Question

My son had joint-type purpura six weeks ago, and after receiving hormone treatment, the joint symptoms have disappeared, but the skin purpura persists. Allergy tests did not show any allergic reactions, and he is currently on a vegetarian diet. What other precautions should be taken in terms of diet and other aspects? How long should this vegetarian diet be maintained?

Answer

Hello: Based on the child’s condition, the following points should be noted:

  1. Pay attention to rest, avoid fatigue, and prevent emotional fluctuations and mental stimulation. Prevent insect bites and remove possible allergens.
  2. Keep warm to prevent colds. Control and prevent infections, and choose sensitive antibiotics when determining the source of infection, but avoid blindly using prophylactic antibiotics.
  3. Pay attention to diet. Since allergic purpura is often caused by allergens, avoid eating stimulating food such as raw scallions, raw garlic, chili peppers, and alcohol; avoid contact with meat, seafood, pollen, and other allergens.
  4. To prevent recurrence, patients should persist in a course of consolidation treatment after recovery. This condition usually has a self-limiting nature and generally improves within 6 to 8 weeks, with a good prognosis. Some cases may recur for several years, with a few developing into chronic nephritis, and extremely few may die due to acute renal failure. It is very important to eliminate triggers in the treatment of allergic purpura and try to avoid long-term or short-term high-dose injections or oral administration of corticosteroids such as dexamethasone, Kenilcort, and prednisone. Although these…