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MediumGastroenterologyUlcerative colitis initial therapyau-amcau-racp

A 26‑year‑old woman presents with a 4‑week history of watery diarrhoea up to eight times daily, crampy abdominal pain and weight loss. There is blood mixed with stool. Colonoscopy shows continuous mucosal inflammation extending from the rectum to the sigmoid colon. Biopsies confirm ulcerative colitis. What is the most appropriate initial treatment for this extent and severity?

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