Hemorrhagic vasculitis in children: treatment, photo
Hemorrhagic vasculitis (disease Henoch-Schonlein purpura) is one of the most common diseases among children. The basis of pathology are the problems with the immune system, in which inflamed blood vessels. The disease most often affects boys.
Causes hemorrhagic vasculitis nemikrobnoy (also there are other terms — sterile or aseptic) inflammatory process, resulting in collapse of small vessels. They are formed microthrombuses, and then affects the blood vessels and internal organs.
To distinguish the disease Henoch-Schonlein purpura is not difficult. In this pathology on mucous membranes of the lips, cheeks, and the skies a child has had a large number of small hemorrhages dark cherry or red hue. They are slightly «raised» above the mucosa around and can bleed. The disease may progress at any age, but occurs most often hemorrhagic vasculitis in children from 4 to 12 years. Kids under 3 years old rarely suffer from this disease.
The causes of the disease
Usually the onset of the disease correlate with recent infectious disease (most often respiratory catarrh, sore throat or scarlet fever). After a few weeks or a month after cured of the pathology starts with the appearance of the typical for hemorrhagic vasculitis hemorrhages. In some cases, the precipitating factor may be vaccinations, allergies to certain foods or medicines, injuries, diseases of the oral cavity (e.g. dental caries), insect bites or hypothermia. The specific cause of the disease is difficult to determine as the occurrence of hemorrhage is preceded by complex changes in the immune system of the child.
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Manifestations of the disease Henoch-Schonlein purpura
To begin a closer consider the characteristics of the rash that you see in this disease. On the baby’s skin are formed like bruises small spots that do not disappear when pressed. Most often they are localized in the area of the bends of the limbs (for example, in the area behind the knee or on the elbow pits), near joints and on the buttocks. Less common rash on the face, palms, soles and over the entire surface of the body. The extent of hemorrhage can also be different, from single elements to large number of spots merging together. After a rash of «coming», in its place there is a pigmentation. When often recurrent sores on the place of spots. skin starts to peel off.
In addition to the characteristic rash on the skin and mucous membranes, which is a small hemorrhage, hemorrhagic vasculitis is characterized and other related symptoms are not in all patients (this depends on the complexity of the particular case). To such manifestations concern:
- joint damage (for the most part, large — ankle or knee);
- pain in the abdomen;
- nausea and vomiting;
- unstable stool;
- hyperthermia (in some cases);
- systolic heart murmur;
- kidney failure and other organs (in advanced cases, rarely).
Treatment of hemorrhagic vasculitis
The prognosis of the disease depends on how severely affects internal organs. Approximately 70% of cases the symptoms disappear after a month and a half after the beginning of the exacerbation. If the kidneys are affected, the prognosis is unfavorable, may develop chronic renal failure. In some cases, there is even death due to complications from the digestive tract after internal bleeding, heart attack, colon and Central nervous system.
For the therapy should put the baby on a hypoallergenic diet. It is necessary to exclude eggs, pastry, coffee and cocoa, some fruits, baking, canned foods, especially those which have been prepared in industrial conditions. If the child is allergic to certain foods, they are also removed from the diet completely. In addition, patients will be advised strict bed rest. It eliminates even the possibility to move independently in bed, roll over, etc.
For the treatment most often used drug ways. Prescribed anticoagulants (drugs that prevent blood clotting), antiplatelet agents (inhibit the process of platelet adhesion), corticosteroid medicines, immunosuppressants, etc. In extreme cases, resorted to therapy with immunosuppressants (drugs to suppress the immune system) and cytostatics (antineoplastic agents that cause necrosis of malignant cells).
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Sick children are sure to put on dispensary registration. At first, the medical examination will be required every month, over time — once in three or six months. Assigned regular analyses of a feces on eggs of helminths. To prevent a recurrence is to eliminate the possibility of the action of the factors in the development of the disease (infectious diseases, injuries, insect bites, etc.). Children suffering from hemorrhagic vasculitis, prohibited sports, physiotherapy and sun exposure.
Disease Henoch-Schonlein purpura is a serious pathology, which can carry severe consequences for the organism of the child. Despite the fact that most often the prognosis is favorable, you should not try to self-medicate. It is better to consult a specialist and be confident in recovery!