title: [Acute pancreatitis as the presenting feature of an IgA vasculitis: An unusual presentation].
abstract: BACKGROUND
  IgA vasculitis is a systemic small vessel leukocytoclastic vasculitis characterized by skin purpura, arthritis, abdominal pain and nephritis. Most of the abdominal complications are due to edema and hemorrhage in the small bowel wall, but rarely to acute secondary pancreatitis.
  
  
  METHODS
  Here, we report a 53-year-old woman who presented with acute pancreatitis and, secondarily, developed skin purpura and arthritis at the seventh day of the clinical onset. Biological tests and computed tomographic scan allowed to rule out another cause of pancreatitis and IgA vasculitis was diagnosed as its etiology. The outcome was favorable without any relapse on glucocorticoids.
  
  
  CONCLUSIONS
  Despite its rarity, pancreatitis is a potential life-threatening complication of IgA vasculitis in which the role of glucocorticoids and immunosuppressive drugs remains uncertain. A prompt elimination of other usual pancreatitis etiologies is mandatory to improve the management of the patients.
authors.affiliation: Service de médecine interne et immunologie clinique, hôpital universitaire de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
authors.forename: L
authors.initials: L
authors.lastname: Fertitta
authors.affiliation: Service de médecine interne et immunologie clinique, hôpital universitaire de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris-Sud, 94275 Le Kremlin-Bicêtre, France; IDMIT, CEA, DSV/iMETI, division d'immunovirologie, 92260 Fontenay-aux-Roses, France; Inserm, U1184, centre d'immunologie des maladies virales et autoimmunes, 94275 Le Kremlin-Bicêtre, France. Electronic address: nicolas.noel@aphp.fr.
authors.forename: N
authors.initials: N
authors.lastname: Noel
authors.affiliation: Service de médecine interne et immunologie clinique, hôpital universitaire de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
authors.forename: F
authors.initials: F
authors.lastname: Ackermann
authors.affiliation: Service de médecine interne et immunologie clinique, hôpital universitaire de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris-Sud, 94275 Le Kremlin-Bicêtre, France.
authors.forename: N
authors.initials: N
authors.lastname: Lerolle
authors.affiliation: Service de chirurgie digestive et oncologique, hôpital universitaire de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
authors.forename: S
authors.initials: S
authors.lastname: Benoist
authors.affiliation: Service de radiologie diagnostique et interventionnelle, hôpital universitaire de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
authors.forename: L
authors.initials: L
authors.lastname: Rocher
authors.affiliation: Service de médecine interne et immunologie clinique, hôpital universitaire de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris-Sud, 94275 Le Kremlin-Bicêtre, France; IDMIT, CEA, DSV/iMETI, division d'immunovirologie, 92260 Fontenay-aux-Roses, France; Inserm, U1184, centre d'immunologie des maladies virales et autoimmunes, 94275 Le Kremlin-Bicêtre, France.
authors.forename: O
authors.initials: O
authors.lastname: Lambotte
mesh_terms: D000208:Acute Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007070:Immunoglobulin A / Q000009:adverse effects*; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis*; D014657:Vasculitis / Q000175:diagnosis* / Q000209:etiology*
chemical_list: D007070:Immunoglobulin A
keywords: Henoch-Schönlein purpura; IgA vasculitis; Immunosuppresseurs; Immunosuppressive drugs; Pancreatitis; Pancréatite; Purpura rhumatoïde; Vascularite à IgA