Can allergic purpura be cured?

Written by Li Jing
Rheumatology
Updated on September 07, 2024
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Allergic purpura is a common vasculitic hypersensitivity response, which means that it is a vascular inflammatory response caused by allergies and is particularly prevalent among adolescents, with a higher occurrence in males. Most cases are associated with infections or allergies, with the most common infections being bacterial, viral, parasitic, and mycoplasmal. Seafood and high protein can lead to allergies, triggering allergic purpura. This condition cannot be cured and tends to recur, but as individuals age and their immune system strengthens, the frequency and likelihood of episodes significantly decrease. However, if kidney damage occurs, which means the development of allergic purpura nephritis, it is crucial to regularly monitor kidney function and urine routine to check for the presence of proteinuria. If necessary, cardiac puncture should be performed, and corticosteroids should be administered.

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Written by Li Jing
Rheumatology
1min 16sec home-news-image

Can allergic purpura be cured?

Allergic purpura mainly occurs in adolescents and children, often in the spring and autumn seasons, and is typically related to bacterial infections, viral infections, and allergies to medications and foods. The most common clinical symptoms include bruises on both lower limbs, bleeding, black stools, joint pain, and abdominal pain. Upon the appearance of bruises on the lower limbs, it is recommended to complete routine blood tests, erythrocyte sedimentation rate, and autoantibody tests to rule out other autoimmune diseases causing skin bruises. During the acute phase, it is necessary to rest in bed, drink plenty of water, and eat a light diet. If there are only simple skin bruises, these may resolve after rest. However, if joint pain, bloody stools, and black stools occur, formal and active treatment is required, as these symptoms will not resolve on their own. Additionally, the presence of blood or protein in urine suggests kidney involvement, indicating that the condition has worsened.

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Written by Pan Wu Shan
Nephrology
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Is allergic purpura nephritis easy to treat?

Allergic purpura nephritis is essentially a kidney complication caused by allergic purpura. The main symptoms are that the patient first presents with scattered purple spots on the lower limbs, known as allergic purpura. Subsequently, routine urine tests reveal hematuria or proteinuria, allowing for a diagnosis of allergic purpura nephritis. It cannot be completely cured. Currently, treatment first requires complete quantification of urine protein and a renal biopsy to confirm whether it is allergic purpura nephritis and its severity. Generally, it involves the use of steroids. Typical treatment involves firstly avoiding allergens, so any substances that cause allergies should not be contacted to prevent triggering allergic purpura, and thus prevent the recurrence of purpura nephritis. Additionally, it involves adhering to a low-salt, low-fat diet, and avoiding catching colds or staying up late.

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Written by Li Jing
Rheumatology
1min 6sec home-news-image

Are there many children with allergic purpura?

Firstly, allergic purpura is commonly found in adolescents and children, with children being the most commonly affected, particularly between the ages of 8 to 15. It typically occurs during the spring and autumn seasons. The most common clinical manifestations are bleeding spots on the lower limbs, hematuria, black stools, and joint pain, which are the most typical clinical presentations. If there are only bleeding spots on the skin, no special treatment is required at this time; rest in bed is necessary, and these bruises can be absorbed. Once the kidneys are involved, it indicates a relatively severe condition, and at this time, active and standard treatment is necessary, including the need to improve routine urine and kidney function indicators. If protein quantification is relatively high, then glucocorticoids are needed, combined with anti-allergic medication. (Medication should be taken under the guidance of a doctor.)

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Written by Yang Ya Meng
Rheumatology
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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.)

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Written by Yang Ya Meng
Rheumatology
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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.