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Allergic Purpura
What medicine is taken for allergic purpura?
The medication for allergic purpura should be determined based on the severity of the patient's condition. If the patient only shows symptoms like rashes, the focus should be on reducing the rashes, and medications such as compound glycyrrhizin and desloratadine can be used for their anti-allergic effects. If the main clinical manifestation of allergic purpura is joint pain, some non-steroidal pain relief medications can be added for pain relief. However, if the patient primarily exhibits involvement of internal organs, such as gastrointestinal involvement in allergic purpura starting with abdominal pain, or kidney damage marked by significant proteinuria, then corticosteroids and immunosuppressants should be considered for treatment. (Please use medications under the guidance of a doctor).
Can people with allergic purpura eat durian?
Patients with allergic purpura should not eat durian, as durian is considered a food that can trigger allergies, which in turn can provoke the onset of allergic purpura. Besides avoiding such trigger foods in their diet, patients with allergic purpura should also avoid getting cold, as catching cold can lead to infections, which may also trigger an episode of allergic purpura. Furthermore, intense physical activity, like fast running, should be avoided as well, because such activities can also lead to outbreaks of allergic diseases. Allergic purpura is also a self-limiting disease, and can improve on its own after reaching adulthood.
Does allergic purpura cause itchy skin?
The skin of patients with allergic purpura generally does not show symptoms of itching, although it is called allergic purpura. However, the main clinical manifestations are inflammation of the capillaries at the extremities of the lower limbs, accompanied by a characteristic rash, without noticeable symptoms of skin itching. If a patient with allergic purpura also has symptoms of skin itching, it may be necessary to consider whether there is a concurrent allergic dermatitis or similar condition. Besides the typical purpuric rash on both lower limbs, some patients with allergic purpura may also experience nausea, vomiting, diarrhea, and these symptoms are referred to as the gastrointestinal type of allergic purpura. Some patients may experience joint pain, which belongs to the joint type of allergic purpura, and others may present with proteinuria, which belongs to the renal type of allergic purpura.
What should I do if I have allergic purpura and my legs hurt?
Patients with allergic purpura who experience leg pain indicate the development of the arthritic type of allergic purpura. Firstly, strict bed rest should be enforced in daily life to reduce the burden on the joints. Secondly, active treatment of the primary cause of allergic purpura should be pursued, which can include taking medications like desloratadine dispersible tablets to reduce the rash. Subsequently, anti-inflammatory and analgesic drugs, such as diclofenac sodium sustained-release tablets, can be taken to alleviate leg pain. If the symptoms do not significantly improve with these measures, the use of a small dose of corticosteroids may be considered if necessary. (Medication should be administered under the guidance of a professional doctor.)
Can people with allergic purpura take baths?
Patients with allergic purpura can take baths, but the water temperature should not be too hot. This is because excessive heat or vigorous exercise can potentially trigger a recurrence of allergic purpura. Additionally, patients should avoid getting cold to reduce the risk of infection, as infections can also provoke episodes of allergic purpura. During an episode of allergic purpura, it is necessary to take some anti-allergy medications and medications that reduce rashes, such as desloratadine dispersible tablets and compound glycyrrhizin tablets. If there is significant involvement of vital organs, such as the kidneys or gastrointestinal tract, some patients may also need to use corticosteroids. (Medication should be taken under the guidance of a doctor.)
What should I do if allergic purpura causes vomiting?
Patients with allergic purpura who experience symptoms of vomiting need to be highly vigilant to determine if it is the gastrointestinal type of allergic purpura. In addition to observing the vomiting, we also need to check for symptoms such as abdominal pain and diarrhea in the patient. Regarding treatment, we need to consider the use of corticosteroids. If the patient’s condition allows, immunosuppressants might also be needed. Dietary considerations are also very important; first, it is essential to maintain a light, liquid diet, avoid spicy or tough foods to manage the vomiting symptoms associated with allergic purpura. (The use of medications should be under the guidance of a professional doctor.)
How many days will allergic purpura take to fade?
The symptoms of the rash from allergic purpura generally subside naturally after about 7 to 10 days. However, if care is not taken in daily life, there is a high likelihood of recurrence of the rash. Patients with allergic purpura should avoid vigorous activities such as fast running and should also avoid getting chilled and infections, as both cold and infections could exacerbate the condition. Additionally, patients should consume less of foods like shrimp and crab, which may trigger allergic reactions.
Precursors of recurrent allergic purpura
The precursors of a relapse of allergic purpura typically occur in patients after exposure to cold, strenuous exercise, or allergens, manifesting as purpuric rash on the skin. Additionally, some patients may experience gastrointestinal reactions such as nausea, vomiting, abdominal pain, and diarrhea. More severe cases can present with symptoms of allergic purpura and purpura nephritis, primarily characterized by edema and significant proteinuria indicated in routine urine tests. If patients experience the aforementioned symptoms, it is crucial to be vigilant about the possibility of a relapse of allergic purpura and to seek medical attention promptly to prevent further progression of the disease.
Can people with allergic purpura eat chicken?
Patients with allergic purpura can eat chicken. In the diet of patients with allergic purpura, the general principle is to try to reduce the consumption of spicy foods and some potential irritants such as celery, coriander, and shiitake mushrooms, which should be eaten sparingly. Chicken is not considered an irritant and can be consumed. In addition to strict dietary precautions to avoid allergens, patients with allergic purpura should also avoid vigorous exercise and strictly avoid getting cold and infections, as both vigorous exercise and infections can potentially trigger acute episodes of allergic purpura.
Does allergic purpura spread to others?
Firstly, allergic purpura is neither a genetic nor a contagious disease, so there is no need to worry about it being inherited or transmitted to others. It is an allergic reaction caused by drugs, food, or infections, typically manifested by bleeding and bruising on the skin and mucous membranes of the limbs, joint pain, and hematuria. Diagnosis requires the combination of clinical manifestations and related tests such as urinalysis. If it is merely a case of the skin type, it only necessitates bed rest and observation of the number and extent of bleeding points on the skin and mucous membranes without special treatment. If there are symptoms like black stools or proteinuria, bed rest is imperative along with the use of anti-allergy medications or corticosteroids to enhance treatment, continuing until the proteinuria resolves.