Renal symptoms of Henoch Schonlein purpura?

summary

Henoch Schonlein purpura, also known as hemorrhagic capillary poisoning, is a kind of capillary allergic hemorrhagic disease, which may be related to the autoimmune damage of blood vessels. In addition to purpura, the clinical features often include skin rash, angioneurotic edema, arthritis, abdominal pain and nephritis. Clinically, the renal damage caused by Henoch Schonlein purpura is called Henoch Schonlein purpura nephritis. Renal symptoms of Henoch Schonlein purpura? Let's talk about it

Renal symptoms of Henoch Schonlein purpura?

One of the main basis of clinical diagnosis of this disease is that most patients with skin purpura as the first symptom. Skin purpura often occurs in the distal extension of the limbs, buttocks and lower abdomen, most of which are symmetrically distributed. The lesions vary in size. They are hemorrhagic spots, slightly protruding from the skin, and can fuse into a piece. They have itching sensation and no pain. They can recur once or several times, or appear in batches. They gradually subside after 1-2 weeks, and there are also 4-6 weeks of delayed regression. Sometimes, urticaria, hemorrhagic maculopapular, angioneurotic edema and other symptoms can appear in batches.

The most common clinical manifestation of renal involvement is gross hematuria or microscopic hematuria, which appears continuously or intermittently. Gross hematuria is more common in children than in adults, and is aggravated after infection or purpura attack. Most cases were accompanied with proteinuria. Hematuria is mostly caused by nephritis, occasionally due to bleeding on the surface of ureter, bladder or urethral mucosa.

Most of the cases had proteinuria of different degrees, most of which were moderate, and the quantity was less than 2G / D, which was not necessarily proportional to the severity of hematuria. The decrease of serum protein level is more obvious than that of proteinuria, which may be due to the leakage of protein from other parts, such as gastrointestinal tract and subcutaneous tissue. Some cases may have proteinuria within the scope of nephrotic syndrome.

matters needing attention

After the disease to bed rest, avoid overwork, avoid eating tobacco and alcohol. Diet should be rich in nutrition, easy to digest, eat more fresh vegetables, fruits. For patients with hematuria, should avoid spicy, fragrant dry irritants and seafood and hair, such as rooster, sea fish, beef, mutton, goose, so as to avoid aggravating the disease. Urine protein, should pay attention to but eat more high protein diet, in order to prevent deficiency is not supplemented.