A Case of Distal Ulcerative Colitis Improved by Budesonide Enemas

A ten-year-old boy presented with chronic diarrhea and rectal bleeding was studied. Colonoscopic and pathologic diagnosis was distal ulcerative colitis in the sigmoid colon and rectum. Budesonide retention enema (2mg/100ml) was performed every night for 8 weeks. His clinical symptoms, the follow-up colonoscopic and pathologic findings improved in the third week of treatment. His weight did not change and Cushing syndrome did not developed until the completion of budesonide therapy.