Possible etiology
Autoimmune
Location
Colitis: colonic and continuous
always rectal involvement
Gross morphology
Mucosal and submucosal inflam only
Fiable mucosal pseudopolyps with free hanging mesentery
Loss of haustra: leadpipe appearance on imaging
Microscopic
Crypt abscess and ulcer
Bleeding
No granuloma (TH2 mediated vs. Crohns)
Complication
Malnutrition,
Sclerosis cholangitis
Toxic megacolon
Colorectal carcinoma (worse with R sided or pancolitis)
Intestinal manifestation
Bloody diarrhea
Extraintestinal manifestations
Pyroderma gangrenosum (vs. erythema nodosom of crohns) 1' scleorsing cholangitis Ankylosing spondylitis Uveitis
Treatment
ASA prep (sulfasalazine)
6-Mercaptopurine
Infliximab
Colectomy.