Ulcerative colitis: features of the course and adherence to prescribed therapy in adolescents

Abstract

The problems of ulcerative colitis (UC) in pediatric practice are the difficulties of primary diagnosis, the severity of the course due to the greater extent of the colon lesion and the difficulty in choosing a drug effect. The age of the patients determines the extent of colon lesions in UC in children. Thus, in the older age group, especially older than 15 years, characterized by a high frequency of left-sided ulcerative colitis forms in contrast to adults. The choice of therapy in children with UC depends on the severity of the condition, localization and extent of the lesion, the severity of humoral activity and the age of the child, as well as adherence (compliance) therapy. This example demonstrates that in a teenage boy ulcerative colitis had a rare localization for children, there was a violation of the recommended therapy at the beginning and dynamics of observation, which led to a relapse and progression of the disease. Low adherence to therapy significantly worsened the course and prognosis of the pathological process, and therefore the quality of life of the patient.