Henoch-Schonlein Purpura medical classification and performance

Most patients with Henoch-Schonlein purpura 1-2 weeks prior to the onset of a general malaise, fever, fatigue and upper respiratory infection symptoms such as precursor, with the typical clinical manifestations. Based on symptoms and signs of different, can be divided into the following types: ① simple: It is the most common type. Mainly as skin purpura. Purpura sizes can be integrated into films, formation of Yuban. Purpura mainly confined to the limbs, especially the lower extremities and buttocks, trunk rarely occurs, the skin can be accompanied by edema, urticaria, after 7-14, is waning. ② abdominal: In addition to skin purpura, due to gastrointestinal mucosa and peritoneal capillary visceral involvement, and produce a series of upper gastrointestinal symptoms and signs (about 2 / 3 of patients with), such as: nausea, vomiting, hematemesis, diarrhea and mucus it, such as blood in the stool. Of which the most common abdominal pain, often paroxysmal colic, located in Qizhou, abdominal or total abdominal and muscle tension can attack and obvious tenderness, Chang Ming Yin misdiagnosed as hyperthyroidism and surgical acute abdomen. In the bowel wall edema due to child care can be, such as moving a result of increased intussusception. Abdominal symptoms, signs and more skin Purpura at the same time, even before this can happen in purpura. ③ joint type: In addition to skin purpura, a result of joint site of vascular involvement in joint swelling, pain, tenderness and dysfunction, such as performance (about 1 / 2 in patients with symptoms of the festival), will occur in the knee, ankle, wrist, elbow etc. joints, joint swelling generally lighter, a walk, repeated attack by a few days and more, the remaining joint deformities. ④ renal type: the most serious condition, the incidence was as high as 12% -40% patients. In addition to skin purpura, because glomerular inflammatory response in hematuria, proteinuria and possession of urine. Kidney disease symptoms can occur in any period, but after a week多见purpura. Changes in urine is generally believed that sooner, nephritis after more weight, a small number of cases because of repeated attacks and evolution of chronic nephritis (hematuria, proteinuria, edema, hypertension), nephrotic syndrome (urinary protein> 3.5 g / d, Hyperlipidemia low serum albumin <30>