Can people with allergic purpura take baths?

Written by Yang Ya Meng
Rheumatology
Updated on December 28, 2024
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Patients with allergic purpura can take baths, but the water temperature should not be too hot. This is because excessive heat or vigorous exercise can potentially trigger a recurrence of allergic purpura. Additionally, patients should avoid getting cold to reduce the risk of infection, as infections can also provoke episodes of allergic purpura. During an episode of allergic purpura, it is necessary to take some anti-allergy medications and medications that reduce rashes, such as desloratadine dispersible tablets and compound glycyrrhizin tablets. If there is significant involvement of vital organs, such as the kidneys or gastrointestinal tract, some patients may also need to use corticosteroids. (Medication should be taken under the guidance of a doctor.)

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Written by Li Jing
Rheumatology
1min 3sec home-news-image

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 Zhou Qi
Nephrology
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Is allergic purpura nephritis contagious?

Henoch-Schönlein purpura nephritis and allergic purpura are not infectious diseases; there is no contagious element involved. Henoch-Schönlein purpura nephritis is actually kidney damage caused by allergic purpura, which is an allergic disease itself. Patients suffer from an abnormal immune response in the body’s immune system after coming into contact with allergenic drugs or foods, leading to necrotizing vasculitis. This disease is unrelated to pathogens. Generally, there is no direct damage to the kidneys caused by a specific pathogen in this disease, nor do patients carry pathogens that can cause Henoch-Schönlein purpura nephritis, such as bacteria or viruses, thus making the disease non-contagious.

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Written by Li Jing
Rheumatology
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Is allergic purpura dangerous?

Firstly, allergic purpura is a type of hypersensitivity reaction and also a specific type of vasculitis. The main triggering factors include infections, medications, and food allergies, among others. It is not curable and tends to recur. Allergic purpura can be categorized into skin type, joint type, abdominal type, renal type, and mixed type. The presence of black stool, hematuria, vomiting, or proteinuria often indicates abdominal or renal types, which are the most severe forms of allergic purpura. In cases of black stool and severe vomiting, it is crucial to eat timely, replenish fluids, and maintain electrolyte balance. Additionally, it is important to complete a mesenteric vascular ultrasound to check for mesenteric vascular embolism. Moreover, if hematuria and proteinuria occur, it is necessary to rest in bed and, if needed, perform a kidney biopsy to assess the extent of kidney damage. Allergic purpura can be life-threatening because if not treated promptly, it may lead to purpuric nephritis, which can cause symptoms like proteinuria, hematuria, and even hypertension and bodily edema. In severe cases, it may lead to renal failure and induce uremia, greatly harming health. Furthermore, children with allergic purpura may also develop serious complications such as intussusception, which can be life-threatening. If this condition is identified, surgical treatment should be administered promptly.

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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 Yang Ya Meng
Rheumatology
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Can people with allergic purpura eat durian?

Patients with allergic purpura should not eat durian, as durian is considered a food that can trigger allergies, which in turn can provoke the onset of allergic purpura. Besides avoiding such trigger foods in their diet, patients with allergic purpura should also avoid getting cold, as catching cold can lead to infections, which may also trigger an episode of allergic purpura. Furthermore, intense physical activity, like fast running, should be avoided as well, because such activities can also lead to outbreaks of allergic diseases. Allergic purpura is also a self-limiting disease, and can improve on its own after reaching adulthood.