Can allergic purpura be cured completely?

Written by Liu Jing
Dermatology
Updated on April 14, 2025
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Allergic purpura is a type of vasculitis that recurs symptomatically, but most cases can be cured with systematic and standardized medication. This disease has complex classifications including skin type, gastrointestinal type, joint type, and renal type. The simple types generally have milder symptoms and are easier to cure; however, complex damages often exhibit a clinical characteristic of being difficult to cure. It is important to rest, control physical activity, and follow a cautious and reasonable diet, avoiding cold foods and seafood. Treatment involves anti-inflammatory measures, improving the permeability of peripheral blood vessels, and supporting immune regulation.

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Written by Yang Ya Meng
Rheumatology
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Can people with allergic purpura take baths?

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
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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 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.

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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.)

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Written by Yang Ya Meng
Rheumatology
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Recurrent symptoms of allergic purpura

The clinical manifestations of recurrent allergic purpura primarily include purpuric rashes on the lower limbs. If the patient experiences joint pain, it is also a clinical symptom of recurrent allergic purpura. Some severe cases of allergic purpura may even present with abdominal pain and other gastrointestinal symptoms. Additionally, some patients may exhibit significant amounts of protein in the urine and impaired creatinine levels. This indicates allergic purpura with purpuric nephritis, which is considered severe in the context of allergic purpura. Therefore, if a patient presents with the aforementioned symptoms, the recurrence of allergic purpura should be considered. At this point, further examinations such as blood tests, urine tests, and kidney function tests can be conducted to assess the condition.