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Case of severe ulcerative colitis successfully treated with intravenous cyclosporine without high dose corticosteroid]
Authors:Daisuke Kubota  Takanori Kanai  Fumiro Yui  Tomoko Matsumoto  Takahiro Kawamura  Yasuhiro Itsui  Eriko Okada  Seishin Chin  Shinya Ooka  Masakazu Nagahori  Kiichiro Tsuchiya  Akihiro Araki  Naoya Sakamoto  Tatsuya Miyata  Mamoru Watanabe
Affiliation:Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University, Japan.
Abstract:A 44-year-old women developed marked myopathy one year earlier, when she was treated with intravenous prednisolone for acute severe exacerbation of ulcerative colitis. When she was admitted to our hospital for another severe exacerbation, intravenous cyclosporine A was administered as monotherapy because she could not tolerate corticosteroid. The treatment was successful and she obtained complete remission. Cyclosporine A monotherapy is considered to be a valuable alternative to proctocolectomy for severe ulcerative colitis patients who cannot tolerate corticosteroid.
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