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It is not uncommon for patients with spondyloarthritis to also have gastrointestinal comorbidities such as ulcerative colitis and Crohn's disease. How should the rheumatologist and gastroenterologist interact in managing this situation? We asked Prof. Alessandro Armuzzi who gave a talk on the topic on the occasion of the fifth of the Gaetano Pini Rheumatological Days 2022, focused on spondyloarthritis.