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.
HSP. There is no specific treatment. Most cases go away on their own without treatment. If symptoms persist, your doctor may recommend therapy with corticosteroids such as prednisone.
An immunologist. This disorder is an immune disorder, and a pediatric or adult immunologist is the most appropriate specialist to follow and treat a patient.
? 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.
Complex cases. Usually HSP does not require a specialist. Complex cases may need to involve a rheumatology doctor if joint pain does not improve, a kidney doctor to follow any problems with kidneys and rarely a surgeon if there is a complication called intusseception which affects the intestine Below is a helpful link on HSP http://www. Niddk. Nih. Gov/health-information/health-topics/kidney-disease/henoch-sch%C3%B6nlein-purpura-hsp/Pages/facts. Aspx.
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.
Henoch Schoenlein. Not very common. In the us about 15 people in 100, 000 develop henoch schoenlein purpura, but it varies in different countries. In england it's 20 people in 100, 000. It primarily affects children between 2 and 13 years of age, but adults can be affected as well.
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.
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.
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.
Yes, it is autommune. Vasculitis below the waste, possible renal involvement. It an autoimmune disease that can be bad. Most patients will have a short lived course.
Are kids who had henoch-schonlein purpura at risk of getting jra/jia couple years later? Is there any connection?
Yes! There is a higher incidence of arthritis occuring after the disease. It is rarely rheumatoid arthritis.
No connection. They are auto immune diseases, but I don't believe there is any connection between the two.
No. There is no connection.
HSP/JIA. It would be unexpected for a child with HSP to develop JIA. You can get a recurrence of HSP within 2 years, but the joint issues related to HSP are self-limited.
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.
Vasculitis. Usually renal problem with blood inurine, elevated sed rate, abdominal pain, urologic type problems and red confluent rash (purpura is bleeding under the skin not a superficial rash).
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.