Inflammatory bowel disease

http://link.springer.com/article/10.1007/s10067-015-3116-6
https://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-103157

Inflammatory bowel disease (IBD):
Two closely related but distinct idiopathic chronic relapsing and remitting diseases – Crohn’s disease (CD) and Ulcerative colitis (UC) – characterised by recurrent and protracted inflammation of intestines. Crohn’s disease can involve any part of the gastrointestinal tract whereas Ulcerative colitis involves only the colon and rectum.

More common in western countries than in Africa, Asia or South America; both CD and UC are slightly more common in females.

Aetiology – assumed to be an inappropriate severe or prolonged inflammatory response of mucosa in genetically prone

Differential diagnosis – irritable bowel disease; bowel obstruction; infection; pelvic disease; appendicitis; gastroenteritis

10% of those with IBD develop arthropathy.

Involvement of the foot in inflammatory bowel disease:
• Due to a seronegative spondyloarthropathy
Reactive arthritis
Heel pain
increased risk for PVD: http://journals.lww.com/md-journal/Fulltext/2015/12280/Inflammatory_Bowel_Disease_Increases_the_Risk_of.36.aspx

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