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Medicine General ed34c6a7

Steroid refractory ulcerative colitis is said to be present in a patients who have active disease despite:

A
Prednisolone up to 0.5 mg/kg/day over a period of 4 weeks
B
Prednisolone up to 0.75 mg/kg/day over a period of 4 weeks
C
Prednisolone up to 1 mg/kg/day over a period of 4 weeks
D
Prednisolone up to 1.5 mg/kg/day over a period of 4 weeks
High-Yield Explanation
Patients with ulcerative colitis who have active disease despite prednisolone up to 0.75 mg/kg/day over a period of 4 weeks is called steroid refractory. Also know: Steroid-dependent colitis Unable to reduce steroids below the equivalent of prednisolone 10 mg/day within 3 months of staing steroids, without recurrent active disease, or Those who have a relapse within 3 months of stopping steroids. Ref: Journal of Crohn's and Colitis (2012) 6, 965-990

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