How is Henoch-Schönlein purpura nephritis treated?
Disease description:
A few days ago, I felt discomfort in my kidneys and went to the hospital for examination, where I was diagnosed with nephritis. I also have allergic purpura. How should this condition be treated?
Doctor's answer (1)
Dr. Yang Guang
Treatments for Henoch-Schönlein purpura nephritis include the following aspects:
1. Dietary therapy: Patients with Henoch-Schönlein purpura nephritis should focus on daily dietary regulation. If they have habits of smoking or drinking alcohol, they need to quit smoking and drinking immediately. Spicy and cold foods, such as carp, lobster, goose, chili peppers, and pickled vegetables should be avoided. It is best to consume more soy products, fruits, and vegetables.
2. Anti-allergy therapy: Antihistamine medications such as cetirizine and loratadine can be used to relieve allergic symptoms and reduce inflammatory reactions.
3. Immunosuppressive therapy: In severe cases of Henoch-Schönlein purpura nephritis, corticosteroids or immunosuppressive agents such as cyclophosphamide and mycophenolate mofetil may be required to suppress excessive immune responses and reduce kidney damage.
4. Minimally invasive therapy: If the condition is severe and medication alone can only control but not effectively treat the disease, minimally invasive therapy should be considered.
5. Dietary adjustment: Intake of salt and protein should be restricted, and spicy and cold foods should be avoided to reduce the burden on the kidneys.
6. Plasma exchange and dialysis therapy: Plasma exchange or dialysis may be used for severe or refractory cases and those with significant renal impairment.
