Purpura Nephritis clinical manifestations:
1. Renal symptoms,
2. (L) hemorrhagic rash and symmetry of the characteristics of the disease rash. Red rash at the beginning of spots, the pressure can disappear, and then gradually into purple hemorrhagic rash, skin touching slightly uplift, skin rash often symmetry in the distribution of both lower limbs, around the knee to the ankle see more. Can also be found in the hip and lower abdomen, trunk rare, rash can be dissipated into yellow brown. Most cases can be a rash 1 ~ 2 times, repeated up to three times, with individual continuous attack for several months or even years, the latter often with P-nephritis, poor prognosis. (2) joint symptoms about half of patients had multiple outbound qualitative and joint diseases, the majority of mild pain, some patients may be related to activities of swelling and limited. The joint involvement is common knee, ankle and fingers. Symptoms dissipated more than a few days, the remaining joint deformities, but relapsed during the event. (3) The most common gastrointestinal symptoms as abdominal pain, mainly to the lower abdomen and Qizhou, paroxysmal cramps, abdominal pain and nausea and vomiting can be a hematuria, occasionally hematemesis, hematochezia. (4) other symptoms of enlarged lymph nodes, hepatosplenomegaly. Less common clinical manifestations hemoptysis due to pulmonary hemorrhage, glomerulonephritis induced hypertension and brain lesions should be purple-induced convulsions, paralysis, coma.
2. Symptoms performance for kidney edema, hematuria and proteinuria.
[Type] of (1) acute Purpura Nephritis syndrome characterized by hematuria, proteinuria, edema and hypertension. Rapid onset, it seems acute nephritis, a majority of this type. (2) rapidly progressive glomerulonephritis syndrome oliguria and renal function damage, a rapidly progressive glomerulonephritis, a serious prognosis. (3) chronic nephritis Purple should syndrome nephritis onset of the slow disappearance should be reported to the persistence of nephritis, accompanied renal dysfunction, this type of more to adults. (4) nephrotic syndrome epidemic of allergic purple with nephrotic syndrome, this is a serious glomerular lesions are associated with renal dysfunction. (5) abnormal urine asymptomatic hematuria will be sustained or proteinuria, hypertension and renal dysfunction.
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