Treatment FAQ

what is the therapeutic treatment for henoch-schonlein syndrome?

by Deonte Nicolas MD Published 3 years ago Updated 2 years ago
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Henoch-Schonlein purpura usually goes away on its own within a month with no lasting ill effects. Rest, plenty of fluids and over-the-counter pain relievers may help with symptoms.Sep 21, 2021

Medication

Henoch-Schonlein Purpura Diagnosis and Treatment. Although there is no specific treatment for HSP, you can use over-the-counter pain medicines, such as acetaminophen or nonsteroidal anti-inflammatory drugs ( NSAIDs ), such as ibuprofen and naproxen for joint pain. In some cases, corticosteroid medication may be used.

Procedures

The fact that it often follows another infection gives a clue that Henoch-Schonlein is probably itself an infection.

Nutrition

NORD gratefully acknowledges the Platelet Disorder Support Association for assistance in the preparation of this report. Henoch-Schönlein purpura (HSP) is a rare inflammatory disease of the small blood vessels (capillaries) and is usually a self-limited disease.

What is the treatment for Henoch Schonlein purpura?

Majority of patients with Henoch-Schönlein purpura nephritis (HSN) have a mild disease, presenting with hematuria and/or low-grade proteinuria, with a high recovery rate. A small percentage of patients present with nephrotic syndrome or renal function impairment (1,2).

Is Henoch-Schonlein an infection or disease?

What is Henoch-Schönlein purpura (HSP)?

What is the prognosis of Henoch Schönlein purpura nephritis?

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How is HSP cured?

There is currently no cure for HSP, but in most cases, the symptoms will resolve without treatment. A person may take steps to relieve and manage any joint pain, abdominal pain, or swelling they are experiencing. Pain can be initially managed with non-steroidal anti-inflammatory drugs (NSAIDs).

Can HSP be treated?

Although there is no specific treatment for HSP, you can use over-the-counter pain medicines, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen for joint pain. In some cases, corticosteroid medication may be used.

How is HSP treated in adults?

There is no specific treatment for HSP other than rest and recuperation, and symptoms usually go away within several weeks. Paracetamol or ibuprofen can be given to relieve any joint pains.

How is HSP treated in children?

Treatments for HSP may include:Making sure your child drinks enough fluids.Making sure your child eats a healthy diet.Taking medicines such as acetaminophen to help ease pain.Taking glucocorticoids to control inflammation.Taking blood pressure medicine to lower blood pressure if needed.More items...

What causes Henoch-Schonlein Purpura?

Nearly half the people who have Henoch-Schonlein purpura developed it after an upper respiratory infection, such as a cold. Other triggers include chickenpox, strep throat, measles, hepatitis, certain medications, food, insect bites and exposure to cold weather.

Is HSP a clinical diagnosis?

Diagnosis of HSP is clinical and not based on laboratory investigations, and there is no definitive test. The following tests may be relevant: Urinalysis (should always be performed): haematuria and/or proteinuria are present in 20-40% of patients.

Can you get Henoch-Schönlein purpura twice?

About one third of children diagnosed with Henoch-Schönlein purpura will develop recurrent symptoms of Henoch-Schönlein purpura, although most recurrent episodes are less severe than the initial episode. However, recurrent episodes of Henoch-Schönlein purpura can last up to a year after the initial diagnosis.

Can Covid vaccine trigger HSP?

HSP has previously been reported following immunization with various vaccines, mostly within 12 weeks post vaccination [3]. The aim of this report is to highlight a possible association between COVID-19 vaccination (Pfizer‐BioNTech BNT16B2b2 mRNA vaccine) and first onset of HSP in a previously well adult.

Is HSP life threatening?

Henoch Schonlein purpura (HSP) is usually a self-limiting condition that resolves itself without active treatment; however, it can develop life-threatening complications.

How long does it take for HSP to clear up?

In a simple, first episode of HSP, symptoms should resolve within four weeks, with the rash being the last symptom to disappear. Joint pain usually stops after three days, and abdominal pain will usually stop after two days.

Does HSP get worse with age?

Stress & Sensitivity Can Worsen With Age for HSPs. Here's How to Prevent That. If you are a highly sensitive person (HSP) you might be growing larger stress centers in your brain without even knowing it, and if you don't do anything about it, they will become even bigger. The larger they grow, the harder life will be.

Can HSP cause kidney damage?

There is no medicine to treat HSP, and treatments for the disease involve treating the symptoms, like the swelling, stomach pain and arthritis. Most people recover fully from HSP without complications, but in time it can lead to chronic kidney disease and kidney failure.

What is Henoch-Schonlein purpura?

Henoch-Schonlein Purpura Diagnosis and Treatment. Henoch-Schonlein purpur a (HSP) is a disease involving inflammation of small blood vessels. It most commonly occurs in children. The inflammation causes blood vessels in the skin, intestines, kidneys, and joints to start leaking. The main symptom is a rash with numerous small bruises, ...

What is the best treatment for HSP?

Although there is no specific treatment for HSP, you can use over-the-counter pain medicines, such as acetaminophen or nonsteroidal anti-inflammatory drugs ( NSAIDs ), such as ibuprofen and naproxen for joint pain. In some cases, corticosteroid medication may be used.

What is the diagnosis of HSP?

The diagnosis of HSP may be clear when the typical rash, arthritis, and abdominal pain are present. A doctor may order some tests to rule out other diagnoses, confirm the diagnosis, and assess its severity.

What is HSP associated with?

Some experts also say that HSP is associated with the colder weather of fall and winter.

What are the symptoms of HSP?

Here are some key details about the symptoms of HSP: Rash. The rash usually appears in all patients with HSP. The initial appearance may resemble hives, with small red spots or bumps on the lower legs, buttocks, knees, and elbows.

Does HSP cause pain in the stomach?

Abdominal pain. In more than half of people with HSP, inflammation of the gastrointestinal tract may cause pain or cramping; it may also lead to loss of appetite, vomiting, diarrhea, and occasionally blood in the stool. In some cases, patients may have abdominal pain before the rash appears.

Does HSP cause kidney problems?

HSP can cause kidney problems, indicated by such signs as protein or blood in the urine. This is usually only discovered on urine testing, since it does not generally cause any discomfort. In most patients, the kidney impairment is mild and goes away without any long-term damage.

What is Schönlein's purpura?

In one form of the disorder, termed Schönlein’s purpura, the skin and joints are affected but the gastrointestinal tract is not. In another form, known as Henoch’s purpura, affected individuals have purplish spots on the skin and acute abdominal problems, such as glomerulonephritis (a type of kidney disorder).

Why is HSP not a disease?

The exact cause of HSP is not known, although research suggests that this disease may be caused by immune system dysfunction (i.e., increased IgA immune complexes). Autoimmune disorders are caused when the body’s natural defenses against “foreign” or invading organisms (e.g., antibodies) begin to attack healthy tissue for unknown reasons.

What is HSP in medical terms?

Henoch-Schönlein purpura (HSP) is a rare inflammatory disease of the small blood vessels (capillaries) and is usually a self-limited disease. It is the most common form of childhood vascular inflammation (vasculitis) and results in inflammatory changes in the small blood vessels. The symptoms of HSP usually begin suddenly and may include headache, ...

How long does HSP last?

In children, the initial symptoms typically begin after the age of 2 years and usually last for about 4 weeks and the disease usually has a somewhat mild course.

Can Henoch's purpura be caused by joint disease?

People with Henoch’s purpura are not affected by joint disease. The exact cause of HSP is not fully understood, although research demonstrates that it is related to an abnormal response by the immune system or, in some rare cases, an extreme allergic reaction to certain offending substances (e.g., foods or drugs).

Key points

Urinalysis and blood pressure measurement must be done when Henoch-Schönlein purpura (HSP) is suspected

Background

HSP is the most common vasculitis of childhood. It most commonly affects children 2-8 years of age

Assessment

HSP is a clinical diagnosis The features include rash, and one or more of:

Management

Urinalysis is usually the only investigation needed in a classic presentation of HSP If there is hypertension, macroscopic haematuria or significant proteinuria, also perform:

Reference List

Reference List Bluman, J. and Goldman, R.D., 2014. Henoch-Schönlein purpura in children: Limited benefit of corticosteroids. Canadian Family Physician , 60 (11), pp.1007-1010. Dudley, J., Smith, G., Llewelyn-Edwards, A., Bayliss, K., Pike, K. and Tizard, J., 2013.

Why is HSP a disease?

On the other hand, a person who has an acidic environment and who eats a poor diet that’s low in nutrients is susceptible to “catching” a disease like HSP from another person because their immune system is compromised.

Does B17 help with infection?

In tandem with high-quality supplements and apricot kernels (vitamin B17) to rebuild the immune system, infection control can bring a person back to health even if they’ve been given a terminal diagnosis. Low cellular voltage, which is essentially the same thing as saying that the body is acidic rather than alkaline.

Can alkalizing cause Henoch-Schonlein purpura?

In theory then, an infectious organism could cause Henoch-Schonlein purpura even though most of the articles I’ve read talk about “auto-immune” aspects of this disease.

Is HSP the same as vasculitis?

The fact that his other daughter has vasculitis is interesting in that vasculitis and HSP are very similar things actually. HSP is considered to be an auto-immune disease where the body basically attacks itself. WebMD defined HSP as a “disease involving inflammation of the blood vessels”.

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