A case of acute pancreatitis complicating anaphylactoid purpura (Henoch-Schönlein syndrome) is reported. In cases of this syndrome with abdominal pain, serum amylase levels should be estimated.

INTRODUCTION Surgical patients are exposed to multiple foreign substances in the perioperative period including drugs, blood products, or environmental antigens such as latex. Because any substance can produce an allergic or adverse reaction, clinicians must be ready to manage patients in this perioperative environment. The most life-threatening form of an allergic reaction is anaphylaxis, howe...

hydroxyproline level when the alkaline phosphatase level is of the order found in this patient. Further evidence of normal bone metabolism was obtained from the normal hydroxyproline excretion. There was no laboratory evidence to suggest hyperparathyroidism. The normal galatose-l-phosphate uridyl transferase level ruled out galactosaemia. Though a diagnosis of glycogen storage disease was consi...