Table 1.
No. | Age Sex | DP (yr) | Involved joints | Medication before the onset of IBD* | BASDAI/ESR/CRP† at the onset of IBD | IBD clinical/laboratory manifestation | IBD medications | Clinical course | Final outcome |
---|---|---|---|---|---|---|---|---|---|
1 | 28 M | 10 | SI, spine, hip, shoulder, knee | MTX, NSAIDs, SAZ | 8.3/55/31.5 | Bloody diarrhea/anemia | Corticosteroids/mSAZ with relapse | Recurrent IBD | Death at 38 y/o due to infection |
2 | 46 M | 20 | SI, spine, hip | NSAIDs, SAZ | 7.5/50/26.9 | Bloody diarrhea, fever/ anemia | Corticosteroids/mSAZ with relapse | Recurrent IBD | Death at 50 y/o due to infection |
3 | 35 M | 15 | SI, spine, hip | NSAIDs, SAZ | 8.8/80/60.2 | Bloody diarrhea, fever/ anemia | Corticosteroids/mSAZ with relapse, ADA 40 mg every 2 to 4 week | No relapse for 6.7 years after the ADA usage | Alive with lowarthritis activity (BASDAI 2~3) |
4 | 45 F | 25 | SI, spine, hip, shoulder | MTX, NSAIDs, SAZ | 8.1/35/18.8 | Bloody diarrhea/anemia | Corticosteroids/SAZ with relapse, ADA 40 mg every 2 to 4 week | No relapse for 5.2 years after the ADA usage | Alive with low arthritis activity (BASDAI 2~3) |
ADA: adalimumab, DP: disease period, F: female, IBD: inflammatory bowel disease, M: male, mSAZ: messalazopyrin,
MTX: methotrexate, No.: number, NSAIDs: nonsteroidal anti-inflammatory drugs, SAZ: salazopyrin, SI: sacroiliac,
UC: ulcerative colitis, yr: year
*MTX 10 to 15 mg per week, SAZ 2 to 3 g/ day, NSAIDs replaced with celecoxib after the development of IBD
†ESR normal value ≤ 15 mm/hr, CRP normal value ≤ 8 mg/L
#High dosages of corticosteroids (1~2 mg/kg/day prednisolone equivalent doses) during active colitis, mSAZ 2 to 3 g/day.