A common site of Henoch Schonlein purpura, a symptom of Henoch Schonlein purpura

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Purpura type: This type is the most common type of Henoch-Schonlein purpura, the main symptom is the appearance of purple spots on the surface, and will appear repeatedly, common in the lower limbs or buttocks, and symmetrically distributed, the size of the spots is different.

Abdominal purpura: The main manifestation of this type of purpura is abdominal pain, sometimes accompanied by nausea, vomiting, diarrhea and even blood in the stool, this symptom is more serious, and patients should immediately go to the hospital for diagnosis when they have abdominal pain, so as not to delay the condition.

Articular purpura: This type of purpura presents mainly with pain or swelling in the joints. The location is generally more common in the knee, elbow, ankle and other joints, the pain will be reversed, this symptom is easy to misdiagnose as rheumatoid arthritis, so it is necessary to go to the hospital in time for careful diagnosis, and then cooperate, do not spread the disease.

Not everyone is the same.

Henoch-Schonlein purpura is manifested as ** petechiae, which is symmetrically distributed, and appears in batches of different sizes and shades of color.

1. It can be fused into a piece. It usually subsides gradually within a few days, but it can be reversed. Secondly, there are symptoms such as upper sensation and intestinal colic. If you find that your child has Henoch-Schonlein purpura, you should take your child to the doctor immediately**.

Symptoms of Henoch-Schonlein purpura

Henoch-Schonlein purpura is mostly acute onset, and the first symptom is **purpura, and some cases are first abdominal pain, arthritis or kidney symptoms, which may be accompanied by symptoms such as low-grade fever, poor eating, and general fatigue.

The clinical manifestations of Henoch-Schonlein purpura mainly include the following six aspects.

1. Respiratory tract infection. Children often have a history of upper respiratory tract infection 1 to 3 weeks before the onset of illness.

2. Symptoms. Recurrent ** purpura, mostly in the lower limbs and buttocks of children, more extensor joints, less on the face and trunk, purpura is symmetrically distributed, appears in batches, and can be fused into a piece. A purplish-red maculopapular rash that rises above the surface of the country and then turns tan and regresses, and may be accompanied by urticaria and angioedema.

3. Joint symptoms. About 1 in 3 affected children may have single or multiple joint swelling and pain, mostly occurring in the knee, ankle, elbow, wrist and other joints, limited movement, and fluid accumulation in the joint cavity. Joint symptoms disappear quickly, or they may persist for several months without sequelae.

4. Gastrointestinal symptoms. More than half of affected children may have paroxysmal abdominal pain in the periumbilical or lower abdomen, which may be accompanied by vomiting, diarrhea, or constipation.

5. Renal symptoms: mostly occur within one month of the onset of the disease, but may also occur in the later stage of the disease or after the disappearance of other symptoms. Renal symptoms vary from mild to severe, and most affected children have a single hematuria or white urine, which may also be accompanied by urinary casts, increased blood pressure, and edema, which is called purpuric nephritis.

Most affected children recover completely, a few develop chronic nephritis, and in some cases, hematuria and proteinuria can persist for months or even years.

Whether and to what extent Henoch-Schonlein purpura causes renal disease is a key factor in determining the prognosis of the disease.

6. Complications. Henoch-Schonlein purpura may cause a series of complications, including intussusception, intestinal obstruction, intestinal perforation, intracranial hemorrhage, myocarditis, and pulmonary hemorrhage.

Parents need to identify the above symptoms in time, and if they find that their child has Henoch-Schonlein purpura, they should take their child to the doctor in time**.

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1. Abdominal manifestations.

Abdominal pain is common, usually cramping, and is caused by extravasation of blood into the intestinal wall. The pain is obvious in the umbilicus and right lower quadrant, and can also spread throughout the abdomen, but there is generally no abdominal muscle tension, and the tenderness is mild, and it may be accompanied by nausea, vomiting, diarrhea and black stool. Irregular intestinal peristalsis can lead to intussusception, which can palpate a mass, and is more common in children.

Occasionally, intestinal perforation may occur. If it is not accompanied by **purpura, it is often misdiagnosed as "acute abdomen".

2. Performance.

The typical rash is a brownish-red maculopapular rash, protruding on the skin surface, not fading under pressure, alone or fused with each other, symmetrically distributed, mostly on the extensor sides of the limbs and buttocks, rarely encroaching on the trunk, may be accompanied by itching or pain, appear in batches, and may remain pigmented after subsidence. In addition to purpura, urticaria can also be complicated. Angioedema, erythema multiforme or ulcerative necrosis, etc.

Occasionally, purpura may occur on the oral mucosa or conjunctiva of the eye.

3. Renal manifestations.

Nephritis is the most common complication of Henoch-Schonlein purpura, occurring in 12-65%. It usually occurs within 1 to 8 weeks after the appearance of purpura, ranging from transient hematuria to renal failure, but rare. The main manifestations are hematuria, proteinuria, casts of urine, edema and hypertension and other manifestations of acute glomerulonephritis, a few can be chronic nephritis, nephrotic syndrome, and individual cases can be transferred to chronic renal failure.

4. Joint manifestations.

Joints may be mildly painful to noticeably red, swollen, painful, and impaired with mobility. The lesions often involve large joints, especially knee, ankle, elbow, wrist and other joints, which can be migratory and often misdiagnosed as "rheumatism". It is mainly a periarticular lesion, which can be reversed, and no joint deformity is left.

5. Miscellaneous. After a small number of patients develop purpura, the lesions involve the meningeal blood vessels, which are manifested as headache, vomiting, delirium, convulsions, paralysis and coma. A small number can affect the respiratory system, manifesting as hemoptysis, asthma, pleurisy, pneumonia, etc.

Henoch-Schonlein purpura is an allergic disease dominated by capillaritis. The main manifestations are **purpura, gastrointestinal pain, joint swelling and pain, and urinary symptoms. It is more common in children over 5 years of age.

The onset of different cases can be different, with ** purpura being the most common, which can appear alone, or can be accompanied by joint, gastrointestinal or urinary symptoms at the same time or sequentially.

1. **Purpura is often the first manifestation at the onset of the disease, purpura varies in size, is higher than the **surface, is purple-red, does not fade when pressed, can be fused into a piece, or herpes-like, urticarial or erythema multiforme, and can be accompanied by neuroedema.

Purpura is mostly seen on the extensor side of the limbs and buttocks, and is more obvious in the lower limbs and joints such as ankles and knees.

2. Gastrointestinal symptoms Many patients have abdominal pain, mostly paroxysmal severe colic, or dull pain, which is obvious in the umbilicus or lower abdomen, with tenderness, but no abdominal muscle tension. It may be accompanied by diarrhoea and blood in the stool, which can be tarry or bright red. Vomiting may also occur in severe cases, but hematemesis is rare.

3. Joint symptoms Some children have swelling and pain in the joints, which mostly involve large joints, such as knees, ankles, wrists, elbows, etc., and small joints are not affected. It may be sole, multiple, or migratory. The joints are swollen and painful, and the pain is aggravated during activity, and the local area is often accompanied by a slight heat, and in severe cases, there is a burning sensation.

There are no sequelae after resolution of joint symptoms.

4. Urinary system symptoms Due to the increase in capillary permeability of the urinary tract mucosa, hematuria and microproteinuria may occur, which disappear with the retreat of purpura. However, about 1 3 1 2 of the kidneys are affected in patients with purpura, which is called purpuric nephritis. Most children present with a small amount of protein in the urine, microscopic red blood cells, and gross hematuria.

The prognosis is generally good, and the prognosis is poor in patients who occasionally develop acute renal failure after rapid progressive nephritis. Hematuria and proteinuria can persist for months or years, and most resolve completely. A very small number of children have varying degrees of renal impairment and chronic nephritis, and finally develop chronic renal failure.

Henoch-Schonlein purpura generally uses antihistamines such as chlorpheniramine, high-dose hormones such as prednisone, rutin and vitamin C and other drugs, these drugs are effective quickly, but have the characteristics of being large and easy. Our hospital (Allergy Department of Zhengzhou Rehabilitation Hospital of Traditional Chinese Medicine) summarizes many years of experience in Henoch-Schonlein purpura, combined with allergen examination, and applies the triple **** Henoch-Schonlein purpura combined with Western and Western immunity, which has good effect and avoids a large number of hormones, especially suitable for children and adolescents with Henoch-Schonlein purpura. (Note: Heavy use of hormones ***:

1. Body fat; 2. It can cause osteoporosis and necrosis of the femoral head; 3. Decreased body resistance, elevated blood sugar, corticosteroid signs, peptic ulcers, electrolyte imbalances, etc. 4. Affect pediatric development. ）

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**.

For 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.

When I got this disease, I had a lot of purple spots on my legs, which started as blood spots, which came out of nowhere, and then got bigger and bigger. I don't know the rest, it's that the calf edema at the time of onset (after I finished running... Can't walk. If it's serious, it will affect the kidneys, and that's a lot of trouble.

I rely on hormones**, and it's almost fine in a month, but I've gained a lot of weight... When you feel about the same, you can reduce the amount of hormones on your own.

Hello, allergies can be treated. Because the current air environment is relatively not very good, a large number of small bacterial dust particles exist, people with allergic skin are also prone to aggravate the degree of allergies and sensitivity because of facial stains, and must insist on washing their faces to give the skin a relatively comfortable and clean environment

Prevention and treatment of allergies: To prevent allergies, we should first maintain adequate sleep and appropriate physical exercise to enhance the body's resistance and adaptability.

It can mainly be combined with related drugs**, combined with diet**, it is better to carry out Yu Min cream**.

Henoch-Schonlein purpura is relatively slow, it is recommended to go to the hospital for hospitalization**, and the main method at present is to enhance immunity with hormones! To control allergic foods, it is advisable to eat more foods high in vitamin C, vitamin K, and high in plant protein, such as **, symptomatic**, hormones**, and plasma exchange! Finally, I wish the patient a speedy **.

What are the symptoms of Henoch-Schonlein purpura? What are the characteristics of Henoch-Schonlein purpura? Symptoms of Henoch-Schonlein purpura.