How to treat Henoch-Schönlein purpura

Jun 27, 2024 Source: Cainiu Health
Disease description:

My friend has developed symmetrically distributed bleeding spots on the body today, accompanied by abdominal pain and hematuria. How should Henoch-Schönlein purpura be evaluated?

Doctor's answer (1)
Dr. Yang Tiesheng
The diagnosis and treatment of allergic purpura mainly include the following aspects: 1. Symptom observation: The typical symptom is the appearance of symmetrically distributed purpura on the skin, commonly occurring on the lower limbs, especially around the knees and ankles. It may be accompanied by prodromal symptoms such as respiratory tract infections, fever, and general malaise. Some patients may exhibit gastrointestinal symptoms, joint pain, or signs of kidney involvement. 2. Diagnostic methods: Blood tests may show normal or increased white blood cell counts, with possible elevation of neutrophils and eosinophils. Urinalysis may reveal proteinuria or hematuria indicating kidney involvement. The capillary fragility test may be positive. 3. Treatment approaches: Western medical treatment commonly employs corticosteroids and immunosuppressive agents, although side effects should be carefully considered. Traditional Chinese medicine primarily uses herbal remedies, offering advantages of fewer side effects and safer, fundamental treatment. Dietary therapy emphasizes supplementation of vitamin C and protein while avoiding allergens.