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Korean J Gastroenterol  <  Volume 73(5); 2019 <  Articles

Korean J Gastroenterol 2019; 73(5): 276-284  https://doi.org/10.4166/kjg.2019.73.5.276
Musculoskeletal Manifestation in Inflammatory Bowel Disease
Yun Sung Kim and Jun Lee1
Divisions of Rheumatology and Gastroenterology1, Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea
Correspondence to: Jun Lee, Division of Gastroenterology, Department of Internal Medicine, Chosun University College of Medicine, 365 Pilmun-daero, Dong-gu, Gwangju 61453, Korea. Tel: +82-62-220-3012, Fax: +82-62-224-5494, E-mail: leejun@chosun.ac.kr, ORCID: https://orcid.org/0000-0002-8060-9646
Received: April 3, 2019; Revised: May 7, 2019; Accepted: May 8, 2019; Published online: May 25, 2019.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Almost 50% of patients with inflammatory bowel disease (IBD) exhibit at least one extra-intestinal manifestation in their lifetime. Extra-intestinal manifestations of IBD are often associated with the intestinal disease activity, reducing the quality of life of the patient but rarely leading to fatal complications. Musculoskeletal involvement is the most frequent extra-intestinal manifestation of patients with IBD but this rarely occurs before IBD is diagnosed. They are manifested in various forms, such as arthropathy, fibromyalgia, and osteoporosis. Therefore, a multidisciplinary team approach including gastroenterologists and rheumatologists are necessary for optimal treatment. This review focuses on the diagnosis and treatment of musculoskeletal manifestations of IBD from the perspectives of rheumatologists who can assist gastroenterologists.
Keywords: Inflammatory bowel diseases; Musculoskeletal diseases; Joint diseases


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