How To Deal With HSP (Henoch-Schonlein Purpura) In Children?
Is there an appropriate solution for handling HSP? My child has undergone treatment and intestinal surgery, but the HSP is still there. I am worried that the HSP will cause other organs to be affected. After treatment and surgery 3 weeks ago, now his stomach hurts again.
Good evening, thanks for the question
Henoch-Schönlein purpura (HSP) is a condition that causes inflammation and leakage in small blood vessels. The main symptoms are red or purplish rashes on the skin which are commonly found in the lower limbs or buttocks and are more common in children and adolescents. HSP symptoms can also involve joints causing arthritis, involving the gastrointestinal tract resulting in intussusception to intestinal perforation, or kidney disorders causing kidney failure.
Actually there is no specific therapy in HSP cases. Therapy aims to reduce symptoms of abdominal pain, joint inflammation, or kidney disorders. In a few cases that cause severe complications in the gastrointestinal tract surgery can be done, as in this case. Or in the case of kidney disorders in adult patients, long-term therapy can be given to prevent more severe kidney damage.
However, general therapy given only includes corticosteroid therapy and immunosuppressive therapy to suppress the immune response in patients. In some cases HSP can heal spontaneously after the course of the disease for 6-8 weeks. However, this disease can also be recurrent or recur with an incidence of 33% of all cases, which is characterized by symptoms that reappear after undergoing optimal treatment.
Therefore, we advise you to re-check your child's condition with your doctor for further evaluation if you are currently experiencing complaints of abdominal pain. Treatment with corticosteroids is known to prevent disease recurrence and reduce symptoms.
That's all, hope you can help.