What can people with allergic purpura eat?

Written by Li Jing
Rheumatology
Updated on August 31, 2024
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Firstly, allergic purpura commonly occurs in adolescents and children, mainly between the ages of 5 to 14, and is frequent during the spring and autumn seasons. The most common causes of allergic purpura are infections, drug and food allergies, with infections being the most prevalent cause, such as bacterial, viral, and parasitic infections. Allergic purpura cannot be cured and often relapses. During the acute phase, it is primarily recommended to rest in bed, and to eat a light diet. It is advisable to consume fresh fruits and vegetables, such as oranges, grapes, grapefruits, and kiwis, which are rich in vitamin C, as well as various green leafy vegetables. These foods, rich in vitamin C, are beneficial for recovery and good for the body. Additionally, foods like seafood and mangoes, as well as previously untried fruits and foods, are not recommended during this phase to avoid triggering allergic reactions or worsening the condition.

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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 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 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 Yang Ya Meng
Rheumatology
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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.

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Written by Yang Ya Meng
Rheumatology
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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.