A 40-year-old woman presents with episodic abdominal pain and diarrhoea. Colonoscopy confirms moderate active ulcerative colitis limited to the left c...

Question

A 40-year-old woman presents with episodic abdominal pain and diarrhoea. Colonoscopy confirms moderate active ulcerative colitis limited to the left colon. She has no systemic toxicity. What is the recommended initial pharmacological therapy for inducing remission?

Accepted Answer

Oral mesalazine combined with rectal mesalazine

Answer

Topical mesalazine alone

Answer

Oral prednisolone 50 mg daily as first-line

Answer

Azathioprine monotherapy

Answer

Biologic therapy with infliximab immediately

au-amc MCQ (SBA): Ulcerative colitis

A 40-year-old woman presents with episodic abdominal pain and diarrhoea. Colonoscopy confirms moderate active ulcerative colitis limited to the left colon. She has no systemic toxicity. What is the recommended initial pharmacological therapy for inducing remission?