A Case of Acute Pancreatitis Complicated with Allergic Purpura

Allergic Purpura에 합병된 Acute Pancreatitis 1례

  • Lee, Sung-Chul (Department of Pediatrics Seoul Red Cross Hospital) ;
  • Kim, Hwa-Ja (Department of Pediatrics Seoul Red Cross Hospital) ;
  • Tchah, Hann (Department of Pediatrics Seoul Red Cross Hospital) ;
  • Park, Ho-Jin (Department of Pediatrics Seoul Red Cross Hospital)
  • 이성철 (서울적십자병원 소아과) ;
  • 김화자 (서울적십자병원 소아과) ;
  • 차한 (서울적십자병원 소아과) ;
  • 박호진 (서울적십자병원 소아과)
  • Received : 1998.07.01
  • Accepted : 1998.09.08
  • Published : 1999.03.30

Abstract

Allergic (Henoch-Schonlein) purpura is a nonthrombocytopenic purpura that affects small nonmuscular vessels with involvement of skin, gastrointestinal tract, joint, and kidney. Pancreatitis has rarely been reported as a complication of H-S purpura. In 1965, hemorrhagic pancreatitis as a complication of H-S purpura was reported by Toskin. We experienced one case of pancreatitis complicated with H-S purpura: pancreatic head enlargement was noted in small bowel series and abdominal sonogram with increased serum amylase level (160 U/dL) in a 6-year-old female child who complained of abdominal pain, vomiting, bloody stool, and petechiae on lower extremities.

저자들은 복통, 구토, 혈변을 주소로 입원한 6세 여아에서 allergic purpura에 급성 췌장염이 병발된 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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