Korean Journal of Pediatric Gastroenterology and Nutrition  2009;12(2):226-229

A Case of Henoch-Schonlein Purpura with Acute Pancreatitis and Hypovolemic Acute Renal Failure.

Ki Won OH 1 ; Sang Kyu PARK ; Joon Sung KIM

Affiliations

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Keywords

Henoch-Schonlein purpura; Pancreatitis; Acute renal failure

Country

Republic of Korea

Language

Korean

Abstract

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.