{"id":2374,"date":"2021-10-06T13:54:23","date_gmt":"2021-10-06T11:54:23","guid":{"rendered":"https:\/\/angh.net\/abstracts\/colite-aigue-severe-de-rch-quand-il-ne-reste-presque-plus-aucune-option\/"},"modified":"2021-10-06T13:54:23","modified_gmt":"2021-10-06T11:54:23","slug":"colite-aigue-severe-de-rch-quand-il-ne-reste-presque-plus-aucune-option","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/colite-aigue-severe-de-rch-quand-il-ne-reste-presque-plus-aucune-option\/","title":{"rendered":"Colite aigu\u00eb s\u00e9v\u00e8re de RCH : quand il ne reste presque plus aucune option"},"content":{"rendered":"<p><strong>2021<\/strong><\/p>\n<p><em>Alix Pelc\u00e9, Yael Abitbol, Weam EL Hajj, St\u00e9phane Nahon<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02021-05-20 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Madame A, 43ans, sans ant\u00e9c\u00e9dent particulier, est diagnostiqu\u00e9e en d\u00e9cembre 2015 d&rsquo;une RCH pancolique, dont les premiers sympt\u00f4mes ont d\u00e9but\u00e9 pendant sa premi\u00e8re grossesse avec une diarrh\u00e9e glairo-sanglante. Elle est contr\u00f4l\u00e9e pendant 2 ans par 45 ASA puis Adalimumab depuis janvier 2020. Cependant, la mauvaise tol\u00e9rance du traitement oblige \u00e0 l&rsquo;arr\u00eater. R\u00e9apparition des sympt\u00f4mes en juin 2020 menant \u00e0 l&rsquo;introduction de l&rsquo;Infliximab en comboth\u00e9rapie avec de l&rsquo;Imurel. Mais aggravation progressive des sympt\u00f4mes malgr\u00e9 l&rsquo;optimisation rapide bas\u00e9e sur les taux r\u00e9siduels. Hospitalisation en octobre 2020 pour prise en charge d&rsquo;une pancolite s\u00e9v\u00e8re (Mayo,3, UCEIS 6 et ulc\u00e9rations creusantes). Devant l&rsquo;\u00e9chec primaire de l&rsquo;Infliximab, elle re\u00e7oit successivement : une corticoth\u00e9rapie par voie intraveineuse, de la ciclosporine IV puis per os avec un bridge avec le vedolizumab &#8230; Mais la maladie n&rsquo;est toujours pas contr\u00f4l\u00e9e.<br \/>\nQue proposeriez vous \u00e0 madame A ?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2021 Alix Pelc\u00e9, Yael Abitbol, Weam EL Hajj, St\u00e9phane Nahon Gastroent\u00e9rologie &#8211; \u00a02021-05-20 &#8211;\u00a0CC &#8211; ________________________________ Madame A, 43ans, sans ant\u00e9c\u00e9dent particulier, est diagnostiqu\u00e9e en d\u00e9cembre 2015 d&rsquo;une RCH pancolique, dont les premiers sympt\u00f4mes ont d\u00e9but\u00e9 pendant sa premi\u00e8re grossesse avec une diarrh\u00e9e glairo-sanglante. Elle est contr\u00f4l\u00e9e pendant 2 ans par 45 ASA puis Adalimumab [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[34],"class_list":["post-2374","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-34"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Colite aigu\u00eb s\u00e9v\u00e8re de RCH : quand il ne reste presque plus aucune option - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/colite-aigue-severe-de-rch-quand-il-ne-reste-presque-plus-aucune-option\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Colite aigu\u00eb s\u00e9v\u00e8re de RCH : quand il ne reste presque plus aucune option - 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