Frequency of glucocorticoid resistance and dependency in Crohn's disease

P Munkholm, E Langholz, M Davidsen, V Binder

622 Citations (Scopus)

Abstract

The outcome of the first steroid treatment course was prospectively studied in a regional cohort of 196 patients with Crohn's disease diagnosed 1979-1987. The immediate outcome after 30 days, and the prolonged outcome 30 days after treatment had stopped, are described. In all 109 patients treatment was analysed. Complete remission was obtained in 48%, partial remission in 32%, and no response in 20% within 30 days of treatment. Among primary responders (complete and partial remission), 55% remained in prolonged response after treatment had finished, while 45% relapsed or could not be withdrawn from treatment within one year. Localisation of disease, age, sex or clinical symptoms did not significantly correlate with outcome, which can be summarised as prolonged steroid response in 44%, steroid dependency in 36%, and steroid resistant in 20% of the patients.

Original languageEnglish
JournalGut
Volume35
Issue number3
Pages (from-to)360-2
Number of pages3
ISSN0017-5749
DOIs
Publication statusPublished - Mar 1994

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Cohort Studies
  • Crohn Disease/drug therapy
  • Drug Resistance
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prednisolone/therapeutic use
  • Prospective Studies
  • Time Factors
  • Treatment Outcome

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