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Allergic Purpura
What should people with allergic purpura avoid eating?
People with allergic purpura should avoid the following foods: First, foods like celery, coriander, and mushrooms that may trigger photosensitivity should be consumed minimally. Also, seafood such as crabs and shrimp, which are high in protein, should be consumed in limited quantities. Additionally, overly nourishing foods like dog meat and mutton should also be minimized, as these foods may trigger outbreaks of allergic purpura. Besides dietary considerations, individuals with allergic purpura should also avoid getting cold, prevent infections, and avoid strenuous exercise.
Allergic purpura should go to which department?
Allergic purpura requires a visit to the rheumatology and immunology department. It is common in children and adolescents. This condition cannot be cured and tends to recur frequently. The most common causes of allergic purpura include infections, medications, and food allergies, with infections being the most frequent cause, such as bacterial, viral, tuberculosis, and mycoplasma infections. Once allergic purpura occurs, it is necessary to conduct comprehensive tests to ascertain if there is damage to other organs or complications. If proteinuria occurs, aggressive treatment should be pursued, and a 24-hour urine protein quantification should be completed to determine the level of urinary protein. If necessary, a kidney biopsy may be performed to assess the extent of kidney damage. Bed rest is required until the proteinuria improves. (Medication use should be under the guidance of a doctor.)
How long will allergic purpura take to heal?
Allergic purpura, as the name implies, is subcutaneous hemorrhage caused by allergies and is a type of special vasculitis. This disease is common among adolescents and children aged 5 to 14 and tends to recur without a fundamental cure. Allergic purpura is rare in adults. Once allergic purpura occurs, it is important to classify the types, which can be divided into skin type, abdominal type, renal type, joint type, and mixed type. The purpose of such classifications is mainly to determine the severity of the condition. If it is merely simple skin bruising, antiallergic medication will suffice. However, if it progresses to abdominal and renal types, these two types are the most severe and must be treated formally with attention to bed rest. Mild allergic purpura can be cured, meaning it can resolve on its own. Regarding how long it will take for allergic purpura to improve, this depends on the severity of the condition. Mild cases can improve in about two weeks, but if the kidneys accumulate damage, then it becomes a chronic disease requiring long-term treatment.
Is allergic purpura dangerous?
Firstly, allergic purpura is a type of hypersensitivity reaction and also a specific type of vasculitis. The main triggering factors include infections, medications, and food allergies, among others. It is not curable and tends to recur. Allergic purpura can be categorized into skin type, joint type, abdominal type, renal type, and mixed type. The presence of black stool, hematuria, vomiting, or proteinuria often indicates abdominal or renal types, which are the most severe forms of allergic purpura. In cases of black stool and severe vomiting, it is crucial to eat timely, replenish fluids, and maintain electrolyte balance. Additionally, it is important to complete a mesenteric vascular ultrasound to check for mesenteric vascular embolism. Moreover, if hematuria and proteinuria occur, it is necessary to rest in bed and, if needed, perform a kidney biopsy to assess the extent of kidney damage. Allergic purpura can be life-threatening because if not treated promptly, it may lead to purpuric nephritis, which can cause symptoms like proteinuria, hematuria, and even hypertension and bodily edema. In severe cases, it may lead to renal failure and induce uremia, greatly harming health. Furthermore, children with allergic purpura may also develop serious complications such as intussusception, which can be life-threatening. If this condition is identified, surgical treatment should be administered promptly.
Can allergic purpura cause fever?
Patients with allergic purpura may experience fever, which we call immune fever. To treat such fevers, we need to use non-steroidal anti-inflammatory drugs, commonly used ones include diclofenac sodium sustained-release tablets. Also, if patients with allergic purpura develop fever symptoms, we need to rigorously differentiate whether there is a concurrent infection. We must inquire whether the patient has symptoms of infection such as cough, expectoration, abdominal pain, diarrhea, frequent urination, urgent urination, etc. If the patient shows these symptoms, we then consider that the patient with allergic purpura may also have an infectious fever. In such cases, treatment should include the use of antibiotics like cephalosporins, penicillin, etc. Note: Follow medical advice regarding medication use.
Recurrent symptoms of allergic purpura
The clinical manifestations of recurrent allergic purpura primarily include purpuric rashes on the lower limbs. If the patient experiences joint pain, it is also a clinical symptom of recurrent allergic purpura. Some severe cases of allergic purpura may even present with abdominal pain and other gastrointestinal symptoms. Additionally, some patients may exhibit significant amounts of protein in the urine and impaired creatinine levels. This indicates allergic purpura with purpuric nephritis, which is considered severe in the context of allergic purpura. Therefore, if a patient presents with the aforementioned symptoms, the recurrence of allergic purpura should be considered. At this point, further examinations such as blood tests, urine tests, and kidney function tests can be conducted to assess the condition.
Can allergic purpura be cured completely?
Allergic purpura is a type of vasculitis that recurs symptomatically, but most cases can be cured with systematic and standardized medication. This disease has complex classifications including skin type, gastrointestinal type, joint type, and renal type. The simple types generally have milder symptoms and are easier to cure; however, complex damages often exhibit a clinical characteristic of being difficult to cure. It is important to rest, control physical activity, and follow a cautious and reasonable diet, avoiding cold foods and seafood. Treatment involves anti-inflammatory measures, improving the permeability of peripheral blood vessels, and supporting immune regulation.
Is allergic purpura prone to recurrence?
First and foremost, allergic purpura refers to a hemorrhagic disease that affects the capillaries in the skin or other organs; it is categorized as a rheumatic immune disease. It primarily occurs in adolescents and children aged between five to fourteen years, and cannot be cured. The disease is prone to recurring, which is its main clinical characteristic. The primary causes are infections, drugs, or food allergies, with infections being the most significant factor. Therefore, upon the appearance of skin purpura or bleeding spots, joint swelling, or signs such as hematuria and proteinuria, timely and comprehensive examinations should be conducted for diagnosis. Once the kidneys are involved, it is essential to rest in bed until the proteinuria alleviates. Moreover, it is crucial to conduct a 24-hour urinary protein quantification to assess the extent of kidney damage. If there is a significant amount of proteinuria, it is advisable to promptly perform a renal biopsy to clarify the type of pathology.
Symptoms of allergic purpura
Allergic purpura, which we generally divide into four types. The first type is the mildest, often primarily characterized by purpuric rash-like skin manifestations. The second type we call allergic purpura arthritis type, where patients, in addition to the typical rash, also experience joint pain symptoms. The third type we refer to as the renal type of allergic purpura, where patients often present primarily with hematuria and proteinuria, and urine tests typically indicate positive urinary protein. The fourth type we call the abdominal type of allergic purpura, where patients suffer from nausea, vomiting, abdominal pain, and diarrhea as their main clinical manifestations.
Do you need to be hospitalized for allergic purpura?
Whether patients with allergic purpura need to be hospitalized mainly depends on the severity of their condition. For mild cases of allergic purpura, also known as purely dermal allergic purpura, where the main clinical manifestation is a rash primarily on the lower limbs, outpatient treatment is sufficient. However, if the patient has gastrointestinal or renal types of allergic purpura, hospitalization is required. The gastrointestinal type of allergic purpura involves significant symptoms such as abdominal pain and diarrhea, while the renal type is characterized by symptoms like edema and significant proteinuria. If allergic purpura affects internal organs, the digestive tract, or kidneys, hospital treatment is necessary.