What is the reason for the red spots on my daughter's calf that don't itch but cause foot pain?

Patient's question:

My daughter is 8 years old and has red spots on her two lower legs that are not itchy but cause foot pain. She also has abdominal pain. A check-up revealed mild red spots in her intestines, but blood tests showed no issues. She is currently being treated at the Children's Hospital in Chongqing. I want to ask the doctor what illness this could be. She has never had this before. What kind of condition is this?

Doctor's answer:

According to your description, the possibility of allergic purpura is high. Allergic purpura is a bleeding disorder caused by the body's allergy to a certain substance, leading to damage of small blood vessels throughout the body. The skin, mucous membranes, joint cavities, or internal organs may all experience skin breakdown, resulting in different symptoms depending on the location and severity of the breakdown. Clinical diagnosis primarily focuses on skin purpura as the main symptom, often accompanied by joint swelling and pain, abdominal pain, bloody stools, and hematuria. Some children may develop a psychological aversion to the illness.

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