Table 1.
Annual monitoring tests in adolescents with inflammatory bowel disease
| Measure | Note |
|---|---|
| Full blood count | |
| Liver chemistry | |
| Urea, creatinine and electrolytes | |
| Erythrocyte sedimentation rate | |
| C-reactive protein | |
| Vitamin D | |
| Vitamin B12 | |
| Folate | |
| Iron | |
| Calcium, magnesium, phosphate | |
| Thiopurine metabolites (6-thioguanine and 6-mercaptopurine) | If relevant |
| Bone age | X-ray left wrist |
| Bone densitometry | May be indicated by history of recurrent fractures, severe malnutrition, or prolonged corticosteroid exposure |
| Review of pubertal status | |
| Review of immunization status | |
| Dietetic review | |
| Psychology review | |
| Transition planning |
Note: Although some monitoring will be specific to individuals patients (reflecting particular medical therapies), a number of monitoring steps should be conducted at least annually in all adolescents.