Crohn’s Disease Presenting with Acute Monoarthritis: A Case Report

Yıl 2025, Cilt: 47 Sayı: 6, 1064 - 1067, 26.09.2025

Fikri Şirin , Betul Guzelyuz

https://doi.org/10.20515/otd.1629979

Öz

Inflammatory bowel disease (IBD) is a systemic disease and is accompanied by extraintestinal findings in up to 50% of cases. Extraintestinal findings occur before the diagnosis of IBD in only 6% of cases. Findings aren’t always related to the degree of inflammation in the intestine and can be seen without intestinal symptoms. Musculoskeletal pathologies are seen in 6-46%; arthritis is more common in Crohn's patients with colonic involvement than ulcerative colitis; it can be classified as type 1 arthropathy, which is usually acute, asymmetric, and frequently involves a single large joint such as the knee joint, and type 2 arthropathy, which is symmetric and involves multiple small joints such as the metacarpophalangeal joints. Type 1 arthropathy develops in most cases of IBD accompanied by arthritis, and the rate is only about 5%. Joint findings are mostly related to IBD activity, usually self-limiting for up to 10 weeks, and may rarely occur before intestinal symptoms. In this case report, a 23-year-old male patient with acute monoarthritis as the first symptom and diagnosed with Crohn's disease is presented, emphasizing that it should be kept in mind that conditions such as peripheral arthritis of unknown cause may be an extraintestinal symptom of IBD.

Anahtar Kelimeler

Inflammatory bowel disease , Extraintestinal symptom , Peripheral arthritis , Monoarthritis , Ileitis.

Akut Monoartrit İle Prezente Crohn Hastaliği: Bir Olgu Sunumu

Öz

İnflamatuar barsak hastalığı (IBH) sistemik bir hastalık olup, %50’ye varan oranlarda ekstraintestinal bulgular da eşlik eder. Ancak, olguların yalnızca %6 kadarında ekstraintestinal bulgular IBH tanısından önce otaya çıkar. Bulgular her zaman barsaktaki inflamasyon derecesiyle ilişkili değildir ve intestinal semptom olmadan da görülebilir. Kas-iskelet sistemi patolojileri %6-46 oranında görülür; artrit, ülseratif kolite göre kolonik tutulumlu crohn hastalarında daha sık olup; genellikle akut, asimetrik, 5’ten az eklemi etkileyen, sıklıkla diz eklemi gibi ek bir büyük eklemi içeren tip 1 artropati ve simetrik, metakarpofalangeal eklemler gibi 5 veya daha fazla küçük eklemi içeren tip 2 artropati olarak sınıflandırılabilir. Artrit eşlik eden IBH olgularının çoğunda tip 1 artropati gelişir ve oran yalnızca %5 kadardır. Bulgular çoğunlukla IBH aktivitesiyle ilişkilidir, genellikle 10 haftadan kısa sürede kendi kendini sınırlar ve nadiren intestinal semptomlar başlamadan önce ortaya çıkabilir. Bu olgu-raporun ile, ilk bulgusu akut monoartrit olan ve crohn tanısı konan, 23 yaşında bir erkek hasta sunularak, sebebi ortaya konamayan periferik artrit gibi durumların, inflamatuar barsak hastalıklarının bir ekstraintestinal semptomu olabileceği ayırıcı tanılarda akılda tutulması gerektiği vurgulanmıştır.

Anahtar Kelimeler

İnflamatuar barsak hastalığı , Ekstraintestinal semptom , Periferik artrit , Monoartrit , İleit.

Kaynakça

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