Can allergic purpura be cured completely?

Written by Li Jing
Rheumatology
Updated on September 28, 2024
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Allergic purpura is a special type of vasculitis and also a hypersensitivity disorder. It commonly occurs in adolescents and children aged 5 to 14, with a higher incidence rate in the spring and autumn seasons. The disease frequently relapses and cannot be completely cured. The most common causes of allergic purpura include infections, medications, and foods. Infections are the most frequent cause, such as bacteria, viruses, parasites, tuberculosis, etc. If it is merely a cutaneous form, no special treatment is required at this time, and bed rest alone can alleviate the condition. If there is the presence of blood or protein in the urine, and renal biopsy shows a large number of crescents, it then indicates a serious aggravation of the condition.

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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 Yang Ya Meng
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Can people with allergic purpura eat durian?

Patients with allergic purpura should not eat durian, as durian is considered a food that can trigger allergies, which in turn can provoke the onset of allergic purpura. Besides avoiding such trigger foods in their diet, patients with allergic purpura should also avoid getting cold, as catching cold can lead to infections, which may also trigger an episode of allergic purpura. Furthermore, intense physical activity, like fast running, should be avoided as well, because such activities can also lead to outbreaks of allergic diseases. Allergic purpura is also a self-limiting disease, and can improve on its own after reaching adulthood.

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Written by Li Jing
Rheumatology
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Is allergic purpura serious?

Firstly, allergic purpura is caused by infections, drugs, or food allergies leading to skin ecchymosis and petechiae; in addition, it can also manifest as joint pain, hematuria, and melena. The presence of protein in a routine urine test along with hematuria or melena often indicates gastrointestinal allergic purpura and renal allergic purpura. The presence of proteinuria suggests kidney involvement, which is the most severe type among various forms of allergic purpura. If it is solely a cutaneous type, no special treatment is needed other than drinking more water and ensuring bed rest to alleviate skin ecchymosis. If proteinuria or hematuria occurs, one must rest in bed until the protein levels improve before resuming activities. Concurrently, corticosteroids and anti-allergy medications should be administered. (Medication should be used under the guidance of a professional doctor.)

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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.

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Written by Yang Ya Meng
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What medicine is taken for allergic purpura?

The medication for allergic purpura should be determined based on the severity of the patient's condition. If the patient only shows symptoms like rashes, the focus should be on reducing the rashes, and medications such as compound glycyrrhizin and desloratadine can be used for their anti-allergic effects. If the main clinical manifestation of allergic purpura is joint pain, some non-steroidal pain relief medications can be added for pain relief. However, if the patient primarily exhibits involvement of internal organs, such as gastrointestinal involvement in allergic purpura starting with abdominal pain, or kidney damage marked by significant proteinuria, then corticosteroids and immunosuppressants should be considered for treatment. (Please use medications under the guidance of a doctor).