Symptoms of allergic purpura

Written by Yang Ya Meng
Rheumatology
Updated on February 28, 2025
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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.

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

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 Li Jing
Rheumatology
1min 14sec home-news-image

How long will allergic purpura take to heal?

Allergic purpura, as the name implies, is subcutaneous hemorrhage caused by allergies and is a type of special vasculitis. This disease is common among adolescents and children aged 5 to 14 and tends to recur without a fundamental cure. Allergic purpura is rare in adults. Once allergic purpura occurs, it is important to classify the types, which can be divided into skin type, abdominal type, renal type, joint type, and mixed type. The purpose of such classifications is mainly to determine the severity of the condition. If it is merely simple skin bruising, antiallergic medication will suffice. However, if it progresses to abdominal and renal types, these two types are the most severe and must be treated formally with attention to bed rest. Mild allergic purpura can be cured, meaning it can resolve on its own. Regarding how long it will take for allergic purpura to improve, this depends on the severity of the condition. Mild cases can improve in about two weeks, but if the kidneys accumulate damage, then it becomes a chronic disease requiring long-term treatment.

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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 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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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.)