Title Dermatološke manifestacije upalnih bolesti crijeva : diplomski rad
Title (english) Dermatologic manifestations of inflammatory bowel disease
Author Tea Miletić
Mentor Sandra Peternel (mentor)
Committee member Marija Kaštelan (predsjednik povjerenstva)
Committee member Larisa Prpić Massari (član povjerenstva)
Committee member Vanja Licul (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Dermatovenerology) Rijeka
Defense date and country 2023-07-14, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Dermatovenerology
Abstract U spektru upalnih bolesti crijeva razlikujemo ulcerozni kolitis, Crohnovu bolest te intermedijarni oblik bolesti. Radi se o idiopatskoj, upalnoj bolesti kroničnog tijeka koja zahvaća probavni sustav uz česte ekstraintestinalne manifestacije. Incidencija upalne bolesti crijeva u porastu je na globalnoj razini. Unatoč brojnim istraživanjima, etiopatogeneza još nije u potpunosti razjašnjena. Prema dosadašnjim saznanjima, kronična upalna bolest crijeva posljedica je interakcije između genetske predispozicije domaćina, crijevnog mikrobioma, okolišnih čimbenika te abnormalnog imunološkog odgovora. Ekstraintestinalne manifestacije IBD-a javljaju se u 25% do 40% oboljelih, a najčešće zahvaćaju muskuloskeletni sustav, kožu, hepatobilijarni trakt te oči. Dermatološke manifestacije IBD-a se na temelju patogeneze mogu podijeliti u 4 kategorije: 1) dermatološke manifestacije s istim histološkim značajkama kao i temeljna bolest crijeva, 2) reaktivne dermatološke manifestacije zbog aktivacije imunoloških mehanizama na iste antigene crijeva i kože, 3) mukokutane manifestacije povezane sa IBD-om, 4) kožne poremećaje ili dermatoze povezane s IBD-om. Najčešće dermatološke manifestacije vidljive u sklopu upalne bolesti crijeva su erythema nodosum, pyoderma gangrenosum te aftozni stomatitis. Rjeđe se javljaju Sweetov sindrom, sindrom dermatoze-artritisa povezan sa crijevima, metastatska Crohnova bolest te stečena bulozna epidermoliza. Neke kožne manifestacije izravno su povezane s aktivnošću osnovne bolesti te adekvatnim liječenjem upalne bolesti crijeva dolazi do regresije kožnih promjena. Kožne manifestacije koje nisu osu neovisne o aktivnosti IBD-a zahtijevaju multidisciplinarni tim te dodatnu terapiju.
Abstract (english) The spectrum of inflammatory bowel diseases includes ulcerative colitis, Crohn's disease and unclassified inflammatory bowel disease. It is an idiopathic, chronic inflammatory disease that affects the digestive system with frequent extraintestinal manifestations. The incidence of IBD is increasing globally. Despite numerous studies, the etiopathogenesis is still not fully understood. According to current knowledge, chronic intestinal inflammation is the result of the interaction between the genetic predisposition of the host, the intestinal microbiota, external environmental factors and an abnormal immune response. Extraintestinal manifestations of IBD occur in 25% to 40% of patients and most commonly affect the musculoskeletal system, skin, hepatobiliary tract and eyes. Based on the pathogenesis, the dermatological manifestations of IBD can be divided into 4 categories: 1) dermatological manifestations with the same histological features of underlying IBD, 2) reactive manifestations of IBD due to immunological response to common antigens shared by gut bacteria and skin, 3) mucocutaneus manifestations associated with IBD, 4) skin disorders or dermatoses associated with IBD. The most common dermatological manifestations of inflammatory bowel disease are erythema nodosum, pyoderma gangrenosum and aphthous stomatitis. Sweet's syndrome, bowel-associated dermatosis-arthritis syndrome, metastatic Crohn's disease and acquired epidermolysis bullosa occur less frequently. Some skin manifestations are directly related to the activity of the underlying disease and adequate treatment of IBD leads to regression of skin changes. Skin manifestations that are independent of IBD require multidisciplinary team and additional therapy.
Keywords
upalne bolesti crijeva
ekstraintestinalne manifestacije IBD-a
dermatološke manifestacije IBD-a
erythema nodosum
pyoderma gangrenosum
aftozni stomatitis
akutna febrilna neutrofilna dermatoza
sindrom dermatoze-artritisa povezan sa crijevima
metastatska Crohnova bolest
stečena bulozna epidermoliza
Keywords (english)
inflammatory bowel disease
extraintestinal manifestations of IBD
dermatologic manifestations of IBD
erythema nodosum
pyoderma gangrenosum
aphthous stomatitis
acute febrile neutrophilic dermatosis
bowel-associated dermatosis-arthritis syndrome
metastatic Crohn’s disease
acquired epidermolysis bullosa
Language croatian
URN:NBN urn:nbn:hr:184:618860
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2023-06-30 07:18:28