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Use of immunomodulators and biologic therapies in children with inflammatory bowel disease
Abstract:The immunomodulators (6-mercaptopurine, azathioprine and methotrexate) and biologics (infliximab, adalimumab, certolizumab and natalizumab) are medications essential in the management of pediatric inflammatory bowel disease. If properly utilized, these medications can control active disease, reduce corticosteroid exposure, induce remission, and promote normal growth and development. However, these medications also have significant toxicity and increase the risk of infections and lymphoma. This article provides information about the safety and efficacy of these medications in the treatment of children with Crohn’s disease and ulcerative colitis.
Keywords:6-mercaptopurine  adalimumab  anti-tumor necrosis factor antibodies  azathioprine  certolizumab  child  Crohn’s disease  inflammatory bowel disease  infliximab  methotrexate  natalizumab  pediatric  ulcerative colitis
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