Arthritis in IBD — a joint decision in management

Dr Ciaran Judge and Prof Glen Doherty write on the importance of ‘joint’ cooperation between specialties in the management of arthritis in inflammatory bowel disease There has been much attention focused on extra-intestinal manifestations of inflammatory bowel disease recently, no less since the release of the first European Crohn’s and Colitis Organisation (ECCO) consensus guidelines in late 2015(1). These conditions can often be missed, but may be managed effectively with some ‘joint’ cooperation. Extra-intestinal manifestations (EIM) are present in up to 50 per cent of patients with inflammatory bowel disease (IBD). The presence of one EIM increases the risk of…