合并炎症性脊柱关节炎和炎症性肠病的诊断与管理实用小贴士
Practical Tips for Diagnosis and Management of Concomitant Inflammatory Spondyloarthritis and Inflammatory Bowel Disease.
作者信息
Falloon Katherine, Forney Michael, Cheemalavagu Shashank, Husni M Elaine, Rieder Florian
机构信息
Department of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Ave / A30, Cleveland, OH, 44195, USA.
Department of Musculoskeletal Radiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
出版信息
Curr Gastroenterol Rep. 2025 Jul 14;27(1):52. doi: 10.1007/s11894-025-00990-8.
PURPOSE OF REVIEW
The goal of this review is to provide practical guidance for gastroenterologists regarding diagnosis and management of inflammatory bowel disease associated spondyloarthritis.
RECENT FINDINGS
While there is limited data regarding optimal management approaches, we summarize available screening tools along with classification and consensus criteria that can be deployed in this setting and offer guidance regarding patient symptoms, physical exam findings, laboratory data, and imaging strategies that may facilitate diagnosis. In addition, we outline various therapeutic options available while highlighting deficits in the currently available literature. Inflammatory bowel disease associated spondyloarthritis is common but remains poorly understood. Ongoing research to establish a clear diagnostic pathway and reproducible treatment targets is essential to better identify and treat this patient population.
综述目的
本综述的目的是为胃肠病学家提供有关炎症性肠病相关性脊柱关节炎诊断和管理的实用指导。
最新发现
虽然关于最佳管理方法的数据有限，但我们总结了可用的筛查工具以及可在此情况下应用的分类和共识标准，并就可能有助于诊断的患者症状、体格检查结果、实验室数据和影像学策略提供指导。此外，我们概述了各种可用的治疗选择，同时强调了现有文献中的不足。炎症性肠病相关性脊柱关节炎很常见，但仍了解不足。开展研究以建立明确的诊断途径和可重复的治疗靶点对于更好地识别和治疗这一患者群体至关重要。
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