Patient's question:
There are small blood spots, and they recur after fading away in about a week. In some cases, blood stains are left behind after fading.Onset time: November 2009
Laboratory test results: Allergic purpura and vasculitis
Previous treatment history and effectiveness: Tried both Chinese and Western medicine, but the effect was not good. The condition keeps recurring.
What kind of assistance is needed: A treatment method for the symptoms of vasculitis is required.
Doctor's answer:
Vasculitis is a group of diseases related to purulent inflammation of blood vessels. The etiology of most cases remains unclear, while more definite causes include serum sickness, drug-induced reactions, and infections; hepatitis B virus has been confirmed as a cause of various types of vasculitis. In clinical diagnosis, it is divided into two major categories: primary and secondary. The etiology of most cases is difficult to determine, with only a few causes being relatively clear, such as serum sickness, numerous drug-induced reactions, and infections with hepatitis B virus. It has been confirmed that hepatitis B virus is a significant cause of various types of vasculitis, and further research has found that cytomegalovirus, herpes simplex virus, and adult T-cell leukemia virus can also induce vasculitis.Medical Advice:
Treatment Includes:
1. Eliminating the cause and completely removing allergens;
2. Treating underlying diseases, such as connective tissue disorders or tumors;
3. For localized cutaneous vasculitis, antihistamines are commonly used, such as chlorpheniramine (Benadryl) 12 mg/day, diphenhydramine 75 mg/day, taken three times a day; indomethacin (Indocin) 25 mg, twice or three times daily; and ibuprofen 0.4 g, twice daily;
4. For systemic vasculitis, prednisone may be used, or cyclophosphamide may be added;
5. Antiplatelet aggregation agents such as aspirin can be used (3–10 mg/kg/day); vasodilators like nifedipine 10 mg, three times daily, or isosorbide dinitrate (Isordil) 10 mg, three times daily, may also be administered orally.
Dietary Recommendations:
1. Mulberry Soup – 60 g of mulberry seeds, add 3 bowls of water, simmer to 1.5 bowls. Season with sufficient white sugar or brown sugar, remove the solids, and drink. Suitable for those with lower back pain and dizziness.
2. Red Bean and Walnut Lotus Root Soup – 15 g of walnuts, 60 g of red beans, and 100 g of lotus root, washed and cut into small pieces, boiled with ample water. Season with a little salt, drink the soup, and eat the red beans and lotus root. Suitable for those with cold limbs and poor blood circulation.
3. Soybean and Watermelon Peel Soup – 60 g of watermelon peel and 60 g of soybeans, add 3 bowls of water, simmer to 1 bowl. Remove the solids and drink. Suitable for those with edema in the affected limbs and anemia.
4. Red Bean and Coix Seed Soup – 100 g of red beans, 30 g of raw and cooked coix seeds each, and 7 red dates, cooked with ample brown sugar and consumed after cooling. Suitable for those with limb edema.
5. Salvia Miltiorrhiza Wine – 500 g of white wine, 90 g of Salvia miltiorrhiza (Chinese foxglove root), soaked for one week. Take 30 ml each time, once or twice daily. Suitable for early-stage peripheral artery disease with cold limbs and numbness.