Enteropathic arthritis is also known as reactive arthritis or Enteropathic anthropathy or arthritis which is associated with inflammatory bowel disease or IBD. It is a term to collectively refer to various types of inflammatory arthritis. But specifically, it refers to inflammation or inflammatory arthritis that affects the spine or joints. It can be associated with other diseases like Celiac disease or Whipple’s disease.
People with Crohn’s disease or inflammatory bowel disease are at a greater risk of developing Enteropathic arthritis. Sometimes the symptoms of Enteropathic arthritis are also associated with gastrointestinal symptoms (GI) and that makes this condition to be diagnosed as Undifferentiated Spondyloarthritis. The types of Enteropathic arthritis are given below.
Types Of Enteropathic Arthritis
This is a condition which exists with GI or gastrointestinal symptoms and can be active even with control of the bowel disease. The symptoms of Axial arthritis are the worst in the morning and the pain starts from the back of the legs and moves towards the lower back.
If you sit or stand for a long time, you tend to increase the symptoms. Movement can help in the decrease in the symptoms and this arthritis tends to be chronic in nature.
Another one of the types of Enteropathic arthritis is Enthesopathy. This type of arthritis causes severe pain in the heel, which is local in nature. The Achilles tendon is affected in the spot where insertion causes severe pain. The patellar tendon is affected in Enthesopathy and pain is caused either on the patella or the tibial tuberosity. This type of Enteropathic arthritis can also cause other tendons and other fascial areas to swell and they can result in pain in the sole of the foot or buttock pain.
This type of Enteropathic arthritis is commonly associated with GI or gastrointestinal symptoms and patients who suffer from Crohn’s disease are more susceptible to this arthritis rather than the people who suffer from ulcerative colitis.
The lower limbs are more affected by peripheral arthritis. Since this form of Enteropathic arthritis is migratory in nature, it can affect more than one joint. It is an asymmetric arthritis which is usually transient.
Whipple’s Disease Arthritis
Another form of Enteropathic arthritis, the Whipple’s disease arthritis is commonly seen and found in middle-aged men. All the typical GI or gastrointestinal symptoms exist in Whipple’s disease arthritis like in other manifestations of Enteropathic arthritis. Apart from the gastrointestinal symptoms which precede this arthritis, migratory polyarthritis can also be already present months and years before this type of arthritis can be and is diagnosed.
Coeliac Disease Arthritis
Though not very common, the coeliac disease arthritis is one of the types of Enteropathic arthritis, it is a rare condition. It manifests itself as asymmetrical arthritis which affects the lumbar spine, knees, hips, shoulders and other joints. The joint pains generally precede the typical symptoms of coeliac arthritis.
This type of Enteropathic arthritis can be resolved and patients can get relief by following a gluten-free diet and that will help the gut symptoms to be eased.
Apart from the above mentioned types, Enteropathic arthritis can manifest itself in many types and forms. And the trick to ease this arthritis is to follow a diet and exercise.