Purpura Is Easy to Be Misdiagnosed

2018-11-27 22:46

Purpura Is Easy to Be MisdiagnosedPurpura is easy to be misdiagnosed. It can damage kidneys and cause proteinuria. Please pay attention.

One month ago, 22-year-old Yang suddenly had leg pain, stomach pain, vomiting and diarrhea, and blood in her stool, which frightened her, so she went to county hospital for treatment immediately. The doctor initially diagnosed her with acute gastroenteritis.

But after 4 days of continuous treatment, Yang's abdominal pain, hematochezia and other symptoms did not improve at all, and purple rashes began to appear on legs. Seeing these spots, the doctor suggested Yang transferred to the city hospital for treatment.

Afterwards Yang was found to have proteinuria. The doctor explains, the skin rash on Yang’s body is allergic purpura, which is a kind of capillary allergy. When it affects skin small blood vessels, the skin will present small red spots. When it affects kidney blood vessels, filtration barrier will be affected, leading to proteinuria and occult blood (which commonly occurs after skin purpura) so as to form Purpura Nephritis.

Yang's 24-hour urine protein quantification is 0.8g, and the current treatment is mainly to avoid exposure to allergens. She can go to the hospital to do allergen examination so as to avoid re-exposure to allergic food and drugs. And in diet, she should pay special attention to fish, shrimp, crab, etc.

Patients with obvious abdominal pain and bloody stool like Yang can be treated with H2 receptor blockers (mainly cimetidine, ranitidine and so on to improve gastrointestinal symptoms), atropine, etc., as well as antihypertensive and diuretic treatment.

If 24h urine protein is more than 1g, hormones can be considered to relieve urine protein, gastrointestinal symptoms and red spots on the skin.

The first choice of Purpura Nephritis patients to lower blood pressure is ACEI or ARBs, which can also reduce proteinuria, relieve renal inflammation and fibrosis.

After treatment, the little red spots on the skin disappear, but the large amount of toxins accumulated in the body still exist, which can easily lead to the relapse of the disease. At this time, traditional Chinese medicine, Moxibustion, Steam Therapy and other methods can be used, which will effectively excrete toxins in the body outside so as to create good conditions for self-healing of Purpura Nephritis Patients.

The above information is for educational purposes only. For specific treatment suggestions, please contact a physician.

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