What are the symptoms of allergic purpura?

Written by Li Jing
Rheumatology
Updated on September 09, 2024
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The most common clinical manifestations of allergic purpura are bruises on the limbs, black stool, hematuria, and joint pain. It is mainly divided into articular, abdominal, cutaneous, renal, and mixed types. The presence of protein in the urine indicates kidney involvement, which means the condition is most severe. Allergic purpura generally can be alleviated with standard and active treatment, but recurrent attacks affecting the kidneys can lead to persistent purpuric nephritis and proteinuria that do not resolve.

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Written by Li Liu Sheng
Nephrology
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How to treat allergic purpura nephritis?

Kidney damage caused by allergic purpura is called allergic purpura nephritis. The main clinical manifestations include joint pain, rash, black stools, abdominal pain, as well as hematuria, increased urinary protein, elevated blood pressure, and even edema and renal insufficiency. During the acute phase of allergic purpura nephritis, patients should rest in bed, and if there is edema, intake of water and salt should be strictly restricted. It is also important to actively identify the allergens to conduct etiological treatment. Intake of certain suspected foods or medications should be prohibited. If the patient has obvious rashes and joint pain, antiallergic medications can be used for treatment. If the effect is not satisfactory, hormones and immunosuppressive agents can be introduced. Depending on the patient's condition, Traditional Chinese Medicine can also be used to invigorate blood circulation and remove blood stasis. If the condition is severe, combined treatment can be considered for better results.

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Written by Yang Ya Meng
Rheumatology
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How many days will allergic purpura take to fade?

The symptoms of the rash from allergic purpura generally subside naturally after about 7 to 10 days. However, if care is not taken in daily life, there is a high likelihood of recurrence of the rash. Patients with allergic purpura should avoid vigorous activities such as fast running and should also avoid getting chilled and infections, as both cold and infections could exacerbate the condition. Additionally, patients should consume less of foods like shrimp and crab, which may trigger allergic reactions.

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Written by Li Jing
Rheumatology
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Allergic purpura belongs to which department?

Allergic purpura is a common vasculitis related to hypersensitivity, essentially a type of vasculitis that belongs to hematological diseases. It is mostly caused by infections or allergies to food and drugs, predominantly occurring in adolescents. It is more common in males, but a minority of adults may also develop allergic purpura. The main types include abdominal, renal, articular, mixed, and cutaneous forms. However, when allergic purpura nephritis occurs, presenting with proteinuria or decreased kidney function, it is necessary to visit a nephrology department. Treatment should aim to control proteinuria, protect kidney function, and reduce damage to kidney functions. Therefore, it is essential to visit a nephrologist at this time. Allergic purpura must be differentiated in treatment; if it is merely a cutaneous or abdominal type, a hematologist can manage it. However, if the kidneys are involved, it requires consultation in a nephrology specialty. (Please use medications under the guidance of a professional physician and do not self-medicate.)

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Written by Li Liu Sheng
Nephrology
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Is allergic purpura nephritis contagious?

Kidney damage caused by allergic purpura is called allergic purpuric nephritis. The main mechanism of allergic purpuric nephritis is the deposition of immune complexes in the kidneys, causing hematuria, proteinuria, edema, and hypertension. Severe cases of purpuric nephritis may also lead to renal failure. Additionally, patients with allergic purpuric nephritis exhibit systemic symptoms such as skin purpura, abdominal pain, joint pain, and melena. Allergic purpuric nephritis usually occurs in children, and it is not contagious. Unlike viral hepatitis, tuberculosis, and dysentery, it does not spread through respiratory, digestive, or blood pathways.

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Written by Li Jing
Rheumatology
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What causes allergic purpura?

Allergic purpura commonly occurs in adolescents and children, characterized by frequent relapses and being intractable. It is primarily seen in youth aged between 5 to 14 years. As they age and their immunity strengthens, the frequency of episodes gradually decreases. The most common causes of allergic purpura include infections such as bacteria, viruses, parasites, mycoplasma infections, and allergies to medications and foods, with food allergies mainly stemming from high-protein foods like fish and shrimp, which can easily trigger allergic reactions. Therefore, once skin purpura or proteinuria appears, it is crucial to rest in bed until the pain and proteinuria dissipate and the purpura eases. During treatment, it is also important to avoid cold exposure and overexertion.