Symptoms of Henoch Schonlein purpura in children

summary

Most of the patients with Henoch Schonlein purpura have the symptoms of general discomfort, low fever, fatigue and upper respiratory tract infection 1-2 weeks before the onset of the disease. According to its symptoms and signs, the symptoms of children with Henoch Schonlein purpura tell us.

Symptoms of Henoch Schonlein purpura in children

① Simple type: is the most common type. The main manifestation was purpura. Purpura varies in size, can be fused into a piece, the formation of ecchymosis. Purpura is mainly confined to the extremities, especially the lower limbs and buttocks, rarely occurs in the trunk, and can be accompanied by skin edema and urticaria, which gradually subsides after 7-14 days.

② Abdominal type: in addition to skin purpura, a series of gastrointestinal symptoms and signs (about 2 / 3 of the patients) occur due to the involvement of gastrointestinal mucosa and peritoneal visceral capillaries, such as nausea, vomiting, hematemesis, diarrhea, mucus stool, bloody stool, etc. Abdominal pain is the most common, often paroxysmal colic, mostly in the umbilicus, lower abdomen or whole abdomen. The attack can be misdiagnosed as surgical acute abdomen due to abdominal muscle tension, obvious tenderness and hyperactivity of bowel sounds. In children, intussusception can be caused by intestinal wall edema and peristalsis enhancement.

③ Joint type: in addition to skin purpura, joint swelling, pain, tenderness and dysfunction (about 1 / 2 patients have joint symptoms) occur due to vascular involvement of joint parts, mostly in large joints such as knees, ankles, wrists and elbows. Joint swelling is generally light, wandering, repeated, and healed after several days without joint deformity.

matters needing attention

Children "allergic purpura" acute onset, parents first see is usually the child's bilateral legs, ankle around the skin, different sizes, purplish red, pressure does not fade the bleeding point. If you find that the child has such a bleeding point, and the child is allergic constitution, its skin rash, and with joint pain, hematuria and stomachache, you must take the child to the hospital as soon as possible, so as not to delay the disease and cause renal function damage.