Ramer S, Bluestone R
Postgrad Med. 1977 Jan;61(1):141-7. doi: 10.1080/00325481.1977.11714514.
"Colitic arthropathy" is commonly used to describe the arthritis associated with ulcerative colitis or regional enteritis. The term also describes the acute sterile arthritis which infrequently follows infection of the intestinal tract with Salmonella, Shigella, or Yersinia. Sterile arthritis is the most common extraintestinal manifestation of Whipple's disease, in which an unidentified bacteria is present in greatest concentration in the small bowel. Although arthritis and intestinal symptoms are common in Behcet's syndrome, the arthritis is not usually thought of as a colitic arthropathy because of the prominence of other signs, such as oral and genital ulceration and eye involvement. Joint and intestinal manifestations may, however, appear first or overshadow for a time involvement of other systems. Arthritis and arthralgia also occur frequently after jejunocolic and jejunoileal bypass.
“结肠炎性关节病”通常用于描述与溃疡性结肠炎或局限性肠炎相关的关节炎。该术语也用于描述急性无菌性关节炎,这种关节炎很少在肠道受到沙门氏菌、志贺氏菌或耶尔森氏菌感染后出现。无菌性关节炎是惠普尔病最常见的肠外表现,在惠普尔病中,一种未明确的细菌在小肠中浓度最高。尽管关节炎和肠道症状在白塞病中很常见,但由于其他症状(如口腔和生殖器溃疡以及眼部受累)较为突出,通常不认为其关节炎属于结肠炎性关节病。然而,关节和肠道表现可能首先出现,或者在一段时间内掩盖其他系统的受累情况。空肠结肠吻合术和空肠回肠旁路术后也经常出现关节炎和关节痛。