Patient's question:
Patient with allergic purpura rash that subsided 5 days after appearing 2 months ago has undergone tests and results: Monitoring data shows hematuria in urine sediment consistently at 2+. Treatment history and effectiveness: Always taken oral dipyridamole, rutoside tablets, vitamin C, and traditional Chinese medicine. What kind of help is needed: What should be done?Doctor's answer:
Hematuric nephritis is self-limiting in the majority of pediatric patients, with symptoms naturally resolving several months after onset. However, the prognosis is poorer in adult patients, with only 50% achieving natural full recovery. If a clear sepsis factor is identified, it should be prevented as much as possible. General antiallergic medications can be used. Prophylactic antibiotics (such as penicillin) should be avoided whenever possible. For joint symptoms, aminopyrine can be used, while aspirin is generally preferred. If other manifestations of kidney disease, such as edema or hypertension, are present, management should follow the same approach as for chronic nephritis.