Acute exacerbations: steroids
Chronic maintenance: mesalamine
note: mesalamine is an active metaboliteof sulfasalazine. Sulfasalazine was previously used but stopped due to side effects (agranulocytosis, hypospermia) from its other metabolite sulfapyridine.
Note:
For perianal disease, give ciprofloxacin+metronidazole
Colectomy can cure UC but is not routine tmt.
Crohn's usually recurs at surgery site
P.S :
IBD serology- ASk Crohn ANd Call it !
ASCA- Crohn
ANCA- Colitis (ulcerative colitis) specifically p-ANCA
pronounce the underlined as one sentence.
Most accurate test however is endoscopy
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