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Underestimating Ulcerative Colitis: A Cautionary Tale

Underestimating Ulcerative Colitis: A Cautionary Tale


Ulcerative colitis patients often present when they are young and active and want to get on with their lives, observes a British gastroenterologist, adding "I think we can underestimate the impact such an illness can have." This case study, written partly by the patient herself, a graduate student in cell biology, portrays a condition so severe she calls it a "disability," and reveals the trail of missed opportunities to identify ulcerative colitis as its severity increased. Among a list of reasons for the late diagnosis were some steps the the patient herself took that had delaying and misleading consequences.

RESULT:  Ulcerative Colitis: A Patient's Journey
British Medical Journal | May 10, 2012 (FREE FULL TEXT) 

The three best indicators of severity in ulcerative colitis--vascular pattern, bleeding, erosions and ulcers--are sufficient to create a model describing the full range of endoscopic features seen in ulcerative colitis, these British authors say. Their study describes the range of observer variability in classifying ulcerative colitis severity and proposes a standard measure to unify both diagnosis and clinical trials.

Developing an instrument to assess the endoscopic severity of ulcerative colitis: the Ulcerative Colitis Endoscopic Index of Severity (UCEIS)
Gut (PubMed) | Apr 1, 2012 (FREE FULL TEXT)

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