title: [A case of Henoch-Schölein purpura with acute pancreatitis].
abstract: We report a 11-year-old girl who had abdominal pain, hematemesis and melena. On admission, endoscopy revealed multiple duodenal ulcers and abdominal computed tomography showed dilatation and wall thickness of the jejunum. Because she showed purpura on the lower extremities and a decreased serum level of the XIII factor, she was diagnosed as having Henoch-Schönlein purpura (HSP). On the clinical course, she had acute pancreatitis. Following administration of XIII factor, nafamostal mesilate and predonisolone, the abdominal pain disappeared. Eventually the acute pancreatitis was improved with improvement of purpura. According to this course, this acute pancreatitis was associated with HSP.
authors.affiliation: Department of Internal Medicine, Hiroshima Asa City Hospital, Japan.
authors.forename: Nana
authors.initials: N
authors.lastname: Nakayama
authors.forename: Shinji
authors.initials: S
authors.lastname: Nagata
authors.forename: Rie
authors.initials: R
authors.lastname: Kawase
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ishida
authors.forename: Takayasu
authors.initials: T
authors.lastname: Kuwabara
authors.forename: Takako
authors.initials: T
authors.lastname: Tsumura
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kimura
authors.forename: Keiji
authors.initials: K
authors.lastname: Tsuji
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ogoshi
authors.forename: Mayumi
authors.initials: M
authors.lastname: Kaneko
authors.forename: Toru
authors.initials: T
authors.lastname: Hidaka
mesh_terms: D000208:Acute Disease; D002648:Child; D005260:Female; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000188:drug therapy; D010195:Pancreatitis / Q000209:etiology*