特集名 | 潰瘍性大腸炎―長期経過観察例の諸問題 | |
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題名 | 小児発症例の推移 | |
発刊年月 | 2011年 07月 | |
著者 | 余田 篤 | 大阪医科大学小児科 |
【 要旨 】 | 一般に小児の潰瘍性大腸炎は,成人に比較し重症例が多く,病変はより広範であり,より短期間に近位大腸に進展しやすいなどの特性がある.病型も再燃寛解型や慢性持続型など難治例が多い.また,治療中も成長障害をきたさないようにすることが必要である.これらの特徴を考慮すると,成人と比較して,より濃厚な治療を必要とすることが多いことから,小児期潰瘍性大腸炎では,成人と同じ治療法ではなく,小児に適した治療法の選択が必要である. |
Theme | Various Subjects of Long-term Following Patients with Ulcerative Colitis | |
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Title | Characteristics of Childhood Onset Ulcerative Colitis | |
Author | Atsushi Yoden | Department of Pediatrics, Osaka Medical College |
[ Summary ] | Childhood onset ulcerative colitis is different from adult onset in terms of several clinical aspects. Children have a high incidence of severe type illness, and even when it occurs in a mild form, it often rapidly progresses to one of the more severe forms of colitis. Half of the children progressed to develop extensive colitis during follow-up. For children, intensive medical treatment including appropriate systemic management, is important during the acute phase of illness. It is important to recognize that children are in the process of growing and therefore long-term treatment with steriods, which can cause growth disturbances, should not be continued for long periods of time. Above all, treatment of children with ulcerative colitis requires a medical treatment plan different from that for adults. |