Precautions for Allergic Purpura

Written by Li Jing
Rheumatology
Updated on September 03, 2024
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Allergic purpura is a common allergic disorder, also known as vasculitis, and occurs more frequently in adolescent males. Adults can also be affected, but it is less common, and the majority of cases are due to infections, such as bacterial, viral, or parasitic infections. Food or drug allergies are also part of the causes of allergic purpura. For adolescents who develop allergic purpura, infections should be considered first, followed by allergies. It's important to maintain a light diet, drink plenty of water, wear a mask when going out to prevent upper respiratory infections, and control the intake of high-protein foods such as fish, shrimp, eggs, milk, and lean meat. As for fruits, including mangoes, some people can be triggered to have allergic purpura, especially fruits they have not been exposed to before; it's best to minimize contact with unfamiliar fruits to avoid inducing an allergic purpura attack.

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Written by Yang Ya Meng
Rheumatology
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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.

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Written by Li Liu Sheng
Nephrology
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How to treat allergic purpura nephritis?

Kidney damage caused by allergic purpura is called allergic purpura nephritis. The main clinical manifestations include joint pain, rash, black stools, abdominal pain, as well as hematuria, increased urinary protein, elevated blood pressure, and even edema and renal insufficiency. During the acute phase of allergic purpura nephritis, patients should rest in bed, and if there is edema, intake of water and salt should be strictly restricted. It is also important to actively identify the allergens to conduct etiological treatment. Intake of certain suspected foods or medications should be prohibited. If the patient has obvious rashes and joint pain, antiallergic medications can be used for treatment. If the effect is not satisfactory, hormones and immunosuppressive agents can be introduced. Depending on the patient's condition, Traditional Chinese Medicine can also be used to invigorate blood circulation and remove blood stasis. If the condition is severe, combined treatment can be considered for better results.

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Written by Li Jing
Rheumatology
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Can allergic purpura be cured?

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 Yang Ya Meng
Rheumatology
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Does allergic purpura cause vomiting?

Patients with allergic purpura may experience symptoms of vomiting. Patients with the gastrointestinal type of allergic purpura may exhibit symptoms such as vomiting, abdominal pain, and diarrhea. The gastrointestinal type is considered a severe form of allergic purpura because it affects critical internal organs and the intestines. In treatment, besides using anti-allergic methods to reduce rashes, it is also necessary to use corticosteroids to reduce inflammation and control gastrointestinal symptoms. Additionally, immunosuppressants such as mycophenolate mofetil can be used to control the gastrointestinal response. Meanwhile, patients should adhere to a strict fasting regimen until symptoms like vomiting and diarrhea improve. (Medication should be administered under the guidance of a professional doctor.)

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Written by Liu Li Ning
Rheumatology
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Is allergic purpura contagious?

Allergic purpura is not a contagious disease; it is an autoimmune disorder, and therefore it is not transmissible. This condition is a self-limiting disease commonly found in adolescents and children. It mainly comes in four types: simple, renal, abdominal, and articular. Common symptoms include purpura on the limbs and body, and it may also involve abdominal pain, joint pain, and hematuria among other organ impairments. During the acute phase, bed rest is required. Sometimes, when the kidneys are affected, corticosteroids are necessary for timely treatment. If there is joint swelling and pain, nonsteroidal anti-inflammatory drugs can be used to alleviate pain, and antispasmodic analgesics can be used for abdominal pain.