely occurs before IBD is diagnosed. They are manifested in various forms, such as arthropathy, fibromyalgia, and osteoporosis. Therefore, a multidisciplinary team approach including gastroenterologists and rheumatologists are necessary for optimal treatment. This review focuses on the diagnosis and treatment of musculoskeletal manifestations of IBD from the perspectives of rheumatologists who can assist gastroenterologists.
키워드
Inflammatory bowel diseases; Musculoskeletal diseases; Joint diseases
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