Fulminant Crohn's colitis: when only an antibody will do.

Abstract:

BACKGROUND:Fulminant Crohn's colitis complicated by toxic dilatation of the large bowel usually requires surgery, which carries a substantial morbidity and mortality rate. METHODS:We report the case of a female with steroid refractory fulminant Crohn's colitis complicated by toxic megacolon who was successfully treated with the antitumor necrosis factor monoclonal antibody adalimumab. RESULTS:Adalimumab induced rapid clinical response and remission, thereby avoiding emergency colectomy. CONCLUSIONS:This is the first report of treatment of fulminant Crohn's colitis with an antitumor necrosis factor antibody and the first report of the use of adalimumab for fulminant colitis of any cause.

journal_name

Inflamm Bowel Dis

authors

Ng SC,Kamm MA

doi

10.1002/ibd.20139

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

971-4

issue

8

eissn

1078-0998

issn

1536-4844

journal_volume

13

pub_type

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