Clinical Gastroenterology Vol.16 No.10(1)

Theme The Newest Strategies for Severe Ulcerative Colitis
Title Factors and Mechanisms Involved in Ulcerative Colitis Severity
Publish Date 2001/09
Author Hitoshi Asakura Department of Gastroenterology and Hepatology, Niigata University School of Medicine
[ Summary ] The degree of severity of ulcerative colitis is defined by Truelove's criteria, composed of 6 criterias: frequency of bowel movements, bloody stools, tachycardia, red blood cell sedimentation rate, fever, and anemia. Factors involved in severity of ulcerative colitis were discussed from the viewpoint of the extent of diseased segments, such as the entire colitis, mucosal infiltration of neutrophils, memory T lymphocytes, disease chronicity, LPS produced by enteric germs, autoantibodies such as ANCA, basal infiltration of plasma cells, proinflammatory cytokines and their balance, disease susceptibility genes, such as HLA, and intestinal or extraintestinal complications, such as toxic megacolon and venous thrombosis.
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