Is allergic purpura serious?

Written by Li Jing
Rheumatology
Updated on September 05, 2024
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Firstly, allergic purpura is caused by infections, drugs, or food allergies leading to skin ecchymosis and petechiae; in addition, it can also manifest as joint pain, hematuria, and melena. The presence of protein in a routine urine test along with hematuria or melena often indicates gastrointestinal allergic purpura and renal allergic purpura. The presence of proteinuria suggests kidney involvement, which is the most severe type among various forms of allergic purpura. If it is solely a cutaneous type, no special treatment is needed other than drinking more water and ensuring bed rest to alleviate skin ecchymosis. If proteinuria or hematuria occurs, one must rest in bed until the protein levels improve before resuming activities. Concurrently, corticosteroids and anti-allergy medications should be administered. (Medication should be used under the guidance of a professional doctor.)

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Written by Yang Ya Meng
Rheumatology
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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.)

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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 Li Jing
Rheumatology
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Allergic purpura should go to which department?

Allergic purpura requires a visit to the rheumatology and immunology department. It is common in children and adolescents. This condition cannot be cured and tends to recur frequently. The most common causes of allergic purpura include infections, medications, and food allergies, with infections being the most frequent cause, such as bacterial, viral, tuberculosis, and mycoplasma infections. Once allergic purpura occurs, it is necessary to conduct comprehensive tests to ascertain if there is damage to other organs or complications. If proteinuria occurs, aggressive treatment should be pursued, and a 24-hour urine protein quantification should be completed to determine the level of urinary protein. If necessary, a kidney biopsy may be performed to assess the extent of kidney damage. Bed rest is required until the proteinuria improves. (Medication use should be under the guidance of a doctor.)

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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 Yang Ya Meng
Rheumatology
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Can allergic purpura cause fever?

Patients with allergic purpura may experience fever, which we call immune fever. To treat such fevers, we need to use non-steroidal anti-inflammatory drugs, commonly used ones include diclofenac sodium sustained-release tablets. Also, if patients with allergic purpura develop fever symptoms, we need to rigorously differentiate whether there is a concurrent infection. We must inquire whether the patient has symptoms of infection such as cough, expectoration, abdominal pain, diarrhea, frequent urination, urgent urination, etc. If the patient shows these symptoms, we then consider that the patient with allergic purpura may also have an infectious fever. In such cases, treatment should include the use of antibiotics like cephalosporins, penicillin, etc. Note: Follow medical advice regarding medication use.