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KMID : 0816120090120020226
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2009 Volume.12 No. 2 p.226 ~ p.229
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A Case of Henoch-Schonlein Purpura with Acute Pancreatitis and Hypovolemic Acute Renal Failure
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Oh Ki-Won
Kim Joon-Sung
Park Sang-Kyu
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Abstract
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Gastrointestinal involvement in Henoch-Schonlein purpura (HSP) is common. However, both acute pancreatitis and acute renal failure appear to be very rare complications of HSP. We describe a case of HSP with acute pancreatitis and hypovolemic acute renal failure in a 7-year-old girl who presented with a vasculitic purpuric rash involving the lower extremities, abdominal pain, hematochezia, vomiting, and oliguria. Laboratory findings showed increased serum levels of amylase, lipase, and creatinine. An abdominal CT scan revealed diffuse enlargement of the head and body of the pancreas. The patient was successfully managed with conservative treatment, including corticosteroids, and then her pancreatic enzymes and renal function returned to normal. Acute pancreatitis should be differentiated from other causes of acute abdomen in HSP to avoid unnecessary surgery.
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KEYWORD
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Henoch-Schonlein purpura, Pancreatitis, Acute renal failure
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