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EasyGastroenterologyUlcerative colitisau-amcau-racp

A 32-year-old woman presents with recurrent crampy abdominal pain, diarrhoea with mucus and occasional blood, and weight loss over 6 months. Colonoscopy shows continuous inflammation from the rectum to the sigmoid colon. Biopsies confirm ulcerative colitis. She has mild disease limited to the distal colon. According to guidelines, what is the most appropriate first-line maintenance therapy?

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