急性膵炎を来した Henoch-Schonlein 紫斑病の1例  [in Japanese] A CASE OF HENOCH-SCHONLEIN PURPURA ASSOCIATED WITH ACUTE PANCREATITIS  [in Japanese]

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Author(s)

    • 三池 忠 MIIKE Tadashi
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 田原 良博 TAHARA Yoshihiro
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 山本 章二朗 YAMAMOTO Shojiro
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 橋本 神奈 HASHIMOTO Kanna
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 山路 卓巳 YAMAJI Takumi
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 安倍 弘生 ABE Hiroo
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 楠元 寿典 KUSUMOTO Kazunori
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 蓮池 悟 HASUIKE Satoru
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 永田 賢治 NAGATA Kenji
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki
    • 下田 和哉 SHIMODA Kazuya
    • 宮崎大学附属病院 内科学講座消化器血液学分野 Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki

Abstract

52歳,男性.両側下腿の紫斑,腹痛,血便を呈し,Henoch-Schönlein紫斑病と診断した.膵型優位の血清アミラーゼ,リパーゼの上昇が出現し,腹部CTでは軽度膵腫大を認め,急性膵炎を合併した.ステロイド,メシル酸ガベキサートを投与し,Henoch-Schönlein紫斑病,膵炎ともに軽快した.稀ではあるが,Henoch-Schönlein紫斑病に膵炎を合併することがあり,腹痛の原因として膵炎の可能性を念頭に,素早く適切な対応が必要である.

A 52 year old man presented with purpura on his lower limbs, abdominal pain, and melena. He was subsequently diagnosed as having Henoch-Schönlein purpura. Two days after admission, he was diagnosed as having acute pancreatitis-related complications based on the elevated serum levels of amylase and lipase, and slight pancreatic enlargement as seen on abdominal CT images. Following administration of predonisolone and gabexate mesylate the acute pancreatitis improved concomitantly with improvement of the Henoch-Schönlein purpura. As regarding the cause of abdominal pain, we should treat pancreatitis rapidly and adequately, because Henoch-Schönlein purpura is rarely associated with acute pancreatitis.

Journal

  • GASTROENTEROLOGICAL ENDOSCOPY

    GASTROENTEROLOGICAL ENDOSCOPY 53(5), 1465-1471, 2011-05-20

    Japan Gastroenterological Endoscopy Society

References:  21

Codes

  • NII Article ID (NAID)
    10029092556
  • NII NACSIS-CAT ID (NCID)
    AN00192102
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    03871207
  • Data Source
    CJP  J-STAGE 
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