İlaç Tedavisine Yanıt vermeyen, Hızlı İlerleyen Ağır Ülseratif Kolit Olgusu

İki aydır kanlı ishali olan 15 yaşında kız hasta sunuldu. Olgu, klinik ve labaratuar bulgularla ülseratif kolit tanısı aldı. Yüksek doz kortikosteroid ve siklosporin tedavilerine cevap alınamadığı için kolektomi yapıldı. Bu olgu nedeniylefulminan kolitli ülseratifçocuklarda ilaç tedavisine cevap alınamıyorsa hızlı kolektomi yapılabileceği düşünüldü.

A CASE OF FULMINANT PROGRESSIVE SEVERE ULCERATIVE COLITIS, REFRACTORYTO MEDICAL TREATMENT

A 15-year-old girl presented with bloody diarrhea for 2 months duration. Ulcerative colitis was diagnosed with clinical and laboratory findings. Because high dose intravenous corticosteroids and cyclosporin treatments were failed, she underwent coledomy. Therefore children with severe fulminant colitis who do not respond to medical therapy, colectomy should be considered immediately.

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