Patient's question:
8-year-old boy, preliminary diagnosis of Henoch-Sch?nlein purpura, duration of 15-20 days, current symptoms: swelling of the left ankle with some purple spots, otherwise normal. Seeking advice on medication.No history of this condition.
Doctor's answer:
Hello:(1) High-dose vitamin C, Annuo blood, etc., to improve vascular fragility.
(2) Hormones: Hydrocortisone or dexamethasone can be administered intravenously for severe cases. For general cases, prednisone can be taken orally.
(3) Antiallergic drugs: Diphenhydramine, promethazine, calcium gluconate, and tinudine.
(4) For fulminant cutaneous necrosis, anticoagulant drugs such as heparin and dextran can be used. First, identify the cause and remove it. If it is simple type, just take antiallergic drugs, vitamin C, rutin, and calcium preparations. For joint type, hydroxychloroquine should be taken. If it is abdominal or renal type, glucocorticoids should be added.