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  • Title: [Changes in the locomotor system in inflammatory intestinal diseases. III. Clinical aspects of seronegative spondyloarthritis].
    Author: Zitová V, Streda A.
    Journal: Sb Lek; 1989 Mar; 91(2-3):67-72. PubMed ID: 2749166.
    Abstract:
    This investigation is a follow up study of our previous study (Sborn. lék., 90, 1988, 140-146). In the same group of 119 patients with inflammatory intestinal diseases (Crohn's disease - 37, ulcerative colitis - 50, celiac sprue - 32) we followed further affection of locomotor system, peripheral arthritides. Inflammatory manifestations in peripheral articulations were manifest in 11 (9.2%) patients. Among common features of enteropathic arthritides belong: asymmetrical mono-oligoarthritis, in 67% of cases in lower extremities, without X-ray structural manifestations - erosive changes in the whole course, without functional deficit, inflammatory nature of the exudate, absence of rheumatoid nodes, RF negativity, episodic course. On the contrary in 3 (27%) patients the course was chronic. Incidence, relapse, activation of arthritis depends in 18% on activity and in 17% on intestinal complications of the underlying disease. Surgical treatment of small and/or large intestines lead in 60% of cases to remission of peripheral arthritis. In 1 patient (with celiac sprue) synoviorthesis with radioactive coloid 90Y was performed.
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