EUH Morning Report: What are extraintestinal manifestations of inflammatory bowel disease (IBD)?

The Bottom Line:

“Extraintestinal manifestations (EIMs) are commonly reported in IBD patients. It has been reported that 6.2% to 46.6% of IBD patients exhibit one or more EIMs either before or after the diagnosis of IBD.” (Ferri, 2021).

Extraintestinal manifestions of ulcerative colitis (UC) and Crohn disease (CD) include:

• Joint manifestations: Axial arthritis (ankylosing spondylitis [AS] and sacroiliitis [SI]) and peripheral arthropathy
• Skin manifestations: Pyoderma gangrenosum, erythema nodosum, sweet syndrome, and psoriasis
• Hepatobiliary manifestation: Primary sclerosing cholangitis (PSC)
• Ocular manifestations: Uveitis, episcleritis, scleritis, and iritis
• Vascular manifestation: Thromboembolism

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From: Clincial Overview: Inflammatory Bowel Disease, Extraintestinal Manifestations.
Ferri FF (ClinicalKey). Created June 23, 2021.

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MR: There are several reported extra-intestinal manifestations of IBD, but did you know that there can be pulmonary complications of IBD as well? Our own clinician-educator @Annie_Massart_ provides a wonderful overview.https://t.co/j6NWaXWh0S pic.twitter.com/Bnr5NkuY0a

— Emory IM Chiefs (@emoryimchiefs) August 17, 2021

DynaMed [Internet]. Crohn Disease in Adults – Complications; [updated 2021 May 26, cited 2021 Aug 18]. Registration and login required.

Rogler G, et al. Extraintestinal Manifestations of Inflammatory Bowel Disease: Current Concepts, Treatment, and Implications for Disease Management. Gastroenterology. 2021 Aug 3:S0016-5085(21)03337-0. Full-text for Emory users.