What should be noted in the treatment of children with allergic purpura?

Patient's question:

A 5.5-year-old child with allergic purpura

Doctor's answer:

Childhood allergic purpura is a bleeding disorder caused by the body's allergic reaction to certain substances, leading to damage of small blood vessels throughout the body. For the treatment of simple-type purpura, hormones are typically used. Hormones cannot eliminate the root cause and have certain side effects. Once hormones are used, they often need to be taken for a considerable amount of time. I recommend trying traditional Chinese medicine (TCM) to treat this condition, as TCM has relatively effective results for this disease.
Traditional treatment methods for allergic purpura include symptomatic management and the use of adrenal cortical hormones. However, hormone use can further disrupt the immune system, leading to multiple side effects, frequent relapses, and difficulty in discontinuing the medication.
Using scopolamine as the primary treatment for allergic purpura has shown good efficacy. Adding compounds like glycyrrhizin afterward has been found to be more effective than corticosteroids in alleviating symptoms, shortening the course of the disease, and reducing post-treatment relapses.
If a child exhibits drowsiness or confusion, it may indicate intracranial vasculitis or bleeding, which is a dangerous sign. Immediate dehydration treatment should be administered.
Pay attention to diet, as allergic purpura is often triggered by allergens. Avoid foods such as raw onions, raw garlic, chili peppers, and alcohol.