Henoch Schnolein Purpura HSP - Pediatric Oncall

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question
I am a handicapped person age 38. I suffers some times from a skin disease in hair(head). My wife is also handicapped age 36. My daughter age 10 suffering from Henoch schnolein purpura spots on both lower limbs and hips. She had been suffering from 26th Feb. 2006. I did following test Complete blood count and peripheral smear, platelet count and indices, urinalysis, prothrombin time, activated partial thromboplastin time (APTT), Liver and kidney function tests. In Short form(CBC,Reticulocyte Count,ESR,ANA,SGPT/Creatinine,PT,APTT) But all reports are normal. I also consulted a Haematologist. He told me that no medicine should cure this disease, but the disease usually resolves without treatment. But after referring to this web's Questions and Answers, People are still not cured 100% from this disease So how to prevent this disease fully for life time. She has no medical problem as such (fever etc.). Doctor recommend steroids (prednisolone 1mg/kg/day for 5 days) if her joint pain worsens. But now still doctor don't recommend any drugs for this disease. Doctor tells me that this rash subsides within 3 to 6 months. However it may recur for few months. So guide me how to cure this disease 100%. Please advise me. Please tell me because cannot think about anything else due to my daughter's disease.
Answer
HSP is a self limiting disease. It may lead to involvement of the skin, intestines, joints, kidneys and brain. Steroids are required only if there is kidney, intestinal or brain involvement. One needs to monitor her urine regularly till one year. The disease may remit within 6 months and may occasionally persist till 12 months. Back to All Questions

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