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Exploring the Differential Diagnosis of Joint Complaints in Pediatric Patients with Inflammatory Bowel Disease

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Abstract

About one quarter of children with inflammatory bowel disease (IBD) experience an extraintestinal manifestation, with the most common being arthritis or arthralgia. Because of the frequency of these joint complaints and their effect on quality of life, it is important to consider all possible etiologies in order to promptly evaluate, diagnose, and possibly refer to other specialists. Pediatric gastroenterologist and IBD specialists are cognizant of the extraintestinal joint manifestations, but may be less familiar with rheumatic disease and the musculoskeletal examination. We explore the differential diagnosis of joint complaints in children, with a focus on IBD-related disease and rheumatic disease.

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Disclosure

Conflicts of interest: J. Dotson—none; W. Crandall—none; and S. Bout-Tabaku—none.

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Authors and Affiliations

  1. Division of Pediatric Gastroenterology, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH, 43205, USA

    Jennifer Dotson & Wallace Crandall

  2. Division of Rheumatology, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH, 43205, USA

    Sharon Bout-Tabaku

Authors
  1. Jennifer Dotson
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  2. Wallace Crandall
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  3. Sharon Bout-Tabaku
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Correspondence to Jennifer Dotson.

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Dotson, J., Crandall, W. & Bout-Tabaku, S. Exploring the Differential Diagnosis of Joint Complaints in Pediatric Patients with Inflammatory Bowel Disease. Curr Gastroenterol Rep 13, 271–278 (2011). https://doi.org/10.1007/s11894-011-0181-0

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