Can people with allergic purpura eat durian?

Written by Yang Ya Meng
Rheumatology
Updated on January 10, 2025
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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.

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Written by Yang Ya Meng
Rheumatology
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What should I do if allergic purpura causes vomiting?

Patients with allergic purpura who experience symptoms of vomiting need to be highly vigilant to determine if it is the gastrointestinal type of allergic purpura. In addition to observing the vomiting, we also need to check for symptoms such as abdominal pain and diarrhea in the patient. Regarding treatment, we need to consider the use of corticosteroids. If the patient’s condition allows, immunosuppressants might also be needed. Dietary considerations are also very important; first, it is essential to maintain a light, liquid diet, avoid spicy or tough foods to manage the vomiting symptoms associated with allergic purpura. (The use of medications should be under the guidance of a professional doctor.)

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Written by Li Jing
Rheumatology
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Allergic purpura belongs to which department?

Allergic purpura is a common vasculitis related to hypersensitivity, essentially a type of vasculitis that belongs to hematological diseases. It is mostly caused by infections or allergies to food and drugs, predominantly occurring in adolescents. It is more common in males, but a minority of adults may also develop allergic purpura. The main types include abdominal, renal, articular, mixed, and cutaneous forms. However, when allergic purpura nephritis occurs, presenting with proteinuria or decreased kidney function, it is necessary to visit a nephrology department. Treatment should aim to control proteinuria, protect kidney function, and reduce damage to kidney functions. Therefore, it is essential to visit a nephrologist at this time. Allergic purpura must be differentiated in treatment; if it is merely a cutaneous or abdominal type, a hematologist can manage it. However, if the kidneys are involved, it requires consultation in a nephrology specialty. (Please use medications under the guidance of a professional physician and do not self-medicate.)

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Written by Li Jing
Rheumatology
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Can allergic purpura cause itching?

Allergic purpura is mainly seen in adolescents and children, with a higher incidence in spring and autumn. The most common cause is infection, followed by medications or food, which can also trigger an episode of allergic purpura. The most common symptoms include purpura on the skin and mucous membranes, abdominal pain, blood in stools, hematuria, or joint pain. The purpura primarily affects the limbs, rarely appears on the trunk, and is symmetrically distributed. At this time, the bleeding spots often have no symptoms, meaning there is no itching of the skin. However, when there is concomitant skin edema or hives, itching can occur.

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Written by Li Jing
Rheumatology
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Can allergic purpura be cured completely?

Allergic purpura is a special type of vasculitis and also a hypersensitivity disorder. It commonly occurs in adolescents and children aged 5 to 14, with a higher incidence rate in the spring and autumn seasons. The disease frequently relapses and cannot be completely cured. The most common causes of allergic purpura include infections, medications, and foods. Infections are the most frequent cause, such as bacteria, viruses, parasites, tuberculosis, etc. If it is merely a cutaneous form, no special treatment is required at this time, and bed rest alone can alleviate the condition. If there is the presence of blood or protein in the urine, and renal biopsy shows a large number of crescents, it then indicates a serious aggravation of the condition.

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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.)