All that bleeds is not infliximab-refractory ulcerative colitis.
The role of biological agents in moderate to severe ulcerative colitis has been shown to be effective in the induction of clinical remission. However, the role of infliximab therapy for induction of remission in patients with fulminant colitis is debatable. A case of a hospitalized patient with a new diagnosis of severe ulcerative colitis refractory to intravenous steroids is presented. The patient was treated with infliximab and discharged with clinical remission, but subsequently presented back to hospital with a lower gastrointestinal hemorrhage.
Law
J K
JK
Division of Gastroenterology, University of British Columbia, and Gastroenterology Clinic, St Paul's Hospital, Vancouver, British Columbia, Canada. jklaw99@gmail.com
Salh
B
B
Yoshida
E M
EM
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D044466:Asian People; D003093:Colitis, Ulcerative / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D004351:Drug Resistance; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D000069285:Infliximab; D053685:Laser Therapy / Q000379:methods; D008297:Male; D019804:Mesalamine / Q000627:therapeutic use; D012007:Rectum / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D012812:Sigmoidoscopy
D000893:Anti-Inflammatory Agents; D000911:Antibodies, Monoclonal; D005938:Glucocorticoids; D019804:Mesalamine; D000069285:Infliximab