According to the typical skin purpura or accompanied by nerve angioedema and urticaria were easy to diagnose, with joint pain, abdominal pai
According to the typical skin purpura or accompanied by nerve angioedema and urticaria were easy to diagnose, with joint pain, abdominal pain, hematochezia, platelet tests, hemorrhage, coagulation time of the normal, can be diagnosed. Should also be careful to ask the history, as far as possible to find sensitive factors.
The total number of white blood cell is normal or slightly increased, neutrophils, eosinophils may be slightly higher, while bleeding anemia can occur, platelet count, coagulation time, blood clot retraction test were normal. Some children with capillary fragility test positive, ESR, IgA increased, rheumatoid factor and antinuclear antibody negative. Urine routine examination such as urinary tract bleeding or nephritis, there is a corresponding positive results.
Henoch Schonlein purpura (HSP) is a common disease in children, and the age of onset is more than 3 years old. The incidence is about 2 times than that of women, most children before the onset of 1~3 week history of upper respiratory tract infection. The rash is mainly manifested in children, buttocks and limbs (especially lower limbs) appear symmetrical red rash, early can be maculopapule, sometimes itching, after various forms of color become erythema, can be integrated into the film, some can produce blisters. Children can also have different degrees of gastrointestinal symptoms such as recurrent abdominal colic, vomiting, bloody stool, or even be for intussusception air enema or surgical treatment. Individual children with abdominal pain precede the rash, sometimes easily considered as the surgical acute abdomen laparotomy. In addition, some children can see joint pain can not move any joint effusion. Kidney damage is the main complication of this disease, can be seen hematuria, proteinuria, severe cases may have decreased renal function.
From the "children's common disease family maintenance", people's Medical Publishing House, 2009, edited by Wang Xinliang
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