Severe symptoms of Henoch Schonlein purpura?

summary

Henoch Schonlein purpura (HSP) is a disease caused by inflammation of blood vessels. This disease mostly occurs in teenagers. Adults rarely suffer from this disease. If this disease is not treated in time, it will also affect the liver function and kidney function of patients. A lot of people want to know is allergic purpura serious? See what the doctor says.

Severe symptoms of Henoch Schonlein purpura?

Abdominal pain is common, mostly colic, is caused by blood infiltration into the intestinal wall. The pain in the umbilicus and right lower abdomen is obvious, and it can also spread throughout the whole abdomen, but generally there is no tension in the abdominal muscles. The tenderness is mild, and it can be accompanied by nausea, vomiting, diarrhea and black stool. Due to irregular intestinal peristalsis, can lead to intussusception, palpable mass, more common in children. Intestinal perforation may occur occasionally. If not accompanied by skin purpura, often misdiagnosed as "acute abdomen.".

The typical skin rash is brownish red macular papules, which protrude on the skin surface and do not fade when pressed. They are distributed symmetrically, mostly in the extension of limbs and buttocks. They rarely invade the trunk. They may be accompanied by itching or pain, and appear in batches. Pigmentation may be left after they subside. In addition to purpura, urticaria, angioneurotic edema, erythema multiforme or ulcer necrosis can also be complicated. Occasionally, purpura may appear in oral mucosa or conjunctival membrane.

The joint may have slight pain to obvious redness, swelling, pain and movement disorder. The lesions often involve large joints, such as knees, ankles, elbows, wrists and so on. Mainly around the joint lesions, can be repeated attacks, do not leave joint deformity.

matters needing attention

Acute phase should be bed rest. Pay attention to the amount of fluid, strengthen nutrition, maintain electrolyte balance. Alimentary tract haemorrhage shows only when fecal occult blood is positive, if abdominal pain is not heavy, can use liquid food. Severe gastrointestinal bleeding should be fasting. Pay attention to find and avoid contact with allergens. Symptomatic treatment, fever, joint pain can use antipyretic analgesics such as indomethacin, Fenbid; Patients with abdominal pain should be treated with antispasmodic drugs, such as anisodamine orally or intramuscularly, or atropine intramuscularly; If there is obvious infection, give effective antibiotics.