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Mesalamine induced symptom exacerbation of ulcerative colitis: Case report and brief discussion 被引量:1

Mesalamine induced symptom exacerbation of ulcerative colitis: Case report and brief discussion
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摘要 This paper describes a rare case in which the oral ad-ministration of mesalamine resulted in the exacerbation of ulcerative colitis (UC) in a patient who was previously responsive to mesalamine and whose colitis had been in remission for eight years. Mesalamine and other 5-ami-nosalicylic acid compounds are the mainstay of treatment for UC; however up to 8% of patients are unable to take the medications due to intolerance or hypersensitivity reactions. Common drug reactions are fever, nausea, di-arrhea and abdominal pain; however, exacerbation of UC has rarely been reported. This study highlights the impor-tance of ruling out mesalamine as the causative agent in cases of UC exacerbations. This paper describes a rare case in which the oral administration of mesalamine resulted in the exacerbation of ulcerative colitis (UC) in a patient who was previously responsive to mesalamine and whose colitis had been in remission for eight years. Mesalamine and other 5-aminosalicylic acid compounds are the mainstay of treatment for UC; however up to 8% of patients are unable to take the medications due to intolerance or hypersensitivity reactions. Common drug reactions are fever, nausea, diarrhea and abdominal pain; however, exacerbation of UC has rarely been reported. This study highlights the importance of ruling out mesalamine as the causative agent in cases of UC exacerbations.
出处 《World Journal of Gastrointestinal Pharmacology and Therapeutics》 CAS 2010年第6期132-134,共3页 世界胃肠药理与治疗学杂志(英文版)(电子版)
关键词 MESALAMINE EXACERBATION ULCERATIVE coli-tis Inflammation ADVERSE drug reaction Mesalamine Exacerbation Ulcerative colitis Inflammation Adverse drug reaction
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  • 1Loftus EV Jr,Kane SV,Bjorkman D.Systematic review: short-term adverse effects of 5-aminosalicylic acid agents in the treatment of ulcerative colitis. Alimentary Pharmacology and Therapeutics . 2004
  • 2P. MARTEAU, F. NELET, M. LE LU &amp,C. DEVAUX.Adverse events in patients treated with 5-aminosalicyclic acid: 1993-1994 pharmacovigilance report for Pentasa in France. Alimentary Pharmacology and Therapeutics . 1996
  • 3Gonzalo MA,Alcalde MM,García JM,Alvarado MI,Fernán- dez L.Desensitization after fever induced by mesalazine. Allergy . 1999
  • 4Ford AC,Achkar JP,Khan KJ,et al.Efficacy of 5-aminosalicylates in ulcerative colitis:systematic review and meta-analysis. The American journal of Gastroenterology . 2011
  • 5Kung SJ,Choudhary C,McGeady SJ,Cohn JR.Lack of cross-reactivity between 5-aminosalicylic acid-based drugs: a case report and review of the literature. Ann Allergy Asth- ma Immunol . 2006
  • 6Stelts S,Taylor MH,Nappi J,et al.Mesalamine-associated hypersensi-tivity myocarditis in ulcerative colitis. Annals of Pharmacotherapy . 2008
  • 7Rogler G.Gastrointestinal and liver adverse effects of drugs used for treating IBD. Bailliere s Best Practice and Research Clinical Gastroenterology . 2010
  • 8Arai Y,Arihiro S,Ide D,Odagi I,Itagaki M,Komoike N,Na- kao Y,Takakura K,Saruta M,Matsuoka M,Kato T,Tajiri H.Acute Pancreatitis due to pH-Dependent Mesalazine That Oc- curred in the Course of Ulcerative Colitis. Case Rep Gastroenter- ol . 2011
  • 9Schroeder KW.Is mesalamine safe. Gastroenterol Hepatol (NY) . 2007
  • 10Sossai P,Cappellato MG,Stefani S.Can a drug-induced pulmonary hypersensitivity reaction be dose-dependent? A case with mesalamine. Mount Sinai Journal of Medicine . 2001

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