Summary
- Crohn’s Disease and Ulcerative Colitis.
- Type I peripheral arthritis usually associated with 5 or less weightbearing joints.
- Calcaneal enthesopathy at plantar fascia and achilles insertions.
Diagnostic tips
- Arthritis, Spondylitis, Sacroiliitis, Enthesopathy, Osteoporosis, Hypertrophic Ostoarthropathy
- Anaemia is common due to chronic disease and gastrointestinal blood loss.
Tests and Imaging
- Elevated ESR and C-reactive protein.
- Xray
- HLA-B27 positive
Immediate Treatment
- Anti-inflammatories – with care due to possible worsening bowel inflammation.
- Immunosuppressants
Possible Referral
- Podiatry for management of foot pain, splinting/orthotics, footwear advice and strengthening exercises.
