Colonic Dilatation Complicating Acute Severe Ulcerative Colitis Managed Successfully with Accelerated Infliximab Dosing

Lately, emerging data suggest an association between the development of inflammatory bowel disease and anti-interleukin-17 therapy. Megacolon is a life-threatening complication of acute severe ulcerative colitis (ASUC), but its treatment has not yet been established in current practice guidelines. We report a rare case of known psoriasis treated by secukinumab in a patient who presented with ASUC and colonic dilatation. Neither steroids nor standard infliximab regimen was effective. Finally, rescue therapy with accelerated infliximab strategy resulted in excellent recovery. In certain cases of steroid-refractory ASUC complicated by megacolon, accelerated infliximab regimen can be an alternative to surgery.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Colonic Dilatation Complicating Acute Severe Ulcerative Colitis Managed Successfully with Accelerated Infliximab Dosing ; volume:17 ; number:1 ; year:2023 ; pages:82-88 ; extent:7
Case reports in gastroenterology ; 17, Heft 1 (2023), 82-88 (gesamt 7)

Creator
Bui, Hoang Huu
Dang, Luan Minh
Vo, Diem Thi-Ngoc
Nguyen, Chuong Dinh

DOI
10.1159/000529152
URN
urn:nbn:de:101:1-2024010323384650990545
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:25 AM CEST

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Associated

  • Bui, Hoang Huu
  • Dang, Luan Minh
  • Vo, Diem Thi-Ngoc
  • Nguyen, Chuong Dinh

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