Studia Medyczne

The impact of COVID-19 on the course and possible initiation of ulcerative colitis

  1. Student Research Group at the Chair and Department of Pathomorphology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
  2. Student Research Group at the Chair and Department of Pathomorphology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
  3. Department of Biomedicine and Environmental Research, Institute of Biological Sciences, The John Paul II Catholic University, Lublin, Poland
  4. Department of Pathomorphology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
  5. Collegium Medicum Dr Władysław Biegański, Jan Długosz University, Częstochowa, Poland

Medical
Studies

Online publish date: 2026/04/24
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This

review presents an analysis of the available scientific

research concerning the impact of COVID-19 infection on

the course of ulcerative colitis (UC). There are cases

suggesting that SARS-CoV-2 infection may be associated with

exacerbations of UC; however, establishing a direct

cause-and-effect relationship remains difficult. The exacerbations

observed in UC patients during the COVID-19 pandemic may be

attributable to stress-related factors. In addition, infection in UC

patients may lead to complications and therapeutic challenges.

The available reports indicate a potential role of COVID-19

as a triggering factor for the development of UC.

Although further research is required to elucidate the role

of this infection in both the progression and initiation

of UC, current data suggest its potential significance in

symptom exacerbation and triggering of autoimmune processes. Yet

larger registry and longitudinal data suggest that COVID-19 usually

does not worsen UC in the long term.

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