How many days will allergic purpura take to fade?

Written by Yang Ya Meng
Rheumatology
Updated on November 29, 2024
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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 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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Can allergic purpura be cured?

Allergic purpura is a common vasculitic hypersensitivity response, which means that it is a vascular inflammatory response caused by allergies and is particularly prevalent among adolescents, with a higher occurrence in males. Most cases are associated with infections or allergies, with the most common infections being bacterial, viral, parasitic, and mycoplasmal. Seafood and high protein can lead to allergies, triggering allergic purpura. This condition cannot be cured and tends to recur, but as individuals age and their immune system strengthens, the frequency and likelihood of episodes significantly decrease. However, if kidney damage occurs, which means the development of allergic purpura nephritis, it is crucial to regularly monitor kidney function and urine routine to check for the presence of proteinuria. If necessary, cardiac puncture should be performed, and corticosteroids should be administered.

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Written by Yang Ya Meng
Rheumatology
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Do you need to be hospitalized for allergic purpura?

Whether patients with allergic purpura need to be hospitalized mainly depends on the severity of their condition. For mild cases of allergic purpura, also known as purely dermal allergic purpura, where the main clinical manifestation is a rash primarily on the lower limbs, outpatient treatment is sufficient. However, if the patient has gastrointestinal or renal types of allergic purpura, hospitalization is required. The gastrointestinal type of allergic purpura involves significant symptoms such as abdominal pain and diarrhea, while the renal type is characterized by symptoms like edema and significant proteinuria. If allergic purpura affects internal organs, the digestive tract, or kidneys, hospital treatment is necessary.

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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 Yang Ya Meng
Rheumatology
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What should I do if I have allergic purpura and my legs hurt?

Patients with allergic purpura who experience leg pain indicate the development of the arthritic type of allergic purpura. Firstly, strict bed rest should be enforced in daily life to reduce the burden on the joints. Secondly, active treatment of the primary cause of allergic purpura should be pursued, which can include taking medications like desloratadine dispersible tablets to reduce the rash. Subsequently, anti-inflammatory and analgesic drugs, such as diclofenac sodium sustained-release tablets, can be taken to alleviate leg pain. If the symptoms do not significantly improve with these measures, the use of a small dose of corticosteroids may be considered if necessary. (Medication should be administered under the guidance of a professional doctor.)