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Biologic therapy for ulcerative colitis associated with immune thrombocytopenia

  • Manabu Nagayama,
  • Yohei Funayama,
  • Osamu Taniguchi,
  • Kaoru Hatano,
  • Kunihiko Oguro,
  • Jun Owada,
  • Hirotsugu Sakamoto,
  • Tomonori Yano,
  • Randy Scott Longman,
  • Hironori Yamamoto

摘要

Ulcerative colitis (UC), a subtype of inflammatory bowel disease, occasionally manifests with extraintestinal manifestations. We present a 51-year-old male with refractory UC and immune thrombocytopenia (ITP) resistant to conventional treatments. The introduction of biologics, ustekinumab or adalimumab, resulted in clinical remission of colitis and improvements in platelet count. This case underscores the efficacy of biologics in managing refractory UC associated with ITP, emphasizing their potential to control intestinal inflammation and address concurrent thrombocytopenia, potentially avoiding surgical intervention.