What are the clinical manifestations of Henoch-Schonlein purpura in children?

If a child suffers from allergic purpura, the first thing to do is to find the allergic factors based on the situation and eliminate them. Then, some anti-allergic drugs can be used under the doctor's advice. Some traditional Chinese medicine treatments are also very effective. However, if the condition is more serious due to the child's physical condition, it must be treated urgently, such as sending the child to the hospital for treatment.

1. Symptoms

Patients with this disease often have skin bleeding spots, so they are psychologically nervous. We should comfort the patients, introduce recovery cases to them, and help them build up confidence in defeating the disease. We should pay attention to lifestyle adjustments. In the acute phase, they should stay in bed and rest, and do less activity, because activity can accelerate blood circulation and aggravate bleeding. In the remission phase, they should regularly participate in physical exercise, strengthen their physical fitness, and prevent colds. We should actively clear the infection foci and prevent upper respiratory tract infections. We should avoid all allergens and prevent the inducing factors of this disease. Dietary regulation is also important.

Henoch-Schonlein purpura, also known as purpura, is an allergic vasculitis that invades the capillaries and arterioles of the skin or other organs. It mostly occurs in male children and is characterized by non-thrombocytopenic purpura, often accompanied by abdominal pain and joint symptoms.

2. Clinical manifestations

It is common in children aged 3 to 10 years old, and begins with purpura of the skin and mucous membranes, accompanied by fever, headache, malaise and loss of appetite. Occasionally, abdominal colic or joint pain is the main symptom. The earliest cutaneous manifestation is an urticarial rash of small, scattered petechial spots that generally become hemorrhagic within a day. It often occurs on the extensor side of the limbs and buttocks and is symmetrical. Renal damage occurs in approximately 50% of cases, ranging from mild nephritis to severe renal failure.

3. Treatment principles

1. Try to eliminate allergenic factors.

2. For simple cases, compound rutin, calcium supplements, vitamin C, and antihistamine preparations can be used.

3. Corticosteroids can be used for fever and arthritis, but they cannot prevent kidney invasion. Immunosuppressants can be added for patients with stubborn chronic nephritis.

4. Traditional Chinese Medicine: Treat based on syndrome differentiation and clinical symptoms of the disease.