A case of Henoch-Schonlein purpura that initially developed diffuse duodenal ulcers accompanying with acute pancreatitis

Kang, Hyun Sik; Kang, Ki Soo

doi:2009.6.2.141

J Med Life Sci > Volume 6(2); 2009 > Article

Case Report

Journal of Medicine and Life Science 2009;6(2):141-144.
DOI: https://doi.org/10.22730/jmls.2009.6.2.141 Published online February 28, 2009.

미만성 십이지장 궤양으로 발현되고 급성 훼장염을 동반한 Henoch-Schonlein Purpura 1례

강현식, 강기수

제주대학교 의학전문대학원 소아과학교실, 제주대학교 의과학연구소

A case of Henoch-Schonlein purpura that initially developed diffuse duodenal ulcers accompanying with acute pancreatitis

Hyun Sik Kang, Ki Soo Kang

Departments of Pediatrics, Jeju National University School of Medicine and Institute of Medical Science, Jeju National University College of Medicine, Jeju, Korea

Correspondence: Ki Soo Kang, Email: kskang@cheju.ac.kr

Abstract

We report an 8-year-old boy with Henoch-Scholein purpura (HSP) who had initially developed diffuse duodenal ulcers, accompanied by acute pancreatitis. The patient did not respond to conventional corticosleroid therapy and continued complaining severe abdominal pain and bloody stool. Even after intravenous immunoglobulin (IVIG) was administered, the patient complained persistent abdominal pain. And then we could identify acute pancreatitis combined by HSP from the patient Therefore we suggest that we Should rule out acute pancreatitis in the HSP patient with severe gastrointestinal manifestation which is refractory to medical treatment.

Key Words: Henoch-SCholein Purpura; Pancreatitis; Duodenal Ulcers