Is Henoch-Schonlein Purpura serious in children?

Purpura is more common in children, because the main symptom of purpura on children's skin is purple spots. Therefore, parents must distinguish between the purple spots and bruises on their children's bodies. Purpura can be divided into allergic purpura and allergic purpura. Allergic purpura has a great impact on children's bodies. Therefore, when parents find that their children have allergic purpura, they must seek medical attention in time. But how serious would Henoch-Schonlein purpura be?

Is Henoch-Schonlein purpura serious in children? The hazards are as follows:

1. Respiratory tract infection. Children often have a history of upper respiratory tract infection 1-3 weeks before onset of illness.

2. Skin symptoms. Petechiae appear on the skin. These petechiae mostly appear around the joints of the child's lower limbs and buttocks. The purpura is symmetrically distributed, appears in batches, varies in size, and varies in color. It can merge into patches and usually gradually disappears within a few days, but may recur. Symmetrical maculopapular purpura of varying sizes appears in batches near the large joints of the limbs and buttocks, recurring on the limbs and buttocks, and rarely involving the face and trunk. The skin lesions initially present with itching, small urticaria, angioedema and erythema multiforme.

3. Joint symptoms. Children may have single or multiple, migratory joint swelling and pain or arthritis, sometimes with local tenderness, which often occurs in joints such as the knees, ankles, elbows, and wrists, and there may be exudate in the joint cavity.

4. There are gastrointestinal symptoms. For example, children may have paroxysmal abdominal colic or persistent dull pain, which may be mainly accompanied by vomiting, hematemesis or bloody stools. In severe cases, the stools may be bloody.

5. Kidney symptoms: Macroscopic hematuria or microscopic hematuria, proteinuria and tubular urine usually appear about 2-4 weeks after the onset of purpura. They may also appear after the rash subsides or when the disease is dormant. Recovery usually occurs within a few weeks, but severe cases may cause renal dysfunction, azotemia, and hypertensive encephalopathy. In a few cases, hematuria, proteinuria or hypertension may persist for more than 2 years.

6. Complications. Children suffering from Henoch-Schonlein purpura may develop a series of complications, including intussusception, intestinal obstruction, intestinal perforation, hemorrhagic necrosis, enteritis, intracranial hemorrhage, multiple neuritis, myocarditis, acute pancreatitis, orchitis, and pulmonary hemorrhage.

The above are some harmful manifestations of Henoch-Schonlein purpura in children. The severity of Henoch-Schonlein purpura in children also depends on the pathogenesis and immune status. Henoch-Schonlein purpura occurs more often when the child's immune mechanism is enhanced. Some will gradually recover with the enhancement of the immune mechanism, while others will inhibit the enhancement of immunity.

Is allergic purpura serious in children? Regardless of the severity of a child's allergic purpura, parents should take it seriously, give their children active and effective treatment, try to prevent their children from touching foods that are prone to allergies, and pay attention to their children's diet.