How should pediatric Henoch-Schönlein purpura nephritis be treated?

Patient's question:

No

Doctor's answer:

In the acute phase, bed rest should be recommended. If there is a clear allergen, desensitization therapy should be administered. For those without a clear allergen, attention should be paid to the presence of infection or occult infection, and concurrent anti-allergic treatment can be given. Patients with bleeding symptoms should receive hemostatic treatment. For those with hematemesis, antacid drugs such as cimetidine (mexiletine) 10 mg/(kg·d) or omeprazole (omeprazole; Losec) 0.3–0.5 mg/(kg·dose), twice daily, can be administered intravenously. For patients with edema, diuretics such as hydrochlorothiazide, spironolactone, or furosemide can be used.

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