FAQs
Nearly half the people who have Henoch-Schonlein purpura developed it after an upper respiratory infection, such as a cold. Other triggers include chickenpox, strep throat, measles, hepatitis, certain medications, food, insect bites and exposure to cold weather.
Henoch-Schönlein purpura (HSP) affects the blood vessels and causes a spotty rash. It's not usually serious, but can sometimes lead to kidney problems.
The symptoms of HSP usually begin suddenly and may include headache, fever, loss of appetite, cramping, abdominal pain, painful menstruation, hives, bloody diarrhea, and joint pain. Red or purple spots typically appear on the skin (petechiae).
Adults with HSP are more likely to have more severe disease compared to children. HSP usually ends after four to six weeks -- sometimes with recurrence of symptoms over this period, but with no long-term consequences (recurrences are fairly common).
HSP has previously been reported following immunization with various vaccines, mostly within 12 weeks post vaccination [3]. The aim of this report is to highlight a possible association between COVID-19 vaccination (Pfizer‐BioNTech BNT16B2b2 mRNA vaccine) and first onset of HSP in a previously well adult.
Henoch-Schonlein purpura usually goes away on its own within a month with no lasting ill effects. Rest, plenty of fluids and over-the-counter pain relievers may help with symptoms.
HSP isn't a disorder or a condition, but rather a personality trait that's also known as sensory-processing sensitivity (SPS).
When highly sensitive people (HSPs) confide about love, there is notable depth and intensity. They fall in love hard and they work hard on their close relationships. Yes, sometimes non-HSPs sound similarly enthralled and confused by love, but on the average, HSPs have a more soul-shaking underlying experience.
HSP does not usually run in families. If one of your children has this condition, it is unlikely that another of your children or another family member will get it. It is not contagious, and cannot be passed on to other people.
Henoch-Schönlein purpura (HSP), also known as anaphylactoid purpura, causes small blood vessels in your body, including those in the skin, stomach and kidneys, to become swollen and leak. One of the most obvious and common signs of this disease is a rash on the skin that looks like purple or red dots.
Diagnosing HSP
There is not a specific blood test to diagnose HSP. An abdominal ultrasound may be done in patients with severe abdominal pain. In patients who have partial or unusual symptoms, a biopsy of the skin or the kidney may help make the diagnosis.
Drug-induced thrombocytopenic purpura is a skin condition result from a low platelet count due to drug-induced anti-platelet antibodies caused by drugs such as heparin, sulfonamines, digoxin, quinine, and quinidine.
Can Henoch-Schönlein purpura be prevented or avoided? Doctors do not know how to prevent HSP. The disease is more common in boys than in girls. Children 2 to 11 years of age are more likely to be affected, but adults can get it too.
HSP is an autoimmune disorder. This is when the body's immune system attacks the body's own cells and organs. With HSP, this immune response may be caused by an upper respiratory tract infection. Other immune triggers may include an allergic reaction, medicine, injury, or being out in cold weather.
This rash usually goes away in about a week, but sometimes it can last as long as one month. Abdominal pain – Belly pain tends to come and go. Most often, it will go away on its own. But if the pain is severe, worsening, or coming in waves, it could mean a more serious problem called intussusception.
An upper respiratory tract infection by SARS-CoV-2 could be a triggering factor in the emergence of Henoch-Schonlein purpura. Ruling out a prior infection with SARS-CoV-2 in paediatric patients presenting with what clinically appears as Henoch-Schonlein purpura should be considered.
HSP usually affects the small blood vessels in the skin, causing a rash that is called purpura. It can also affect blood vessels in the intestines and the kidneys. HSP can lead to complications in the lungs or brain, but this is extremely rare.
Most children with HSP fully recover within a month and have no long-term problems. Some kids who have HSP get it again, usually a few months after the first episode. If it does come back, it's usually less severe than the first episode.
How is purpura treated?
- Corticosteroids. Your doctor may start you on a corticosteroid medication, which can help increase your platelet count by decreasing the activity of your immune system. ...
- Intravenous immunoglobulin. ...
- Other drug therapies. ...
- Splenectomy.
Due to traits of their personality, heightened empathy or childhood conditioning, many highly sensitive people have repressed anger, and do not know how to deal with their emotions healthily.
Highly sensitive people activate brain areas to a greater extent to interpret in great depth and detail the information of the affective and emotional states of the people around them, especially those close to them.
HSPs are typically highly intelligent, and seek out opportunities to do deep work. Many HSPs are academics, artists, researchers, scientists and technicians with high level proficiency.
A highly sensitive person (HSP) is someone who is thought to have an increased or deeper central nervous system sensitivity to physical, emotional, or social stimuli. 1 Some refer to this as having sensory processing sensitivity, or SPS for short.
Healthy HSP friendships deeply support each other, using listening as a two-way street. HSPs often put others' needs above their own, doing whatever they can to help a friend feel better. A highly sensitive person needs friends who appreciate their care, won't abuse it, and are happy to reciprocate.
High sensitivity, by definition, is a genetic trait; you're either born with it or you're not, although your early childhood experiences do play a role in shaping your level of sensitivity.
The prognosis for individuals with HSP varies Some individuals are very disabled and others have only mild disability. The majority of individuals with uncomplicated HSP have a normal life expectancy.
How Do HSPs Age? For better and worse, we do become even more sensitive. We are bothered by gross levels of stimulation more, process everything even more deeply, and are even more aware of consequences. But I think generally we age extremely well.
Being married to a Highly Sensitive Person means you too can experience natural pleasures in life more easily, often, and fully. 2. Quirkville: HSPs are more easily overwhelmed by external events and may therefore at times feel broken.
It is important to note that, while cardiac complications are rarely considered in HSP, there have been approximately 20 published cases of HSP with non-coronary artery cardiac involvement. Interestingly, not all patients had cardiac symptoms, and patients with HSP-related cardiac involvement are generally adults.
Take regular exercise. People with HSP lose a lot of muscle strength during illness. Ask for advice about sensible regular exercise. Eat well.
Studies have also shown that vitamin C supplementation improved purpura in patients who had a prior vitamin C deficiency. If you have purpura and are bothered by the appearance of them there are a few things that may help the lesions fade more quickly.
Bruises usually come back throughout the person's life, and there is no known cure for senile purpura. People who are uncomfortable with the appearance of senile purpura may contact a dermatologist for recommendations to heal and replenish the damaged skin.
Psychogenic purpura (also referred to as Gardner-Diamond syndrome, autoerythrocyte sensitization, or painful bruising syndrome) is a rare and poorly understood clinical presentation in which patients develop unexplained painful bruises, mostly on the extremities and/or face, during times of stress.
The most common sign of Henoch-Schönlein purpura is a purplish rash, which looks like bruising. It happens in all cases of HSP, usually on the lower legs and buttocks. It also can appear on the arms, face, and trunk.
The cause of HSP is unknown, but it is most commonly triggered by a viral illness (e.g. a cold), and it occurs most often in the spring. HSP usually affects children from two to 10 years of age, but it can happen in anyone. HSP itself is not contagious, but the infection that has triggered HSP may be contagious.
Can Henoch-Schönlein purpura be prevented or avoided? Doctors do not know how to prevent HSP. The disease is more common in boys than in girls. Children 2 to 11 years of age are more likely to be affected, but adults can get it too.
For about two-thirds of children, all symptoms will be gone in two to four weeks. For the last one-third of children, symptoms are gone in one to three months. Serious complications of HSP are rare, but it is very important to follow up with your child's doctor.
Propylthiouracil is the most common drug-causing vasculitis. Other drugs implicated are vancomycin, minocycline, adalimumab, rituximab, and clozapine.
There is no specific test to diagnose HSP. It is diagnosed based on recognition of the classic symptoms, and exclusion of other conditions that can cause a similar rash. In many children with a classic rash, minimal testing is needed to establish a diagnosis of HSP.
An upper respiratory tract infection by SARS-CoV-2 could be a triggering factor in the emergence of Henoch-Schonlein purpura. Ruling out a prior infection with SARS-CoV-2 in paediatric patients presenting with what clinically appears as Henoch-Schonlein purpura should be considered.
Most people recover fully from HSP without complications, but in time it can lead to chronic kidney disease and kidney failure.
It occurs most commonly in children ages 2-6, although it can occur at any age. Patients with Henoch-Schönlein purpura develop a characteristic bruise-like rash on their arms and/or legs. In most cases, the condition does not require treatment; it will resolve on its own and the child will recover completely.
Generally, haematologists are the specialists that treat purpura.
How is purpura treated?
- Corticosteroids. Your doctor may start you on a corticosteroid medication, which can help increase your platelet count by decreasing the activity of your immune system. ...
- Intravenous immunoglobulin. ...
- Other drug therapies. ...
- Splenectomy.
There is not a specific blood test to diagnose HSP. An abdominal ultrasound may be done in patients with severe abdominal pain. In patients who have partial or unusual symptoms, a biopsy of the skin or the kidney may help make the diagnosis.