09:30,24,Mar,2008 | (783/0/0) | Original

henoch schonlein purpura differential diagnosis


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1st Floor, differential diagnosis of allergic purpura
First, idiopathic thrombocytopenic purpura is not under the skin above the skin form of purpura, and platelet count less asymmetric distribution is not difficult to identify. Rashes, such as Henoch-Schonlein purpura associated with angioedema, urticaria, erythema multiforme or more distinction.
Second, sepsis caused by meningococcal sepsis and purpura rash similar, but the weight of the disease symptoms, white blood cells increased significantly, pierce skin rash at the smear examination can be positive bacteria.
Third, both rheumatoid arthritis with joint swelling and pain and fever can be in more difficult to identify before the onset of purpura, as the disease progresses, skin purpura, would help to identify.
Fourth, intussusception more common in infants and young children. Such as children with bursts of crying, abdominal reach mass, muscle tension should be suspected of the disease. Barium enema perspective can be identified. But accompanied by anaphylactoid purpura intussusception can, and should attract attention.
Fifth, appendicitis can occur both Cullen and right lower abdominal pain with tenderness. However, the abdominal muscles are not tense allergic purpura, skin purpura, can be identified.
Health experts believe that this should be cured purpura, in addition to blood stasis and conditioning as soon as possible to improve the blood of misconduct outside, but the core problem is to improve the patients as soon as possible allergies, desensitization as soon as possible! United States (CBH) Health experts launch the suite of allergic purpura: Min Qing Capsule blood desensitization detoxification powder capsule, integrated plant "living blood serum factor", "active immune factors," "active disinfection factor" and a number of nutrient compound ingredients, and fundamentally improve patient allergies, the complete elimination of symptoms of allergic purpura. The "active disinfection factor" to enter and gathered by the congestion and toxins in patients with damage to parts of cells in the blood and remove toxins and foreign pathogens, by activating the cell's own detoxification and metabolism, protect the body from toxins intrusion caused by disease and suffering; "living blood serum factor" into the blood and small blood vessels, through the "blood circulation" of the lesion against the law to condition the blood, so go back from the blood through the blood; "active immune factors" of the body of sleep to activate the immune system so that its full immunity, regulatory function, defense re-invasion of pathogenic factors, to achieve complete desensitization . more click!
2007-10-24 13:39 reply
henoch schonlein purpura differential diagnosis

The differential diagnosis of allerg
ic purpura 2008-04-10 13:06 I want to say a few words font: LoadCommonAdJs (385)
Key words: purpura allergic purpura
Abstract: The skin is not higher than the skin form of purpura, and platelet count less asymmetric distribution is not difficult to identify. First, idiopathic thrombocytopenic purpura is not under the skin above the skin form of purpura, and platelet count less asymmetric distribution is not difficult to identify. Rashes, such as Henoch-Schonlein purpura associated with angioedema, urticaria, erythema multiforme or more distinction.
Second, sepsis caused by meningococcal sepsis and purpura rash similar, but the weight of the disease symptoms, white blood cells increased significantly, pierce skin rash at the smear examination can be positive bacteria.
Third, both rheumatoid arthritis with joint swelling and pain and fever can be in more difficult to identify before the onset of purpura, as the disease progresses, skin purpura, would help to identify.
Fourth, intussusception more common in infants and young children. Such as children with bursts of crying, abdominal reach mass, muscle tension should be suspected of the disease. Barium enema perspective can be identified. But accompanied by anaphylactoid purpura intussusception can, and should attract attention.
Fifth, appendicitis can occur both Cullen and right lower abdominal pain with tenderness. However, the abdominal muscles are not tense allergic purpura, skin purpura, can be identified.
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Allergic purpura preventive care:
â‘  regular exercise to enhance physical fitness, prevention of influenza.
â‘¡ actively clear the infection focus, to prevent upper respiratory infections, control of tonsillitis, dental caries, sinusitis, and intestinal parasites such as roundworm, hookworm and other diseases Glass
â‘¢ pollen season, allergies are advised to pay attention to not go outside; possible to identify allergens, avoid eating suspect food and suspicious drugs.
â‘£ acute phase and the amount of bleeding for a long time, should be limited to activities, bed rest as much as possible.
⑤ diet should be light, rich in nutrients and vitamins are better not eat spicy, Feiganhouwei. Ban alcohol and tobacco.
â‘¥ keep the mouth, skin cleansing, anti-infection. Regulate emotions and to keep the mood relaxed and happy.
More acute allergic purpura, in addition to fever, loss of appetite, nausea, vomiting and other general symptoms, mainly with skin purpura, gastrointestinal symptoms, joint pain and urinary symptoms. Onset cases may the same in different circumstances to the most common skin purpura, can occur alone or may also have associated with joint, gastrointestinal or urinary symptoms.
First, the onset of skin purpura often the first performance, purpura sizes, higher than the surface of the skin was purple, the pressure of not fade, can be integrated into the film, or showed a herpes-like, erythema multiforme or urticaria-like and can be associated with nerve edema.
Can occur even in severe ulcers and necrosis. Purpura more common in extensor limbs and buttocks, lower limbs and ankle, knee and other joints are more obvious, there was symmetry in batches, easy to repeated attack.
Second, many children with gastrointestinal symptoms are abdominal pain, mostly of paroxysmal severe cramps, or dull pain, to Cullen or significantly lower abdomen, with tenderness, but no muscle tension. May be associated with varying severity of diarrhea and blood in the stool, stool was tarry or bright red. Also have severe vomiting, but vomiting rarely. Such as abdominal pain, blood in the stool before seen in the skin purpura, should be identification of surgical acute abdomen. The disease can be due to intestinal mucosal hemorrhage and edema, leading to bowel dysfunction, and even induce intussusception.
Third, joint symptoms, some patients with joint swelling, pain, and more involvement of large joints such as knee, ankle, wrist, elbow and other small joints are not involved. Can be single, multiple or were migratory. Joint swelling, pain, pain during activity increased, the local often accompanied by fever, severe burning sensation. Joint symptoms subsided without sequelae.
Fourth, urinary system urinary tract symptoms due to increased capillary permeability of mucous membranes, there may be hematuria and microalbuminuria, along with the retreat and disappearance of purpura. Purpura in children, but approximately 1 / 3 to 1 / 2 of renal involvement, called nephritis. Determine the pathological changes of renal prognosis. Acute changes in urine more than 2 to 3 weeks there, but also
appear in the rear purpura subsided.
Most children showed a small amount of urine protein and red blood cells under the microscope, and sometimes see a tube, gross hematuria may occur. Prognosis is usually good, even after a rapidly progressive glomerulonephritis was the development of acute renal failure, poor prognosis. Part of a large number of children with proteinuria, hematuria, edema, hypertension, hypoalbuminemia and hypercholesterolemia as the nephrotic syndrome.
Hematuria, proteinuria, for several months or years, the last most still fully recovered. Very small number of patients with different degrees of renal function after damage was chronic nephritis, and finally the development of chronic renal failure.
Fifth, other symptoms occasionally hemorrhage, there may be convulsions, temporary paralysis, aphasia, serious cases can cause death. Others such as nose bleeding, gum bleeding, muscle bleeding, testicular swelling, bleeding or pulmonary hemosiderosis, are rare.
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