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A 7-year-old boy, with a background of severe autism resulting in significant feeding issues to the extent he is gastrostomy fed, presented with a 14 day history of bloody diarrhoea and generalised abdominal pain. Acute fulminant ulcerative colitis was diagnosed histologically after infection was ruled out. He was treated with intravenous methylprednisolone and antibiotics and recovered completely. He was then discharged …
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