What should be done if a child's allergic purpura recurs repeatedly?
Disease description:
Recently, I saw my sister's child having another episode at her home, and I want to know what to do if a child's allergic purpura keeps recurring?
Doctor's answer (1)
Dr. Liu Wenmin
Allergic purpura is a common childhood vasculitic disease, mainly manifested as skin purpura, joint pain, abdominal pain, and kidney damage. For recurrent allergic purpura, treatment and management should be comprehensively considered in the following aspects:
1. Identify and avoid triggers: The onset of allergic purpura may be related to infections (e.g., streptococcal infection), food allergies, drug reactions, etc. Known triggers should be avoided as much as possible.
2. Medication therapy: Antihistamines such as cetirizine and loratadine can be used under medical guidance to relieve symptoms such as itching. In severe cases, doctors may recommend corticosteroids, such as prednisone tablets or methylprednisolone tablets, to rapidly control the inflammatory response.
3. Regular monitoring: Especially for children at risk of kidney involvement, regular urinalysis and serum creatinine tests should be performed to promptly detect and manage kidney damage.
4. Lifestyle adjustments: Parents should help their children avoid known allergens, such as certain foods and environmental factors. Maintain fresh indoor air with regular ventilation, and avoid strenuous exercise to reduce skin friction and the risk of bleeding.
Through comprehensive measures including medication therapy, lifestyle management, and regular monitoring, recurrent episodes of allergic purpura in children can be effectively managed.
