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Previous Volume 357:1779-1780 October 25, 2007 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the Case Record of a patient with infectious mononucleosis and disseminated gonococcal disease with septic arthritis (June 21 issue),¹ Dr. Davis does not consider, among the possible diagnoses, inflammatory bowel disease. This possibility should always be given serious consideration in a young adult who presents with pauciarticular arthritis associated with lower abdominal pain, anemia, fever, nausea, and vomiting. Extraintestinal manifestations of inflammatory bowel disease are observed in approximately 25 to 35% of patients.² More specifically, a peripheral form of arthritis is noted in 10% of patients.² This arthritis typically affects larger joints and, in some cases, . . . [Full Text of this Article]

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