A 23-year-old male visited our hospital with a complaint of abdominal pain. He was treated with antibiotics, but developed abdominal pain, so he was admitted.
The pancreatic enzyme level was elevated gradually. During the hospitalization, he had melena and a rash over his legs. The skin biopsy at purpura showed vasculitis. A diagnosis of pancreatitis complicating Schönlein Henoch purpura was made. Gastroenterological endoscopic examination revealed multiple erosion, enlarged folds, shallow linear ulcer of the duodenum. He was treated prednisolone and intravenous fluids. In cases of this syndrome with abdominal pain, pancreatic enzyme levels should be estimated.
