Purpura is divided into Henoch-Schonlein purpura and thrombocytopenic purpura, and Henoch-Schonlein purpura is divided into five types: simple purpura, renal purpura, abdominal purpura, pigmentary purpura and mixed purpura. Among them, it is recommended to see the hematology department for thrombocytopenic purpura; for allergic purpura, it is recommended to choose the purpura department; if the local hospital does not have a purpura department, it is recommended to choose the traditional Chinese medicine department or the immunology department.
Henoch-Schonlein purpura, also known as self-limiting acute hemorrhage, is a type of allergic vasculitis that invades small arteries and capillaries in the skin and other organs. The cause may be pathogen infection, the effects of certain drugs, Allergies, etc. cause the formation of IgA or IgG circulating immune complexes in the body, which deposit in the capillaries of the upper dermis and cause vasculitis. The main manifestations are purpura, abdominal pain, joint pain and renal damage, but no thrombocytopenia. It is believed that allergic purpura and allergic cutaneous vasculitis belong to the same spectrum of diseases. This disease is the most common vasculitis in childhood. It mostly occurs in school-age children, and the common age of onset is 3 to 17 years old.
The main causes of Henoch-Schonlein purpura currently discovered include: bacterial and viral infections, parasitic infections, food allergies, adverse drug reactions, allergies to dust mites and pollen and other substances, injections of vaccines, cold stimulation, other diseases induced, and cosmetics and chemical stimulation, etc.
Main symptoms of Henoch-Schonlein purpura
Simple skin type: only red spots and erythema on the skin, which can swell into lumps, do not fade when pressed, are not painful or itchy, and are mainly distributed on the lower limbs and Hips.
Articular purpura: In addition to skin red spots and erythema, it is also accompanied by joint symptoms such as migratory joint swelling and pain, muscle pain and so on.
Abdominal purpura: Also called gastrointestinal purpura, in addition to skin red spots and erythema, it is also accompanied by abdominal symptoms such as periumbilical abdominal pain, nausea and vomiting, and blood in the stool.
Renal purpura: In addition to skin red spots and erythema, symptoms of kidney damage such as urinary occult blood and urinary protein are also detected. In severe cases, chronic nephritis and decreased renal function may occur.
Methods for treating Henoch-Schonlein purpura:
1. Traditional Chinese medicine treatment, administration according to TCM classification, symptomatic treatment, recovery is slower than Western medicine treatment, but the prognosis is better. It can improve the patient's physical condition and enhance immunity.
2. Western medicine treatment, including vitamin C, rutin, hormone drug treatment, immunosuppressive drug treatment, antihistamine drug treatment, etc., can control symptoms in the short term, but it is highly repetitive and treats the symptoms rather than the root cause.
3. Integrated treatment of traditional Chinese and Western medicine, using Western medicine physical therapy combined with traditional Chinese medicine patented drug treatment, can achieve a better prognosis, and the overall treatment effect is better than single drug treatment.