Community Perspectives on JAK Inhibition for Inflammatory Bowel Disease Management: Addressing Gaps in Therapy
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Shannon is a 27-year-old woman who presents with abdominal cramps and chronic diarrhea for the past 2 months. Evaluation shows inflammation of the colon, with no perianal nor rectal disease. She has not had prior resection and is not experiencing structuring and/or penetrating behavior. How would you assess this patient’s disease burden?
A. Mild
B. Moderate
C. Severe
D. Need additional information
Which of the following JAK inhibitors are specifically selective for JAK1?
A. Tofacitinib only
B. Filgotinib only
C. Upadacitinib and filgotinib
D. Tofacitinib, filgotinib, and upadacitinib
In patients with moderate-severe IBD, when should advanced therapy be started?
A. At diagnosis
B. When there is blood in the stool
C. Only for flares or when disease worsens
D. Upon failure of multiple conventional options
Jackie is a 24-year-old woman who presents to your office with the following: tenesmus; 3-4 stools/day (almost always with blood) for the last 4 weeks; abdominal tenderness; RLQ pain relieved upon defecation; pyoderma; temperature: 99.8°F; ESR: 22 mm/hr; and no tachycardia, anemia or other signs of toxicity. She is diagnosed with moderate UC. At this point, which of the following is true?
A. Without treatment, her symptoms will probably stay the same, without further deterioration of bowel function
B. First-line advanced therapy isn’t necessary here as her symptoms aren’t severe enough
C. You have missed the “window of opportunity” for effective treatment, and the patient should be aware of this
D. UC is progressive so a long-term plan should be initially considered
At this time, the two JAK inhibitors upadacitinib and tofacitinib are FDA-approved for which of the following?
A. Crohn’s disease
B. Ulcerative colitis
C. Both
D. Neither
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