Case Report
J Rheum Dis 2012; 19(1): 43-46
Published online February 29, 2012
© Korean College of Rheumatology
Acute Pancreatitis as a Complication of Adult Henoch-Schönlein Purpura
Correspondence to : Yong-Gil Kim
Pancreatitis is a rare manifestation of adult Henoch- Schönlein purpura (HSP). We describe here a 53-year-old man who presented with acute pancreatitis as a complication of adult HSP. Pancreatic involvement in HSP is self-limiting and benign. Prompt resolution can be achieved by treatment with steroids. Elevated serum amylase and lipase concentrations may be early diagnostic indicators of HSP pancreatitis. Patients with HSP who have abdominal pain should be evaluated for pancreatitis by measuring serum amylase and lipase concentrations and by abdominal computed tomography scan, to plan specific treatment and avoid unnecessary surgery.
Keywords Henoch-Schönlein purpura, Pancreatitis, Vasculitis
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Case Report
J Rheum Dis 2012; 19(1): 43-46
Published online February 29, 2012
Copyright © Korean College of Rheumatology.
Acute Pancreatitis as a Complication of Adult Henoch-Schönlein Purpura
Min Wook So, You Jae Kim, Hwan Sung Park, Yong-Gil Kim, Chang-Keun Lee, Bin Yoo
Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
Correspondence to:Yong-Gil Kim
Abstract
Pancreatitis is a rare manifestation of adult Henoch- Schönlein purpura (HSP). We describe here a 53-year-old man who presented with acute pancreatitis as a complication of adult HSP. Pancreatic involvement in HSP is self-limiting and benign. Prompt resolution can be achieved by treatment with steroids. Elevated serum amylase and lipase concentrations may be early diagnostic indicators of HSP pancreatitis. Patients with HSP who have abdominal pain should be evaluated for pancreatitis by measuring serum amylase and lipase concentrations and by abdominal computed tomography scan, to plan specific treatment and avoid unnecessary surgery.
Keywords: Henoch-Schö,nlein purpura, Pancreatitis, Vasculitis
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