Are there many children with allergic purpura?

Written by Li Jing
Rheumatology
Updated on September 28, 2024
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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 Li Jing
Rheumatology
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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.

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Written by Zhang Peng
General Surgery
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Is allergic purpura with abdominal pain easy to treat?

Allergic purpura with abdominal pain, also known as abdominal allergic purpura, involves gastrointestinal symptoms associated with allergic purpura, primarily characterized by episodic severe abdominal pain, usually around the navel or lower abdomen, and may sometimes be accompanied by vomiting. Treatment typically involves bed rest, actively identifying the cause, controlling infections, and supplementing relevant vitamins. It's also important to check for any symptoms of gastrointestinal bleeding. If there are signs of gastrointestinal bleeding, strict dietary management is necessary, blood transfusions may be required when needed, and the healing of the gastrointestinal tract must be monitored. Medications to suppress acid or protect the gastric mucosa could be considered. Generally, the prognosis for allergic purpura is favorable, though very few severe cases may experience gastrointestinal complications such as bleeding, intussusception, or even necrosis. Although the prognosis is generally good, relapse is common. (Please use medications under the guidance of a professional physician and do not self-medicate.)

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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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What causes allergic purpura?

Allergic purpura commonly occurs in adolescents and children, characterized by frequent relapses and being intractable. It is primarily seen in youth aged between 5 to 14 years. As they age and their immunity strengthens, the frequency of episodes gradually decreases. The most common causes of allergic purpura include infections such as bacteria, viruses, parasites, mycoplasma infections, and allergies to medications and foods, with food allergies mainly stemming from high-protein foods like fish and shrimp, which can easily trigger allergic reactions. Therefore, once skin purpura or proteinuria appears, it is crucial to rest in bed until the pain and proteinuria dissipate and the purpura eases. During treatment, it is also important to avoid cold exposure and overexertion.

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Written by Yang Ya Meng
Rheumatology
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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.