Doctor insights on:
How Do Integrative Doctors Treat Henoch Schonlein Purpura
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 moreSee 1 more doctor answer
? 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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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
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
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 moreSee 1 more doctor answer
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