Henoch-Schonlein purpura in children

[Summary]
Henoch-Schonlein Purpura capillary inflammation is the main lesion allergic diseases, the most common involving the skin, followed by the gastrointestinal tract, bone and kidney, more acute onset, the symptoms varied. Occur in children over 3 years of age, especially school-age children was particularly prevalent in the men about 2 times the incidence in the female. Prior to the onset of 1-3 weeks frequent upper respiratory tract infection, the incidence than in spring and autumn. In addition to renal involvement outside of hormone treatment, such as better response. In the course of more than a month or so, sometimes prolonged, but a high recurrence rate, about 30 per cent of patients with recurrent tendency.
[Symptoms of the disease]
1. Skin purpura: was particularly prevalent in the lower extremities, buttocks and upper second, and symmetry distribution, in batches, the pressure did not fade, the bright red or red fat, blood vessels and nerves may be associated with edema. 2. Abdominal pain: for Duntong, paroxysmal pain or cramps, location uncertain, muscular soft, with vomiting and bloody. 3. Joint pain: redness and activities with obstacles, mainly tired knee, ankle, wrist and elbow, can be single or multiple, migration. 4. Kidney symptoms: hematuria, edema and hypertension. Can be expressed as nephritis, or kidney IMIS like change, even can develop acute and chronic failure.
[Diagnosis]
1. ￣ prior to the onset of a fever three weeks with upper respiratory tract infection, such as history. 2. Typical skin purpura. 3. May have involved joint and abdominal pain, kidney changes. 4. Damaged tissues in check allergic vasculitis performance. 5. Except to other causes of vasculitis.
[Principle of]
1. Treatment causes: infection control, interrupt contact with allergens. 2. Anti-allergy treatment. 3. Improve vascular fragility. 4. Symptomatic treatment.
[Evaluation]
1. Recovery: After treatment, clinical manifestations disappear, the normal inspection. And non-treatment group or the other treatment group, the clinical manifestations disappear time was significantly shortened, after two more months without recurrence, the recurrence rate within one year significantly reduced. 2. Turn for the better: After treatment, clinical performance has markedly improved, but did not return to normal, and non-treated group compared to the time required for this level significantly reduced, the more two months after relapse. 3. Recovered: the changes of the disease after treatment and before treatment there was no significant difference.
[Expert tips]
The cause damage sites, to varying degrees, different performance, such as those with purpura pest easily misdiagnosed as biliary disease, acute appendicitis, acute glomerulonephritis, such as rheumatoid arthritis, it encountered unexplained abdominal pain, joint nephritis and swelling must think of the possibility of disease. Of the disease, such as the anti-allergy treatment, most cases of illness may soon be brought under control improved, the suspect is suffering from the disease to go to a hospital for treatment, so as to avoid delay in treatment, resulting in unnecessary loss. Also the recurrence of the disease and the incidence of respiratory tract infection and have contact with the original certain allergies, patients usually need to pay attention to the prevention of influenza and reduce the substances likely to cause allergic contact.