Treatment Of Vascular Inflammation?
Night doctor, my son was 6 years old, was diagnosed with HSP. First appeared age 5 years. First: the body area from the bottom of the buttocks occurs inflammation, until cramps and can not walk, the medicine from the doctor healed, Second: 6 months later recurred more severe, inflammation of the thigh leg and even to the head, like a cramp with a duration of more than 24 hours , in the legs. Third: 3 months later, the same symptoms appear, but still mild. Inflammation in the area of the foot, especially the soles of the feet, looks evenly rounded bruises, if bruises are worn away fading, if high activity again the skin of the feet appears rushed. I have not been brought to the doctor by this 3rd attack. Actions taken at home are ✓ bedrest, ✓ drink honey 3 times a day (1 teaspoon once a drink), take vitamin Elkana (is it good to be used for a long time?), ✓ If I complain about my stomach, I give liprolac (two hours after eating, according to doctor’s advice). ✓ treat cold cough using hufagrip Is my action correct? Do I have to see a doctor immediately to confirm the diagnosis? If not treated immediately will be fatal? Thank you
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Henoch-Schonlein purpura (HSP) is an inflammatory disease of blood vessels in the skin, joints, intestines, and kidneys that can cause red or purple rashes on the skin. The rash is usually found on the lower limbs or buttocks, and the amount can be only a handful or a lot
This condition is thought to be caused by a disturbance in the immune system that was triggered by a previous infection. In most sufferers, HSP occurs after they have a viral or bacterial infection of the throat and lungs. In addition, immune system disorders in HSP cases are thought to be triggered by food, drugs, cold weather, or insect bites. HSP is most common in boys aged 2-6 years
The doctor diagnoses it by checking the physical condition of the patient's skin. However, to be sure, supporting examinations will usually be done. The inspection includes:
Blood pressure check
Examination of protein levels in the urine
Blood tests to see kidney function and signs of infection.
Ultrasound scanning of the stomach and kidneys to see other possible causes of abdominal pain, or the presence of complications such as intestinal obstruction
Kidney and skin biopsy. The doctor will take some of the skin or kidney tissue to be examined under a microscope.
For mild cases usually due to inflammation of the immune system, it is given a reliever that is by nonsteroidal anti-inflammatory drugs to relieve fever and joint pain, and corticosteroid drugs, such as prednisolone, to relieve severe abdominal pain and HSP in the kidneys. But in severe cases treatment can be done at the hospital can even be up to the operation because it involved damage to the digestive tract area and the risk of kidney failure due to an increase in the immune system that is not normal in these organs.
Generally HSP can recover fully within 6-8 weeks. Although it has recovered, further tests, such as urine and blood tests, still need to be done routinely considering that HSP sufferers are at risk of developing kidney problems. These periodic observations need to be carried out for 6 months and can be stopped if no other problems arise.
So that it is best to do further tests to the doctor, especially pediatricians related to whether there is a continuation of the disease such as the kidneys or digestive tract that need attention.
Thus the information we can convey. May be useful. Thank you