Can Henoch Schonlein Purpura (HSP) Be Cured?

Illustration of Can Henoch Schonlein Purpura (HSP) Be Cured?
Illustration: Can Henoch Schonlein Purpura (HSP) Be Cured?

Good morning, sorry I want to ask how the treatment of HSP so that it does not recur again … my child has been repeatedly affected by HSP … last time until vomiting blood … because in the intestine and stomach there was already blood fluid … said the doctor was still in the condition not dangerous..will, but doctors advise be vigilant because blood fluid can at any time there in terms of food that must be avoided ?? If my child is tired, he always complains that his stomach hurts … or that is also the effect of HSP so his stomach often hurts … thank you …

1 Answer:

Hello Nazza Shaum,

Henoch Schonlein Purpura (HSP) is a vasculitis that causes disorders of the blood vessels, especially in the skin, kidneys, gastrointestinal tract, and joints. HSP is most often found in children aged 2-6 years. In HSP the blood vessels become inflamed, causing interference to the walls and can cause bleeding. The exact cause that causes inflammation of the blood vessels is not known for sure, but is thought to be triggered by previous upper respiratory tract infections, viral infections such as measles and smallpox, insect bites, severe allergic reactions to certain foods.

HSP symptoms that can be found in children are:

Purpura on skin that is purplish red and does not disappear on suppression. Purpura is commonly found in the lower limbs to the buttocks.
Inflammation in the joints characterized by pain and swelling
Abdominal pain, vomiting and blood stools
Kidney disorders that cause protein or blood in the urine

The diagnosis of HSP is made from the above clinical symptoms. If necessary, additional tests will be carried out such as blood laboratory, urine examination, ultrasound to see the condition in the digestive tract, skin biopsy or kidney.

HSP can improve by itself and supportive therapy (adequate rest, adequate fluid intake) in less than 1 month, without sequelae (cured). Drugs that are often given are corticosteroids to reduce inflammation and pain in the joints and stomach. Other medications such as antibiotics (if there are bacterial infections) and other pain relief are also commonly given. There are no special foods that need to be avoided, because foods that can be allergens / triggers for HSP in each person are different. You need to make observations on your child, what foods are often consumed by children and then cause symptoms of HSP again. If there are certain foods that trigger HSP symptoms, avoid eating them.

Based on medical research about 2-30% of patients who have HSP <6 years experience recurrence (HSP symptoms reappear even though it has healed before). Most male patients experience recurrence. About 10% of patients experience an HSP episode> 3 times. HSP patients who have kidney problems, suffer from allergic rhinitis, need corticosteroid treatment> 10 days have a higher risk of HSP recurrence.

Severe abdominal pain can be caused due to gastrointestinal bleeding or intestinal intussusception. If you experience this, quickly take the child to the nearest hospital. Consultation on HSP in children can be done with pediatricians. Thus the explanation from me, hopefully useful.

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