Diagnosis of extraintestinal manifestations of inflammatory bowel disease: A review
- Authors: Tarasova L.V.1, Tsyganova Y.V.1, Nikolaev A.A.1
-
Affiliations:
- I.N. Ulyanov Chuvash State University
- Issue: Vol 12, No 5 (2026)
- Pages: 154-163
- Section: LECTURES
- Published: 29.08.2026
- URL: https://journals.eco-vector.com/2412-4036/article/view/717608
- DOI: https://doi.org/10.18565/therapy.2026.5.154-163
- ID: 717608
Cite item
Abstract
Current study is devoted to the analysis of clinical and laboratory approaches to diagnosing extraintestinal manifestations of inflammatory bowel disease (IBD). According to the review, IBD diagnosis is currently based primarily on clinical assessment, physical examination data, instrumental research methods, and the use of standardized classification criteria, while laboratory methods are auxiliary and primarily used for differential diagnostic purposes. Moreover, data of scientific literature demonstrates the systemic nature of IBD and points out to the potential for further exploration of non-invasive biomarkers reflecting the activity of extraintestinal manifestations and disease prognosis. Studying immune-inflammatory mechanisms underlying systemic lesions in case of IBD, as well as assessing the potential of extraintestinal manifestations as predictors of the underlying disease, may contribute to the improvement of diagnostic and therapeutic strategies in this patient population.
About the authors
Larisa V. Tarasova
I.N. Ulyanov Chuvash State University
Author for correspondence.
Email: tlarisagast18@mail.ru
ORCID iD: 0000-0003-1496-0689
SPIN-code: 4125-7935
MD, Dr. Sci. (Medicine), professor, head of the Department of hospital therapy
Russian Federation, CheboksaryYulia V. Tsyganova
I.N. Ulyanov Chuvash State University
Email: j.v.tsyganova@mail.ru
ORCID iD: 0000-0002-8339-9496
SPIN-code: 9373-7120
MD, PhD (Medicine), associate professor of the Department of hospital therapy
Russian Federation, CheboksaryAnton A. Nikolaev
I.N. Ulyanov Chuvash State University
Email: anton_nikolaev_2001@mail.ru
ORCID iD: 0000-0002-4534-999X
SPIN-code: 9895-2042
MD, assistant at the Department of hospital therapy
Russian Federation, CheboksaryReferences
- Gordon H, Burisch J, Ellul P, Karmiris K, Katsanos K, Allocca M et al. ECCO guidelines on extraintestinal manifestations in inflammatory bowel disease. J Crohns Colitis. 2024;18(1):1–37. PMID: 37351850. https://doi.org/10.1093/ecco-jcc/jjad108
- Kaz AM, Venu N. Diagnostic methods and biomarkers in inflammatory bowel disease. diagnostics. Diagnostics (Basel). 2025;15(11):1303. PMID: 40506875. PMCID: PMC12154505. https://doi.org/10.3390/diagnostics15111303
- Клинические рекомендации. Язвенный колит. Общероссийская общественная организация «Ассоциация колопроктологов России», Российская гастроэнтерологическая ассоциация. Рубрикатор клинических рекомендаций Минздрава России. 2025. ID: 193_2. Доступ: https://cr.minzdrav.gov.ru/preview-cr/193_2 (дата обращения – 15.05.2026). [Clinical guidelines. Ulcerative colitis. Association of Coloproctologists of Russia, Russian Gastroenterological Association. Rubricator of clinical guidelines of the Ministry of Healthcare of Russia. 2025. ID: 193_2. URL: https://cr.minzdrav.gov.ru/preview-cr/193_2 (date of access – 15.05.2026) (In Russ.)].
- Клинические рекомендации. Болезнь Крона. Общероссийская общественная организация «Ассоциация колопроктологов России», Российская гастроэнтерологическая ассоциация. Рубрикатор клинических рекомендаций Минздрава России. 2025. ID: 176_2. Доступ: https://cr.minzdrav.gov.ru/preview-cr/176_2 (дата обращения – 15.05.2026). [Clinical guidelines. Crohn’s Disease. Association of Coloproctologists of Russia, Russian Gastroenterological Association. Rubricator of clinical guidelines of the Ministry of Healthcare of Russia. 2025. ID: 176_2. URL: https://cr.minzdrav.gov.ru/preview-cr/176_2 (date of access – 15.05.2026) (In Russ.)].
- Vavricka SR, Brun L, Ballabeni P, Pittet V, Prinz Vavricka BM, Zeitz J et al. Frequency and risk factors for extraintestinal manifestations in the Swiss inflammatory bowel disease cohort. Am J Gastroenterol. 2011;106(1):110–19. PMID: 20808297. https://doi.org/10.1038/ajg.2010.343
- Karmiris K, Avgerinos A, Tavernaraki A, Zeglinas C, Karatzas P, Koukouratos T et al. Prevalence and characteristics of extra-intestinal manifestations in a large cohort of Greek patients with inflammatory bowel disease. J Crohns Colitis. 2016;10(4):429–36. PMID: 26721936. PMCID: PMC4946768. https://doi.org/10.1093/ecco-jcc/jjv232
- Faggiani I, Fanizza J, D’Amico F, Allocca M, Zilli A, Parigi TL et al. Extraintestinal manifestations in inflammatory bowel disease: From pathophysiology to treatment. Biomedicines. 2024;12(8):1839. PMID: 39200303. PMCID: PMC11351332. https://doi.org/10.3390/biomedicines12081839
- Ossum AM, Palm O, Cvancarova M, Solberg IC, Vatn M, Moum B, Hoivik ML; IBSEN study group. Peripheral arthritis in patients with long-term inflammatory bowel disease. Results from 20 years of follow-up in the IBSEN study. Scand J Gastroenterol. 2018;53(10–11):1250–56. PMID: 30353756. https://doi.org/10.1080/00365521.2018.1518482
- Orchard TR, Wordsworth BP, Jewell DP. Peripheral arthropathies in inflammatory bowel disease: Their articular distribution and natural history. Gut. 1998;42(3):387–91. PMID: 9577346. PMCID: PMC1727027. https://doi.org/10.1136/gut.42.3.387
- Arvikar SL, Fisher MC. Inflammatory bowel disease associated arthropathy. Curr Rev Musculoskelet Med. 2011;4(3):123–31. PMID: 21710141. PMCID: PMC3261248. https://doi.org/10.1007/s12178-011-9085-8
- Conigliaro P, Chimenti MS, Ascolani M, Triggianese P, Novelli L, Onali S et al. Impact of a multidisciplinary approach in enteropathic spondyloarthritis patients. Autoimmun Rev. 2016;15(2):184–90. PMID: 26554932. https://doi.org/10.1016/j.autrev.2015.11.002
- Tavassoli S, Shahabinasab I, Norouzi A, Amiriani T, Abdolahi N, Livani S et al. From bowel inflammation to the bone and joints: Musculoskeletal examination in inflammatory bowel disease (IBD). BMC Musculoskelet Disord. 2021;22(1):1019. PMID: 34863148. PMCID: PMC8645134. https://doi.org/10.1186/s12891-021-04903-4
- Rudwaleit M, van der Heijde D, Landewe R, Listing J, Akkoc N, Brandt J et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): Validation and final selection. Ann Rheum Dis. 2009;68(6):777–83. PMID: 19297344. https://doi.org/10.1136/ard.2009.108233. Erratum in: Ann Rheum Dis. 2019;78(6):e59. PMID: 19297344. https://doi.org/10.1136/ard.2009.108233corr1
- D’Inca R, Sturniolo G. Biomarkers in IBD: What to utilize for the diagnosis? Diagnostics (Basel). 2023;13(18):2931. PMID: 37761298. PMCID: PMC10527829. https://doi.org/10.3390/diagnostics13182931
- Sen R, Goyal A, Hurley JA. Seronegative spondyloarthropathy. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459356/
- Edara M, Bhatt V, Zanwar A, Koneru K, Patel AM, Jawade P. A study of clinical, radiological features and HLA-B27 serology of axial spondyloarthropathy with comparison of radiographic and non-radiographic disease. J Family Med Prim Care. 2022;11(8):4417–23. PMID: 36352982. PMCID: PMC9638547. https://doi.org/10.4103/jfmpc.jfmpc_62_22
- Seidman AJ, Limaiem F. Synovial fluid analysis. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537114.
- Reddy Mundla GK, Rallapalli R, Galla SS, Ravindran B. A prospective study for diagnosing joint diseases by synovial fluid analysis and percutaneous needle biopsy of synovium. Int J Res Orthop. 2017;3(4):661–69. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20172544
- Nooh N, Turkawi R, Maybury M, Cardy C, Sahbudin I. Applications of musculoskeletal ultrasound in inflammatory arthritis. Clin Med (Lond). 2025;25(5):100508. PMID: 40914461. PMCID: PMC12546444. https://doi.org/10.1016/j.clinme.2025.100508
- Akhondi H, Blum MA, Gupta N. Polyarticular arthritis. [Updated 2025 Aug 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537170/
- Lacout A, Rousselin B, Pelage J. CT and MRI of spine and sacroiliac involvement in spondyloarthropathy. AJR Am J Roentgenol. 2008;191(4):1016–23. PMID: 18806136. https://doi.org/10.2214/ajr.07.3446
- Vladimirova N, Moller J, Attauabi M, Madsen G, Seidelin J, Terslev L et al. Spine and sacroiliac joint involvement in newly diagnosed patients with inflammatory bowel disease: Clinical and MRI findings from a population-based cohort. Am J Gastroenterol. 2025;120(1):225–40. PMID: 39162769. https://doi.org/10.14309/ajg.0000000000003039
- Ungureanu L, Cosgarea R, Alexandru Badea M, Florentina Vasilovici A, Cosgarea I, Corina Șenila S. Cutaneous manifestations in inflammatory bowel disease (review). Exp Ther Med. 2020;20(1):31–37. PMID: 32508989. PMCID: PMC7271697. https://doi.org/10.3892/etm.2019.8321
- He R, Zhao S, Cui M, Chen Y, Ma J, Li J, Wang X. Cutaneous manifestations of inflammatory bowel disease: Basic characteristics, therapy, and potential pathophysiological associations. Front Immunol. 2023;14:1234535. PMID: 37954590. PMCID: PMC10637386. https://doi.org/10.3389/fimmu.2023.1234535
- Sahoo RL, Sethi SK, Dalabehera S, Mishra A, Patra R. Dermatological manifestations in inflammatory bowel disease. J Dermatol Case Rep. 2025;18(2):144–51. https://doi.org/10.61705/jdcr.18.2.2025.144.151
- Тарасова Л.В., Краснова Н.В., Гималиева Г.Г., Кольцова И.В., Цыганова Ю.В. Гангренозная пиодермия, язвенная форма как симптом болезни Крона: клинический случай. Клинический разбор в общей медицине. 2025;6(5):114–118. [Tarasova LV, Krasnova NV, Gimalieva GG, Koltsova IV, Tsyganova YuV. Gangrenous pyoderma, ulcerative form as a symptom of Crohn’s disease: A clinical case. Klinicheskiy razbor v obshchey meditsine = Clinical Review for General Practice. 2025;6(5):114–118 (In Russ.)]. EDN: JUOKJG. https://doi.org/10.47407/kr2025.6.5.00621
- Farhi D, Cosnes J, Zizi N, Chosidow O, Seksik P, Beaugerie L et al. Significance of erythema nodosum and pyoderma gangrenosum in inflammatory bowel diseases: A cohort study of 2402 patients. Medicine (Baltimore). 2008;87(5):281–93. PMID: 18794711. https://doi.org/10.1097/MD.0b013e318187cc9c
- Perez-Garza DM, Chavez-Alvarez S, Ocampo-Candiani J, Gomez-Flores M. Erythema nodosum: A practical approach and diagnostic algorithm. Am J Clin Dermatol. 2021;22(3):367–78. PMID: 33683567. PMCID: PMC7938036. https://doi.org/10.1007/s40257-021-00592-w
- George C, Deroide F, Rustin M. Pyoderma gangrenosum – a guide to diagnosis and management. Clin Med (Lond). 2019;19(3):224–28. PMID: 31092515. PMCID: PMC6542232. https://doi.org/10.7861/clinmedicine.19-3-224
- Troncoso LL, Biancardi AL, de Moraes HV Jr, Zaltman C. Ophthalmic manifestations in patients with inflammatory bowel disease: A review. World J Gastroenterol. 2017;23(32):5836–48. PMID: 28932076. PMCID: PMC5583569. https://doi.org/10.3748/wjg.v23.i32.5836
- Rodriguez Duran M, O’Keefe GAD. Ocular extraintestinal manifestations and treatments in patients with inflammatory bowel disease. Front Ophthalmol (Lausanne). 2024;3:1257068. PMID: 38983096. PMCID: PMC11182217. https://doi.org/10.3389/fopht.2023.1257068
- Arzbecker M, Kopplin LJ. Manifestations and management of inflammatory eye disease in patients with inflammatory bowel disease. Ocul Immunol Inflamm. 2024;32(10):2348–53. PMID: 38848110. https://doi.org/10.1080/09273948.2024.2362881
- Harthan JS, Opitz DL, Fromstein SR, Morettin CE. Diagnosis and treatment of anterior uveitis: Optometric management. Clin Optom (Auckl). 2016;8:23–35. PMID: 30214346. PMCID: PMC6095364. https://doi.org/10.2147/OPTO.S72079
- Pytrus W. Akutko K, Pytrus T, Turno-Krecicka A. A review of ophthalmic complications in inflammatory bowel diseases. J Clin Med. 2022;11(24):7457. PMID: 36556071. PMCID: PMC9781961. https://doi.org/10.3390/jcm11247457
- Veloso FT, Carvalho J, Magro F. Immune-related systemic manifestations of inflammatory bowel disease. A prospective study of 792 patients. J Clin Gastroenterol. 1996;23(1):29–34. PMID: 8835896. https://doi.org/10.1097/00004836-199607000-00009
- Cheung O, Regueiro MD. Inflammatory bowel disease emergencies. Gastroenterol Clin North Am. 2003;32(4):1269–88. PMID: 14696307. https://doi.org/10.1016/s0889-8553(03)00095-5
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