Question

An 8-year-old boy has been diagnosed with allergic purpura, with swelling and purple spots on his left ankle, and inquires about appropriate medication for treatment.

Answer

Treatment Suggestions for Allergic Purpura:

  1. High doses of vitamin C and Anosmin to improve vascular fragility.
  2. In severe cases, hydrocortisone or dexamethasone intravenous infusion can be used, while general cases can take prednisone orally.
  3. Antiallergic drugs such as diphenhydramine, promethazine, calcium gluconate, and cromolyn.
  4. For cases of eruptive skin necrosis, anticoagulant drugs such as heparin and low molecular weight dextran can be used. First, identify the cause and remove it. For simple cases, antiallergic drugs, vitamin C, rutin, and calcium supplements can be taken. For arthritic cases, hydroxychloroquine should be taken. For abdominal or renal types, additional corticosteroids should be administered.