The treatment of active ulcerative colitis largely relies onthe nonspecific antiinflammatory effects of aminosalicylates(mesalamine and sulfasalazine) and the broad immunosuppressiveactions of corticosteroids and other potent immunomodulators.1Data from animal models and patients with ulcerative colitishave highlighted the importance of the enteric microflora inthe pathogenesis of the disease, yet in clinical trials, antibioticsand probiotics have had only limited efficacy against activedisease. In ulcerative colitis, in contrast to Crohn's disease,there are few clinical data on the value of infliximab and otherbiologic agents.
The pathogenesis of ulcerative colitis remains unknown, butthe disease may . . . [Full Text of this Article]
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From the Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.
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