A 31-year-old woman with ileocolonic Crohn disease achieved remission after corticosteroids. She has had two flares in the past year and wants to

Question

A 31-year-old woman with ileocolonic Crohn disease achieved remission after corticosteroids. She has had two flares in the past year and wants to avoid repeated steroid courses. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Begin steroid-sparing maintenance therapy

Answer

Schedule colectomy for mild disease

Answer

Continue prednisone for several years

Answer

Stop follow-up after symptom resolution

Answer

Use loperamide as maintenance immunotherapy

Crohn disease maintenance — USMLE Step 3 MCQ

A 31-year-old woman with ileocolonic Crohn disease achieved remission after corticosteroids. She has had two flares in the past year and wants to avoid repeated steroid courses. Which of the following would you recommend at the follow-up visit?