Ohio State University, Columbus

- When attempting to diagnose a sever acute ulcerative colitis flare up, the first thing that must be ruled out is COVID-19 symptom related digestive distress
- If COVID-19 infection is likely ruled out, standard stool sample tests should be performed for digestive infections
- Once flare-up has become the most likely diagnosis, patient should receive a baseline endoscopy and colonoscopy status will determine whether additional treatment is needed
- This has been outlined in a visual format in Figure 2


Severe Acute Flare-Up of Ulcerative Colitis

Iacucci, M., Cannatelli, R., Labarile, N., Mao, R., Panaccione, R., Danese, S., Kochhar, G. S., Ghosh, S., & Shen, B. (2020). Endoscopy in inflammatory bowel diseases during the COVID-19 pandemic and post-pandemic period. The lancet. Gastroenterology & hepatology, 5(6), 598–606. https://doi.org/10.1016/S2468-1253(20)30119-9

URL:  https://www.sciencedirect.com/science/article/pii/S2468125320301199?casa_token=uUsUnFt82AYAAAAA:9Xhnaknc6S5TrM7D7o0pc2xJ2wzRMLiahT-979Zlm2Mj5OhvrtJZ8JO1u-NH5m55kI3h600


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