Rheumatology Advance Access originally published online on June 11, 2008
Rheumatology 2008 47(8):1251-1252; doi:10.1093/rheumatology/ken217
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© The Author 2008. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
LETTERS TO THE EDITOR |
Arthropathy in paediatric inflammatory bowel disease: a cross-sectional observational study
1Department of Rheumatology and 2Department of Gastroenterology, Royal Liverpool Children's Hospital, Liverpool, UK.
Correspondence to: F. McErlane, Department of Rheumatology, Royal Liverpool Children's Hospital, 33 South Drive, Heswall, Wirral Heswall CH60 0BG, Liverpool, UK. E-mail: flora@littler3.freeserve.co.uk; flora@peterlittler.co.uk
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SIR, The prevalence and pattern of musculoskeletal symptoms in children with IBD is poorly described in the literature.
Adults with all types of IBD, particularly those with colonic involvement, are known to be at an increased risk of arthritis. A recent population study (the IBSEN study) identified SpA in 22% of patients with IBD [1]. The evidence for joint involvement in children with IBD is less robust. A large series of 522 children with Crohn's; disease (CD) published in 1979 reported arthritis in 8% overall [2]. A paper published in 1974 described an inflammatory, predominantly