Henoch-Schönlein Purpura Skin Condition : What Is It ? Treatment and Advice For Patient
This is a form of vasculitis (inflammation of the small blood vessels) in the skin and various other tissues in the body. It may also be referred to as anaphylactoid purpura. The precise cause is unknown. Three-quarters of cases are preceded by an upper respiratory tract infection, mostly caused by ß haemolytic streptococci. Several other associations have been reported including drugs, food and various infections.
Approximate age group
Mainly seen in children under the age of 10 years, with a slight male predominance. It may also occur in adults.
Presentation
The rash consists of erythematous and purpuric macules and papules together with vesicles and pustules. It should be considered in any child with purpura and a normal platelet count. It may follow a streptococcal throat infection. There may be associated arthralgia and abdominal pain.
There may also be renal involvement.
Treatment
If it follows a streptococcal infection, treat with phenoxymethyl penicillin. Otherwise, bed rest will stop new lesions occurring and most cases will get better in 3–6 weeks. Paracetamol syrup will help with joint and abdominal pain.
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Renal involvement should be considered. Proteinuria and microscopic haematuria without impaired renal function will normally get better spontaneously in less than four weeks. If acute nephritis or progressive renal failure occurs, the patient should be referred to a renal physician.
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Henoch-Schönlein Purpura Skin Condition, Natural Treatment, Skin Condition
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