Danese Silvio, Semeraro Stefano, Papa Alfredo, Roberto Italia, Scaldaferri Franco, Fedeli Giuseppe, Gasbarrini Giovanni, Gasbarrini Antonio
Department of Internal Medicine, Catholic University School of Medicine, L.go Vito 1, Rome 00168, Italy.
World J Gastroenterol. 2005 Dec 14;11(46):7227-36. doi: 10.3748/wjg.v11.i46.7227.
Inflammatory bowel diseases (IBD) can be really considered to be systemic diseases since they are often associated with extraintestinal manifestations, complications, and other autoimmune disorders. Indeed, physicians who care for patients with ulcerative colitis and Crohn's disease, the two major forms of IBD, face a new clinical challenge every day, worsened by the very frequent rate of extraintestinal complications. The goal of this review is to provide an overview and an update on the extraintestinal complications occurring in IBD. Indeed, this paper highlights how virtually almost every organ system can be involved, principally eyes, skin, joints, kidneys, liver and biliary tracts, and vasculature (or vascular system) are the most common sites of systemic IBD and their involvement is dependent on different mechanisms.
炎症性肠病(IBD)确实可被视为全身性疾病,因为它们常与肠外表现、并发症及其他自身免疫性疾病相关。实际上,照料溃疡性结肠炎和克罗恩病(IBD的两种主要形式)患者的医生每天都面临新的临床挑战,肠外并发症的高发率使情况更加恶化。本综述的目的是概述并更新IBD中出现的肠外并发症。事实上,本文强调了几乎每个器官系统都可能受累,主要是眼睛、皮肤、关节、肾脏、肝脏和胆道,而脉管系统(或血管系统)是全身性IBD最常见的受累部位,其受累取决于不同机制。