Can people with allergic purpura eat durian?

Written by Yang Ya Meng
Rheumatology
Updated on January 10, 2025
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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 Yang Ya Meng
Rheumatology
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Does allergic purpura cause vomiting?

Patients with allergic purpura may experience symptoms of vomiting. Patients with the gastrointestinal type of allergic purpura may exhibit symptoms such as vomiting, abdominal pain, and diarrhea. The gastrointestinal type is considered a severe form of allergic purpura because it affects critical internal organs and the intestines. In treatment, besides using anti-allergic methods to reduce rashes, it is also necessary to use corticosteroids to reduce inflammation and control gastrointestinal symptoms. Additionally, immunosuppressants such as mycophenolate mofetil can be used to control the gastrointestinal response. Meanwhile, patients should adhere to a strict fasting regimen until symptoms like vomiting and diarrhea improve. (Medication should be administered under the guidance of a professional doctor.)

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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 Yang Ya Meng
Rheumatology
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Does allergic purpura cause itchy skin?

The skin of patients with allergic purpura generally does not show symptoms of itching, although it is called allergic purpura. However, the main clinical manifestations are inflammation of the capillaries at the extremities of the lower limbs, accompanied by a characteristic rash, without noticeable symptoms of skin itching. If a patient with allergic purpura also has symptoms of skin itching, it may be necessary to consider whether there is a concurrent allergic dermatitis or similar condition. Besides the typical purpuric rash on both lower limbs, some patients with allergic purpura may also experience nausea, vomiting, diarrhea, and these symptoms are referred to as the gastrointestinal type of allergic purpura. Some patients may experience joint pain, which belongs to the joint type of allergic purpura, and others may present with proteinuria, which belongs to the renal type of allergic purpura.

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Written by Zhou Qi
Nephrology
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Is allergic purpura nephritis contagious?

Henoch-Schönlein purpura nephritis and allergic purpura are not infectious diseases; there is no contagious element involved. Henoch-Schönlein purpura nephritis is actually kidney damage caused by allergic purpura, which is an allergic disease itself. Patients suffer from an abnormal immune response in the body’s immune system after coming into contact with allergenic drugs or foods, leading to necrotizing vasculitis. This disease is unrelated to pathogens. Generally, there is no direct damage to the kidneys caused by a specific pathogen in this disease, nor do patients carry pathogens that can cause Henoch-Schönlein purpura nephritis, such as bacteria or viruses, thus making the disease non-contagious.

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Written by Li Jing
Rheumatology
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Are there many children with allergic purpura?

Firstly, allergic purpura is commonly found in adolescents and children, with children being the most commonly affected, particularly between the ages of 8 to 15. It typically occurs during the spring and autumn seasons. The most common clinical manifestations are bleeding spots on the lower limbs, hematuria, black stools, and joint pain, which are the most typical clinical presentations. If there are only bleeding spots on the skin, no special treatment is required at this time; rest in bed is necessary, and these bruises can be absorbed. Once the kidneys are involved, it indicates a relatively severe condition, and at this time, active and standard treatment is necessary, including the need to improve routine urine and kidney function indicators. If protein quantification is relatively high, then glucocorticoids are needed, combined with anti-allergic medication. (Medication should be taken under the guidance of a doctor.)