Precursors of recurrent allergic purpura

Written by Yang Ya Meng
Rheumatology
Updated on November 12, 2024
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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
51sec home-news-image

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 Li Jing
Rheumatology
1min 19sec home-news-image

Can allergic purpura be inherited?

Allergic purpura is mostly caused by exposure to infections, medications, or foods, leading to skin and mucous membrane ecchymoses, which are essentially petechiae and a manifestation of vasculitis. It falls under autoimmune diseases, not genetic diseases, and thus is not contagious. Bacterial, viral, mycoplasmal, or parasitic infections are the most common causes. Secondarily, medications and foods can also trigger allergic purpura, such as high-protein foods like seafood and milk. Therefore, if there are symptoms like ecchymoses on the lower extremities accompanied by joint pain, or signs of blood in the stool or black stool, it is necessary to complete routine blood tests, erythrocyte sedimentation rate, and autoimmune antibody tests to rule out other autoimmune diseases. During the acute phase, it is advisable to rest in bed, eat a light diet, avoid infection, and use corticosteroids for anti-allergy treatment if necessary.

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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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Does allergic purpura spread to others?

Firstly, allergic purpura is neither a genetic nor a contagious disease, so there is no need to worry about it being inherited or transmitted to others. It is an allergic reaction caused by drugs, food, or infections, typically manifested by bleeding and bruising on the skin and mucous membranes of the limbs, joint pain, and hematuria. Diagnosis requires the combination of clinical manifestations and related tests such as urinalysis. If it is merely a case of the skin type, it only necessitates bed rest and observation of the number and extent of bleeding points on the skin and mucous membranes without special treatment. If there are symptoms like black stools or proteinuria, bed rest is imperative along with the use of anti-allergy medications or corticosteroids to enhance treatment, continuing until the proteinuria resolves.

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Written by Li Jing
Rheumatology
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What can people with allergic purpura eat?

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.