Rheumatologic associations of microscopic colitis: A narrative review.
| Title: | Rheumatologic associations of microscopic colitis: A narrative review. |
|---|---|
| Authors: | Christopher Le, Zeffren, Noam, Kramer, Neil, Rosenstein, Elliot D. |
| Source: | Modern Rheumatology; May2023, Vol. 33 Issue 3, p441-447, 7p |
| Subject Terms: | COLITIS, INFLAMMATORY bowel diseases, CROHN'S disease, ULCERATIVE colitis, RHEUMATISM, AUTOIMMUNE diseases |
| Abstract: | Extraintestinal manifestations (EIMs) are frequent complications of the classical inflammatory bowel diseases, Crohn’s disease and ulcerative colitis. However, in addition to the classical diseases, there is a spectrum of conditions, often termed ‘microscopic colitis’ (MC), in which EIMs are less well described. Our objective was to review the literature regarding the EIMs complicating MC and describe their association with systemic autoimmune rheumatic diseases. A comprehensive search and review of peer-reviewed English-language and international journals and reports was completed based on key terms, including ‘microscopic colitis’, ‘lymphocytic colitis’, ‘collagenous colitis’, ‘inflammatory bowel disease’, and ‘extraintestinal manifestations’, and the specific disease associations utilizing the PubMed Central database and MEDLINE. A broad spectrum of rheumatologic manifestations has been reported in patients with MC. The identification of rheumatoid arthritis and limited scleroderma as comorbidities with MC was noteworthy. Inflammatory arthropathy was frequently seen in MC, usually preceding or occurring in conjunction with the onset of gastrointestinal symptoms. A variety of presentations of associated arthritis were reported: migratory, symmetric or asymmetric, peripheral or axial, oligoarticular or polyarticular, and erosive or non-erosive. There was a high incidence of autoantibodies in these patients, supporting a potential autoimmune association. On the basis of these anecdotal reports, we would suggest the development of a clinical registry to help define the incidence of EIMs and systemic autoimmune rheumatic diseases among MC patients to help elucidate shared predispositions, pathogenic mechanisms, and therapeutic opportunities. [ABSTRACT FROM AUTHOR] |
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| Database: | Complementary Index |
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| Items | – Name: Title Label: Title Group: Ti Data: Rheumatologic associations of microscopic colitis: A narrative review. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Christopher+Le%22">Christopher Le</searchLink><br /><searchLink fieldCode="AR" term="%22Zeffren%2C+Noam%22">Zeffren, Noam</searchLink><br /><searchLink fieldCode="AR" term="%22Kramer%2C+Neil%22">Kramer, Neil</searchLink><br /><searchLink fieldCode="AR" term="%22Rosenstein%2C+Elliot+D%2E%22">Rosenstein, Elliot D.</searchLink> – Name: TitleSource Label: Source Group: Src Data: Modern Rheumatology; May2023, Vol. 33 Issue 3, p441-447, 7p – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22COLITIS%22">COLITIS</searchLink><br /><searchLink fieldCode="DE" term="%22INFLAMMATORY+bowel+diseases%22">INFLAMMATORY bowel diseases</searchLink><br /><searchLink fieldCode="DE" term="%22CROHN'S+disease%22">CROHN'S disease</searchLink><br /><searchLink fieldCode="DE" term="%22ULCERATIVE+colitis%22">ULCERATIVE colitis</searchLink><br /><searchLink fieldCode="DE" term="%22RHEUMATISM%22">RHEUMATISM</searchLink><br /><searchLink fieldCode="DE" term="%22AUTOIMMUNE+diseases%22">AUTOIMMUNE diseases</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Extraintestinal manifestations (EIMs) are frequent complications of the classical inflammatory bowel diseases, Crohn’s disease and ulcerative colitis. However, in addition to the classical diseases, there is a spectrum of conditions, often termed ‘microscopic colitis’ (MC), in which EIMs are less well described. Our objective was to review the literature regarding the EIMs complicating MC and describe their association with systemic autoimmune rheumatic diseases. A comprehensive search and review of peer-reviewed English-language and international journals and reports was completed based on key terms, including ‘microscopic colitis’, ‘lymphocytic colitis’, ‘collagenous colitis’, ‘inflammatory bowel disease’, and ‘extraintestinal manifestations’, and the specific disease associations utilizing the PubMed Central database and MEDLINE. A broad spectrum of rheumatologic manifestations has been reported in patients with MC. The identification of rheumatoid arthritis and limited scleroderma as comorbidities with MC was noteworthy. Inflammatory arthropathy was frequently seen in MC, usually preceding or occurring in conjunction with the onset of gastrointestinal symptoms. A variety of presentations of associated arthritis were reported: migratory, symmetric or asymmetric, peripheral or axial, oligoarticular or polyarticular, and erosive or non-erosive. There was a high incidence of autoantibodies in these patients, supporting a potential autoimmune association. On the basis of these anecdotal reports, we would suggest the development of a clinical registry to help define the incidence of EIMs and systemic autoimmune rheumatic diseases among MC patients to help elucidate shared predispositions, pathogenic mechanisms, and therapeutic opportunities. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Group: Ab Data: <i>Copyright of Modern Rheumatology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1093/mr/roac080 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 441 Subjects: – SubjectFull: COLITIS Type: general – SubjectFull: INFLAMMATORY bowel diseases Type: general – SubjectFull: CROHN'S disease Type: general – SubjectFull: ULCERATIVE colitis Type: general – SubjectFull: RHEUMATISM Type: general – SubjectFull: AUTOIMMUNE diseases Type: general Titles: – TitleFull: Rheumatologic associations of microscopic colitis: A narrative review. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Christopher Le – PersonEntity: Name: NameFull: Zeffren, Noam – PersonEntity: Name: NameFull: Kramer, Neil – PersonEntity: Name: NameFull: Rosenstein, Elliot D. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 14397595 Numbering: – Type: volume Value: 33 – Type: issue Value: 3 Titles: – TitleFull: Modern Rheumatology Type: main |
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