Korean J Pediatr Gastroenterol Nutr.  2009 Sep;12(2):226-229.

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

• Oh KW
• Park SK
• Kim JS

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.

Keyword

Henoch-Schonlein purpura; Pancreatitis; Acute renal failure

MeSH Terms

Abdomen, Acute
Abdominal Pain
Acute Kidney Injury
Adrenal Cortex Hormones
Amylases
Child
Creatinine
Exanthema
Gastrointestinal Hemorrhage
Head
Humans
Hypovolemia
Lipase
Lower Extremity
Oliguria
Pancreas
Pancreatitis
Purpura, Schoenlein-Henoch
Unnecessary Procedures
Vomiting
Adrenal Cortex Hormones
Amylases
Creatinine
Lipase