Will the tests done on the day of the discovery of Henoch Schonlein purpura fail to detect kidney da

Not everyone with Henoch-Schonlein purpura will have kidney damage, even if there is kidney damage, it may not be detected on the day of purpura, and the damage to the kidneys of Henoch-Schonlein purpura will not be reflected after a period of time, specifically proteinuria or hematuria.

This has no effect, if you don't worry, after a while to check one, the biggest feature of this disease is that if you don't achieve it from the root, it is very easy, for this disease, Western medicine is only a temporary alleviation of the condition, fundamentally can not solve any problems, if you want to fundamentally **, you need to combine Chinese herbal medicine, a good **program is very important. Pay attention to the condition and seize the time**. z

1.Routine blood tests: normal or elevated platelet count; The bleeding time, coagulation time, blood clot retraction time and prothrombin time were normal; The white blood cell count is normal or mildly elevated, and in some patients the total white blood cell count is elevated, with a left shift, and the erythrocyte sedimentation rate may be increased, and there is usually no anemia unless there is severe bleeding.

2.Infection and etiological examination: Elevated C-reactive protein and antistreptolysin may be positive, and pharyngeal culture may show hemolytic streptococcus.

3.Immunological examination: antinuclear antibody and rheumatoid factor are often negative; Some patients have elevated serum IgA, IgG and IgM are normal, and IgA begins to increase 2 weeks after the onset of symptoms, C3, C4, and CH50 are mostly normal or increased, and interleukin 6 (IL-6) and tumor necrosis factor (TNF-A) are elevated.

4.Urinalysis: Henoch-Schonlein purpura nephritis may have urine protein, red blood cells, white blood cells and casts, which can preliminarily determine whether the kidneys are damaged. Microscopic hematuria and gross hematuria may occur in renal involvement, and sometimes severe proteinuria can cause hypoproteinemia.

5.Urine Release: Measure the composition of urine protein, which can reflect damage to the glomeruli and renal tubules.

6.Renal function ultrasound: It can observe various lesions in the kidney and its surroundings, and the examination is rapid and reproducible, which is an ideal examination method.

7.Routine stool: red blood cells or parasite eggs may be seen in some patients, and a positive occult blood test can determine the presence of intestinal bleeding.

8.Five coagulation items: most patients with purpura may have hypercoagulable blood, which is not conducive to recovery from kidney damage.

Hourly urine protein quantification: Accurately measure the total amount of protein excreted in 24-hour urine, which can accurately assess the degree of kidney damage.

What kind of tests should I do if I have Henoch-Schonlein purpura? Blood routine, urine routine, this is the most basic, some people say, Henoch-Schonlein purpura, why do blood routine, because eosinophils are high, there will be a situation that indicates that your body is in allergies. Combined with your allergy history, if the urine routine is positive for urine protein (plus:

The more pluses, the more severe), indicating the formation of purpuric nephritis.

If you have any questions, you can click [Official**] below for help. If you have any questions, you can click [Official**] below for help.

Hello, 1Urine tests.

Mainly hematuria and/or proteinuria, mostly hyposelective, if there is interstitial tubular damage, small molecule proteins such as RBP, 2 microglobulin, lysozyme, etc. may be increased, 2Blood tests.

Routine blood and coagulation tests were normal, platelet count and function tests were normal, and ESR was elevated; Blood biochemistry and renal function may be normal depending on the type of clinical manifestations, or there may be corresponding abnormal changes,3Special blood tests.

Blood complement C3 and C4 are normal, IgA can be elevated in the early stage, and IgA rheumatoid factor can be detected, others such as IgG and IgE can be elevated or normal, and some patients are positive for immune complexes, 4Pathological examination.

Common focal mesangial hyperplastic lesions, severe diffuse proliferation and crescent formation, immunofluorescence examination of IgA granular deposition in the mesangial area is characteristic, ** biopsy can help distinguish nephritis from IgA nephropathy, capillary fragility test: about half are positive, and other examinations such as B ultrasound, X-ray, etc., electrocardiogram, CT and other examinations should be done if necessary.

Renal function and urinalysis tests are usually done to understand the extent of renal impairment. Immunologic markers (eg, ANA, ENA antibody profile, immunoglobulins, complement levels) may be needed to rule out other disorders. If you have any questions, you can click [Official**] below for help.

1.Routine blood tests Platelets

The bleeding time, clotting time, clot retraction time, and prothrombin time were normal. Severe bleeding may be accompanied by anemia.

2.Immunological examination Serum IgA is elevated, and IgG and IgM are normal. IgA usually rises 2 weeks after the onset of the disease.

C3, C4, and CH50 are mostly normal or elevated. Interleukin-6 (IL-6) and tumor necrosis factor (TNF-A) are elevated.

3.Renal function Blood urea nitrogen and creatinine may be elevated, and creatinine clearance may be decreased.

4.Urine examination may show hematuria, proteinuria, and casturia.

Disease analysis: Allergic fusponhopura is a kind of small vasculitis, with **purpura, arthritis, abdominal pain, and hematuria as the main manifestations. In most cases, Henoch-Schonlein purpura is a benign, self-limiting condition.

Guidance: The status of Henoch-Schonlein purpura is unclear. About 50% of patients have a history of prodromal upper respiratory tract disease (URI).

A variety of infectious factors, as well as medications, food, and insect bites, can trigger Henoch-Schonlein purpura. Antistreptolysin O titers are elevated in 20-50% of patients. More than 80% of patients have only a single organ positive involvement, and symptoms can persist for several weeks.

10-20% of patients can**. Less than 5% of patients become chronic. Most patients have spontaneous relief of abdominal pain within 72 hours.

Problem analysis: Henoch-Schonlein purpura is actually an allergic disease, if it affects the kidneys, it can cause purpura nephritis, lead to hematuria, etc., Henoch-Schonlein purpura can be anti-allergic** such as taking oxysiramine, chlorpheniramine, calcium gluconate You can also use drugs to reduce vascular permeability: Sakura Bang Manuscript Anluoxue, rutin, vitamin C If the above drugs still can't control the disease, adrenal corticosteroids such as hydrocortisone, prednisone, etc. If there is comorbid nephritis, immunosuppressants such as cyclophosphamide, azathioprine, and other chemotherapy drugs are also used.

Suggestions: It can be said that the above is the first method If there is no nephritis, generally**one week**, if there is nephritis, it often takes **a year**.

Suggestions: Simple patients can use compound rutin, calcium trace silver, vitamin C, and antihistamine preparations. Corticosteroids can be used for fever and arthritis, but they cannot prevent renal invasion, and intractable chronic nephritis can be treated with anti-depressants.

Problem analysis: Hello, Henoch-Schonlein purpura urine test, no problem means that there is no damage to kidney function at present, and we should continue to pay attention to protecting kidney function in the future to prevent damage to kidney function.

Suggestions: Minimize exposure to allergic Zen early substances, reduce the chance of occurrence, the ** of Henoch-Schonlein purpura ** is mainly symptomatic**, and aspirin can be used for patients with swollen and painful joints. Antibiotics such as penicillin may be used to control the infection.

Generally, vitamin C, P or calcium can be supplemented.

1.Observation of clinical signs and symptoms.

2.Laboratory tests:

Capillary fragility experiment.

More than half are positive.

b. Urinalysis.

Renal or mixed chapai may have hematuria, eggs.

White urine, casts urine.

c. Platelet count, function and coagulation-related tests.

Except for the possible prolongation of BT, all others are normal wheel blindness.

dRenal function. Renal and mixed with renal manifestations may have varying degrees of renal impairment.

Capillary endoscopy.

Capilliectasia, twisting, and exudative inflammation may be seen.

3.Key points of diagnosis:

a. History of low-grade fever, sore throat, general fatigue or upper respiratory tract infection 1 to 3 weeks before the onset of illness.

b. Typical extremities**Purpura may be accompanied by abdominal pain, joint swelling and pain, and hematuria.

c. Platelet count, function, and coagulation-related tests are normal.

d. Excluding other causes of vasculitis and purpura.