Doctor insights on:
Henoch Schonlein Purpura Long Term Effects
You have to ask one: I am not an integrative doctor. Henoch schonlein purpura is the most common form or vasculitis occurring in children. Most kids just get an itchy, burny rash below the waist. Some have blood in the urine & others in the bowel movement. All of these clear over time without specific treatment required. About 10% get intussusception of the gut, an emergency sometimes requiring surgical intervention. ...Read more
Are kids who had henoch-schonlein purpura at risk of getting jra/jia couple years later? Is there any connection?
I was diagnosed with henoch schonlein purpura even though 3 biopsies didn't immunofluoresce. Is it possible I was diagnosed wrong?
Yes: In the absence of demonstrated IgA vasculitis in at least one section, I would have misgivings about the accuracy of your diagnosis. However, pathologists who seldom do immunofluorescence in their labs may run into technical problems that interfere. It's a tough call and this is one more reason you need a multispecialist team. ...Read more
? specialist?: I routinely diagnosed and treated these patients in my practice. If your primary doctor has experience with the disorder, I see no need for you to find someone else unless referred. At that point your primary doc has the best local knowledge of who would be available in your area. Because kidney issues sometimes come up, s/he may send you that way for followup. ...Read more
Can the petichiae of haemophilus meningitis vs henoch-schonlein-purpura be distinguished clinically?
Yes and no: No clinician would take chances. The history and symptoms would tilt the balance either way. Most patients end up having a lumbar puncture if there is any clinical suspicion for meningitis. Remember that rashes may be in different stages and that will make impossible to differentiate. ...Read more
May start as rash: The rash may start above the feet and progress over the knees. It does not blanche if you press on it and release it, because the little red spots are bleeds, called petechiae. Next the feet swell and may develop pitting edema. You now need an immunologist assessment and therapy with steroids to prevent kidney involvement and arrest progression of this autoimmune disease.Serum IGA may be high. ...Read more
Commonly uncommon: Quoted figures are between 6 and 22 per 100, 000 children. So if you estimate 1 in 10, 000, most pediatricians will see a few cases in their careers, and most people (friends, neighbors and family) will never have heard of it. Consider it a common disease that is uncommonly seen. ...Read more
HSP: Henoch-schonlein purpura (hsp) is a type of inflammation of the blood vessels (vasculitis) most often seen in children. It can present with petechiae or purpura on the skin, joint pain, and abdominal pain. Most patients do well and fully recover, but in some cases there can be damage to the kidneys and other organs so close follow up is required. ...Read more
Slight: There may be a slight increased risk inrelatives, but not enough to worry about it. Answer is googlable. ...Read more
See rheumatologist: Hsp is a type of vasculitis (autoimmune inflammatory disease affecting blood vessels) that can cause arthritis, kidney disease, a painful rash, and abdominal pain sometimes complicated by bleeding into the gut. The biggest concern for patients is developing long term kidney disease which can eventually lead to kidney failure. Have urine and blood pressure checked monthly for at least 6 months. ...Read more
What to do if I have henoch-schonlein purpura and I was wondering if I could still join the army?
Depends on variables: Most who develop HSP will have a transient illness that will occasionally involve changes in kidney function. A few will have long term kidney issues after the initial illness subsides. If you have no such issues, HSP in the past should not be a problem. If you have any long term problems with the disease it will. ...Read more
My 4 yr old was diagnosis with henoch schonlein purpura and now showing kidney function problems where can I get the most up to date info?
Stick with your doc: Your best source for information is your physician. He may want to refer you to a pediatric nephrologist. ...Read more
How can we differentiate Henoch schonlein purpura with other skin diseases such as chickenpox, and how it can be treated?
Recognizing pattern: Someone who is well trained can distinguish these by history and exam. Since neither requires treatment, the management of potential secondary problems is where training also provides proper direction. A lay person and some physicians would not be expected to recognize HSP nor could the differences be explained within the limits of this platform. ...Read more
I have henoch schonlein purpura & I'm going to get a 24 hr urine test for protein on Sunday. If I drink alcohol on friday will it show up on the test?
No: 24 hour urine collection for protein excretion will quantify how much protein you are spilling in the urine, it will not mention anything about alcohol, unless your doctor specifically orders that test. Toxicology testing is totally different than protein determination and are not linked. ...Read more
What can I do if my 4yr. Old grandson has henoch-schonlein purpura. Would steroids help his abdominal pain?
Maybe: Hsp is an odd auto immune process with symptoms of variable intensity. Most have a rash that will fade within a month. Some have intestinal and kidney symptoms and a few experience testicular swelling and pain. The majority will self heal with minimal use of comfort meds.Steroids are occasionally used with dramatic pain symptoms but most try to avoid them. ...Read more
My "appeared overnight" rash was diagnosed as henoch schonlein purpura and confirmed by biopsy. Do you agree there's no prevention, treatment or cure?
IgA vasculitis: Henoch-Schönlein purpura (HSP) is purpura (pinpoint bleeding) in the skin caused by inflammation in blood vessels (vasculitis) of the skin. In 2/3 of the cases, HSP follows an upper respiratory infection. HSP is most common in children & is usually self-limited. In adults HSP has a tendency to be more severe. In a small minority of cases, HSP can cause severe kidney or bowel disease. ...Read more
Can chronic low & giant platelets (80-125) w/o a cause be ITP in adult w. Henoch Schonlein? In/out of HSP remission, Plts same, WBC/RBC vary low-norml
Hsp: Hsp doesn't cause any changes in platelet count. I am not sure what do you mean been in and out of remission. The chronic issues with hsp is the blood in the urine, butost of the time it is microscopic. Blood pressure need to be monitored. If you have other issues with platelet count, you probably need to see hematologist to help you sort it out ...Read more
Don't think likely: Have never seen so probably unlikelyGet a more detailed answer ›
Many things: For one thing, what is called 'Spice' or 'K2' or anything else is not always the same product. These are illegal factories without quality control where there is nothing indicating the purity and concentration of the product. So, one batch may have five or ten times more of the synthetic cannabinoids. It is also unevenly spread in the product. It can cause seizures and hypertension - pot doesn't. ...Read more
Many: Short term- weight loss, tooth enamel erosion from stomach acid, esophageal ulcers, nuitritional and electrolyte imbalances and skipped periods. Long term- no menses, cardiac irregular heartbeats that could result in cardiac arrest and death and, kidney failure from severe dehydration. ...Read more