Is allergic purpura serious?

Written by Li Jing
Rheumatology
Updated on September 05, 2024
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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 Liu Sheng
Nephrology
1min 6sec home-news-image

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 Li Jing
Rheumatology
1min 5sec home-news-image

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 Yang Ya Meng
Rheumatology
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Can people with allergic purpura eat chicken?

Patients with allergic purpura can eat chicken. In the diet of patients with allergic purpura, the general principle is to try to reduce the consumption of spicy foods and some potential irritants such as celery, coriander, and shiitake mushrooms, which should be eaten sparingly. Chicken is not considered an irritant and can be consumed. In addition to strict dietary precautions to avoid allergens, patients with allergic purpura should also avoid vigorous exercise and strictly avoid getting cold and infections, as both vigorous exercise and infections can potentially trigger acute episodes of allergic purpura.

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Written by Pan Wu Shan
Nephrology
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Is allergic purpura nephritis easy to treat?

Allergic purpura nephritis is essentially a kidney complication caused by allergic purpura. The main symptoms are that the patient first presents with scattered purple spots on the lower limbs, known as allergic purpura. Subsequently, routine urine tests reveal hematuria or proteinuria, allowing for a diagnosis of allergic purpura nephritis. It cannot be completely cured. Currently, treatment first requires complete quantification of urine protein and a renal biopsy to confirm whether it is allergic purpura nephritis and its severity. Generally, it involves the use of steroids. Typical treatment involves firstly avoiding allergens, so any substances that cause allergies should not be contacted to prevent triggering allergic purpura, and thus prevent the recurrence of purpura nephritis. Additionally, it involves adhering to a low-salt, low-fat diet, and avoiding catching colds or staying up late.

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Written by Li Jing
Rheumatology
1min 8sec home-news-image

What can people with allergic purpura eat?

Firstly, allergic purpura commonly occurs in adolescents and children, mainly between the ages of 5 to 14, and is frequent during the spring and autumn seasons. The most common causes of allergic purpura are infections, drug and food allergies, with infections being the most prevalent cause, such as bacterial, viral, and parasitic infections. Allergic purpura cannot be cured and often relapses. During the acute phase, it is primarily recommended to rest in bed, and to eat a light diet. It is advisable to consume fresh fruits and vegetables, such as oranges, grapes, grapefruits, and kiwis, which are rich in vitamin C, as well as various green leafy vegetables. These foods, rich in vitamin C, are beneficial for recovery and good for the body. Additionally, foods like seafood and mangoes, as well as previously untried fruits and foods, are not recommended during this phase to avoid triggering allergic reactions or worsening the condition.