Which department should be seen for pediatric Henoch Schonlein purpura?

Many children who are diagnosed with Henoch-Schonlein purpura will have an upper respiratory tract infection half a month ago, which may be caused by viruses or bacteria, such as fever once, cold once, throat inflammation or tonsillitis, etc.

In the autumn and winter outpatient clinics, in addition to cough, the number of cases of Henoch-Schonlein purpura is the largest.

Symptoms of Henoch-Schonlein purpura.

Henoch-Schonlein purpura is more common in spring and autumn, which is also the time of the season. Purpura is a generalized** vasculitis, manifested as a red maculopapular rash on the limbs and below the buttocks, which can occur in children as young as 3 to 18 years old.

Henoch-Schonlein purpura is not only manifested in **, but also manifested as swollen and painful joints, limited movement, severe abdominal pain, blood in the stool, blood in the urine, and in severe cases, the child may also have kidney damage, and may even have brain damage and convulsions.

Who is to blame for Henoch-Schonlein purpura?

Many children who are diagnosed with Henoch-Schonlein purpura will have an upper respiratory tract infection half a month ago, which may be caused by viruses or bacteria, such as fever once, cold once, throat inflammation or tonsillitis, etc.

In addition to upper respiratory tract infections, it is also possible that your child has been exposed to allergens such as trees, pollen, mold, dust mites, or egg whites and milk.

Is it the same thing as atopic dermatitis?

Henoch-Schonlein purpura and atopic dermatitis are still very different.

Atopic dermatitis is distributed throughout the body, involving the face, neck, and soles of the feet, all over the body, and the itching is severe; Henoch-Schonlein purpura appears symmetrically in the limbs, with little in the front chest and back, and the child will feel itchy but not bad.

In addition, atopic dermatitis comes in a variety of forms, such as dots, flaks, and pins, while Henoch-Schonlein purpura is purplish-red flaky and much redder than atopic dermatitis.

How is Henoch-Schonlein purpura treated?

We recommend that the first choice is traditional Chinese medicine, using the method of traditional Chinese medicine syndrome differentiation and traditional Chinese medicine, Chinese patent medicine and decoction are the best, among which we recommend the unique experience formula accumulated by Beijing Children's Hospital for 60 years: Qingzi Mixture (a kind of boiled Chinese medicine decoction).

For children who are reluctant to drink medicinal soup, it is recommended to take some VC and rutin tablets as an aid**.

For children with Henoch-Schonlein purpura, we recommend that it be done as soon as possible**, otherwise if delayed, it may damage the kidneys, and then it will be difficult to treat.

How to prevent Henoch-Schonlein purpura?

In autumn and winter, mothers must pay attention to nursing, beware of repeated respiratory infections and tonsillitis in their children, pay attention to rest, and regulate their children's daily routine.

Yan Runju, a Chinese medicine pediatric expert at Beijing Sanxitang Traditional Chinese Medicine Clinic, said that once the child is detected with Henoch-Schonlein purpura, let the child rest for a period of time, do not walk far, do not jump, do not eat foods that are easy to cause allergies, such as: fish, shrimp, milk, leeks, coriander, mushrooms, spices and other high animal protein and aromatic foods (especially in the early and middle stages of the child's illness), and the child can eat less chicken, pork and soy products after the child's condition is relieved.

Purpura: Mostly caused by thrombocytopenia or drug allergies. The symptoms are internal bleeding such as **, mucous membranes, etc., and purple scars on **.

In Henoch-Schonlein purpura, the allergen should first be identified, and the determination of the allergen is conducive to targeting**.

In a Chinese medicine query network, I saw: Henoch-Schonlein purpura, you can take Angelica pills. Angelica pills, which have the effect of enhancing immunity, are clinically used for various anemias, allergic purpura and other people with blood deficiency and qi weakness.

Purpura can fuse into patches and eventually turn brown. It usually fades within 1 to 2 weeks without leaving a trace. In severe cases, blisters, blood blisters, necrosis and even ulcers may occur.

The rash usually occurs in weight-bearing areas and is more likely to occur on the extensor sides of the extremities, especially on the lower extremities, around the ankle joints, and on the buttocks. Lesions are symmetrically distributed, appear in groups, and are prone to **. Only ** damage is also called simple purpura,

Henoch-Schonlein purpura can be diagnosed and treated in the Department of Hematology, ** Department, and General Internal Medicine. 1.Haematology:

Henoch-Schonlein purpura causes subcutaneous capillaries to rupture the subcutaneous capillaries caused by subcutaneous hemorrhage points or **ecchymosis, which is a systemic internal medical disease and belongs to the hematology department, so the ants can go to the hematology department for examination**. 2.**Branch:

Travel-sensitive purpura will cause **bleeding spots, **ecchymosis, etc.**abnormalities, so you can go to **department**. 3.General Internal Medicine:

Henoch-Schonlein purpura may induce purpura nephritis, so you can go to a general internal medicine department or nephrology department for diagnosis and treatment. Patients with Henoch-Schonlein purpura should actively seek medical attention, follow the doctor's instructions, and take corresponding measures in combination with clinical symptoms.

How to have allergic purple and prunus in children**At present, there are no special effects**, mainly comprehensive**. Everything should be based on the child's condition and the doctor's plan.

** method of pediatric Henoch-Schonlein purpura1. General**

Lie on the bed and rest, actively seek out and remove the first hormone, control the infection, and supplement vitamins. Foods that do not contain protein should be used as a liquid diet . If the abdominal pain is severe and the stool is visible to the naked eye, the patient should be temporarily fasted while looking for and avoiding allergens.

School-age children with gastrointestinal or nephritis symptoms should take a leave of absence from school and resume school 3 months after the symptoms have disappeared. 2. Drugs**(1) Hormones**. In general, there is no need to use hormones**, and hormones do not have a good effect on purpura.

Patients with gastrointestinal bleeding can be treated with intravenous drip of hydrocortisone, and prednisone can be changed to oral therapy after the symptoms disappear, with a total course of 2 to 3 weeks. For renal lesions, hormones do not have a significant effect, and immunosuppressants, cyclophosphamide, or azathioprine may be tried. The efficacy of methylprednisolone pulse** needs to be further observed, and methylprednisolone pulse** can be given in rapidly progressive nephritis.

2) Adrenocorticotropic hormones. Abdominal pain and arthralgia can be relieved in the acute phase, but it does not prevent the occurrence of renal damage and does not affect the prognosis. (3) Antiplatelet aggregation drugs.

4) Other drugs**. Heparin or low molecular weight heparin can be given as anticoagulation**, which reduces fibrin deposition in the glomeruli and intravascular coagulation, and can reduce the occurrence of purpura nephritis. Not seen ***.

Intravenous drops of hyoscyamine and vitamin C have an effective rate of 92%. For patients with simple** and joint symptoms, the use of aspirin can reduce joint swelling and pain. Plasma exchange may be given in the setting of renal failure or rapidly progressive nephritis**.

What to pay attention to in children with Henoch-Schonlein purpura:** care, clean daily with warm water**, keep **clean and dry.

Cut the nails short, ask the child not to scratch**, and use a small amount of antipruritic agent when the itching is obvious.

The child's clothes should be loose, soft, and slippery, avoid wearing chemical fiber clothes, and keep the clothes clean and clean.

During the recovery period, the child is instructed not to peel off the flakes.

Assist in turning over and observe the compression.

Supervise the child to take the medicine to ensure the efficacy.

When there is a lot of bleeding in the acute phase, the child should be allowed to rest on the bed absolutely, and patiently explain to the child to eliminate his fear.

Avoid bleeding from trauma caused by falls or impacts, especially to protect the head from intracranial hemorrhage.

The diet should pay attention to soft, easy to digest, less residue semi-liquid protein-free food, avoid animal food and **sexual, hot food, such as eggs, milk, seafood and condiments such as raw onions, dry ginger, pepper, etc.

The main symptoms of Henoch-Schonlein purpura are as follows:

<>Simple ** type: only **red spots and erythema, can be raised into lumps, do not fade when pressed, do not hurt or itch, mainly distributed in the lower limbs and buttocks.

Articular purpura: In addition to the appearance of **red spots and erythema, it is also accompanied by joint symptoms such as migratory joint swelling and pain, muscle pain, etc. Ventral purpura:

It is also called gastrointestinal sedan chair purpura, in addition to the appearance of **red spots and erythema, it is also accompanied by abdominal symptoms such as abdominal pain around the umbilicus, nausea and vomiting, and no blood in the stool. Nephrogenic purpura: In addition to the appearance of red spots and erythema, kidney invasion symptoms such as urine occult blood and urine protein are also detected, and chronic nephritis and renal function can be reduced in severe cases.

It is more common in children aged 3 to 10 years, and the onset of Henoch-Schonlein purpura in children is more acute, and the first thing children or parents see is usually **purpura, most of which begin to appear on both lower legs, around the ankle joint, and sometimes accompanied by urticaria, and bleeding spots can also appear on the upper limbs, chest and back of children with more serious conditions, and even large ecchymosis or bloody blisters. Purpura is characterized by bleeding spots that are high above **, vary in size, are purplish-red, and do not fade when pressed. Generally, it resolves in 1 to 2 weeks, but it can also recur or persist for weeks or months.

The second is joint pain, and about 2 or 3 children will have red, swollen and painful joints, and cannot walk. It is more common in ankle joints, knee joints, and even joint effusion in some children. Joint swelling is characterized by subsidence without sequelae.

There are also a small number of children with periumbilical pain, vomiting, and even blood in the stool and intussusception.

Another 30% of children will develop renal damage, such as hematuria, proteinuria, or casts, a more severe manifestation called purpuric nephritis, which usually occurs 2 to 4 weeks after illness. The onset of nephritis varies from mild to severe, most of which are mild, usually untreated, and a few can cause renal failure and uremia.

You can choose between hematology or immunology.

A general term for purpura ** and color change after mucosal bleeding. The clinical manifestations are hemorrhagic spots, purpura and ecchymosis, which are generally not high above the skin surface, and can only be slightly raised in the case of Henoch-Schonlein purpura, which is purple-red at first, and does not fade under pressure, and then gradually becomes lighter, and then turns yellow and fades in about two weeks.

The diseases that cause subcutaneous bleeding are collectively called purpura, and most of them are all-henoch purpura caused by vascular system disorders (Sheyi Heinz disease) and primary thrombocytopenic purpura caused by thrombocytopenia.

Maintenance: Enhance physical fitness and prevent the invasion of external evils; Those with yin deficiency in diet should avoid spicy food; Patients with recurrent bleeding should live modestly and not be overworked, so as not to aggravate the condition.

Prognosis and prognosis.

The prognosis is generally good and does not pose a serious health risk. If the purple spot is mild, there is no need for **, and it can heal on its own. If it is a new disease, it is good and evil, and it can be obtained in about 1 month through the correct **.

However, this disease is mostly a reverse process, with a long course of disease, a mixture of virtual and real, and dysfunction of the viscera, so it should be actively promoted to avoid changes over time.

Hello, Henoch-Schonlein purpura is an allergic vasculitis that violates the arteries and capillaries of ** and other organs, often accompanied by abdominal pain, arthralgia and kidney damage, but not thrombocytopenia. If there is abnormal kidney function, then nephrology and rheumatology and immunology can be used.

What family does Henoch-Schonlein purpura hang on? What family is better to see for purpura?

Henoch-Schonlein purpura, known as myoptaxis in traditional Chinese medicine, belongs to the category of internal medicine disease and blood in traditional Chinese medicine, and is now a major hospital under the hematology department or immunology department.

The ** of purpura is mainly in the allergen, for the suspicious food or drug, should not be used temporarily, in addition to the use of Anluoxue, rutin, vitamin C and other drugs**, in addition to the use of loratadine and other anti-allergic drugs**. It is best to go to a regular hospital for examination, and take corresponding ** according to the specific situation to prevent the occurrence of purpuric nephritis.

Usually pay attention to rest, do not eat spicy food, do not eat fish and shrimp and other seafood.

Henoch-Schonlein purpura needs to be carried out**, because after **, allergic purpura will disappear, and the child's allergic physique is directly related, because allergic purpura, it is an immune disease, and allergic purpura is not contagious, if the symptoms are relatively mild, it can be healed by itself, but the best way is to carry out **, you can use anti-allergic drugs**.

Purpura is a general term for ** and color change after mucosal bleeding. The clinical manifestations are bleeding spots, purpura and ecchymosis, which are generally not high above the skin surface, and can only be slightly raised in the case of Henoch-Schonlein purpura, which is purple-red at first, does not fade under pressure, and gradually becomes lighter later.

**Principle 1: Try to remove allergenic factors. 2. Simple patients can use compound rutin, calcium, vitamin C, and antihistamine preparations. 3. Corticosteroids can be used for fever and arthritis, but they cannot prevent kidney invasion, and inhibitors can be added for stubborn chronic nephritis.

4. Traditional Chinese medicine**: Syndrome differentiation and treatment according to the clinical symptoms of the disease. Western Medicine** Commonly Used Western Medicine 1, Anti-Allergic Drugs:

Oxysiramine, chlorpheniramine, calcium gluconate. 2. Drugs to reduce vascular permeability: Anluoxue, rutin, vitamin C.

3. Platelet aggregation inhibitors: dipyridine 4. Adrenocorticosteroids: hydrocortisone, prednisone (prednisone), dexamethasone.

5. For patients with poor renal type or prednisone**, immunosuppressants (such as cyclophosphamide, azathioprine and other chemotherapy drugs) are also used.

Henoch-Schonlein purpura is generally a disease belonging to the ** family, unless there are other diseases of the visceral system, such as abdominal pain, accompanied by gastrointestinal bleeding, the department of gastroenterology is needed to assist in treatment.

If it is accompanied by joint pain or kidney damage, blood in the urine or increased protein in the urine, it is necessary to call a nephrology department to assist in treatment.

For simple Henoch-Schonlein purpura, you can first go to the ** department to do some corresponding examinations to rule out whether it is purpura caused by thrombocytopenia.

If it is clear that it is Henoch-Schonlein purpura, if the internal medicine symptoms are not severe, it is generally carried out in **department**; If you have symptoms that are complicated by internal medicine, you need to ask another department to assist**.