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. 2020 May 12;18(4):469–475. doi: 10.5217/ir.2019.09141

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© Copyright 2020. Korean Association for the Study of Intestinal Diseases. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 3. — Therapy flowchart. First, intensive treatment with 5-aminosalicylic acid (5-ASA), colchicine was ineffective, so we decided to administer prednisolone (PSL) on readmission. Next, mercaptopurine was administered for intestinal Behçet’s disease, but this treatment was discontinued due to liver damage. PSL was effective and tapered slowly over several weeks, but his abdominal pain and fever steadily worsened and computed tomography revealed perforation of the ileum. Therefore, ileocecal resection with ileostomy was performed. The 0 day refers to the day of readmission, 1 day refers to the day of PSL administration. The 58 days refers to the day of recurrence, 77 days refers to the day of operation. (A) At diagnosis (1.5 years ago), (B) on admission (1 year ago), and (C) at recurrence (58 days). ADA, adalimumab; CRP, C-reactive protein.