Shi Shurong: Allergic purpura: Don’t always stare at the skin to see if the urine routine is normal!

Shi Shurong Studio WeChat xyk261  Many patients with allergic purpura know that they have purpura, they only pay attention to the skin purpura, but they ignore the normal urine routine! Urine routine is one of the three major clinical tests in the clinic. As a fecal examination, urine reflects the body’s metabolic status and is an important indicator for the diagnosis of many diseases. Many kidney lesions can appear in proteinuria or urine sediment early Formed elements appear. Abnormal urine is often a sign of kidney or urinary tract disease. Urine routine examination content includes urine color, transparency, pH, red blood cells, white blood cells, epithelial cells, cast, protein, specific gravity and urine sugar.   For patients with allergic purpura, the first symptom of all patients is skin purpura. Allergic purpura is considered to be a skin disease, and it is blind to other symptoms or considered to be other diseases.   But otherwise, allergic purpura is also manifested in joints and abdominal pain, and the most serious is the kidney type. So always pay attention to your urine routine.   30%-60% of children have clinical manifestations of kidney disease, called purpuric nephritis. Mostly appear in the course of 1-8 weeks, and there are also urinary abnormalities before the rash, and very few appear in 3-5 months. Symptoms vary, most of the children present with simple hematuria, proteinuria, individual severely ill children with a lot of proteinuria, edema, azotemia, hypertension or hypertensive encephalopathy, very few died of uremia due to acute renal failure disease. The severity of kidney disease is closely related to the prognosis. About 6% of children progress to chronic nephritis after a few years, and a few die from chronic renal failure.  Severe kidney damage generally can use immunosuppressive agents, such as cyclophosphamide, tripterygium glycosides. But taking it for a long time will be dependent on the drug, and the condition will not improve afterwards. In such a situation, you can use traditional Chinese medicine treatment, cure by disease, cure by person, dialectical treatment, in the auxiliary process of Western medicine, you can achieve the withdrawal process.

Symptoms and prevention of allergic purpura in children

Childhood allergic purpura is also known as hemorrhagic capillary poisoning. Generally speaking, it is caused by food, drugs, toxins or some foreign body infections. Generally speaking, more than half of children have allergic purpura. 1-3 Zhou’s history of upper respiratory tract infections. In fact, this allergy is difficult to determine the allergen source, and it is often difficult to find the specific cause of the disease. Generally speaking, this kind of disease manifests as petechiae on the skin, which usually appears around the joints of the lower extremities and the buttocks. Purpura is symmetrically distributed, appears in batches, varies in size, varies in color, and can be fused into tablets. It gradually subsides within a few days, but it can recur repeatedly; patients may have gastrointestinal symptoms, such as paroxysmal colic or persistent blunt pain in the abdomen; may have joint pain; kidney symptoms, such as proteinuria and hematuria, are more common in children . Treatment includes trying to find the cause of the allergy and avoid it. This kind of allergic purpura should generally be more prevention than treatment, and need to be actively prevented. Preventive measures can be mainly carried out from the following aspects:    1. The first is to strengthen exercise, strengthen nutrition, enhance children’s physical fitness, make children Has a strong resistance and will not be easily infected. &nbsp.    2. Pay attention to personal hygiene, be sure to clean when eating, wash hands frequently, and not eat fruits and aquatic plants that have not been cleaned, so that children can reduce the chance of infection by various parasites. 3. Children with allergies should stay away from allergens, do not touch animals such as cats and dogs, and do not touch things that can cause allergies. In short, don’t touch anything that can cause allergies, especially those that are clearly children’s allergies. contact.   4. Be careful not to let children come into contact with pathogenic things, such as pollen, paint, gasoline, dust, etc.

Allergic purpura patients exchange: You can eat more of these foods!

The recommendations for allergic purpura diet therapy to promote rehabilitation will focus on the pathological points of the disease-allergies, vasculitis, increased vascular permeability fragility, bleeding and coagulation. In summary, you can eat these three types of food: anti-allergic foods rich in vitamin C foods rich in vitamin K foods. Eat these foods, which is conducive to the recovery of allergic purpura! In the early stage of the acute stage of the disease, most doctors will recommend that patients avoid it for a period of time. Although they should stay away from some high-protein foods at this stage, they also need to pay attention to nutritional supplements. You can eat more nutritious plant foods, such as fungus, jujube, beans and their products, or you can do it yourself, including some nutritious meals of mixed cereals. Anti-allergic foods and foods rich in vitamin K have been listed in the list of foods that have been carefully listed before. The following mainly lists vegetables that are rich in “vitamin K”: coriander, spinach and cabbage. The above three are representative vitamin K-rich vegetables. The main role of K is to help blood clotting and hemostasis, patients with allergic purpura can add more intake. The best nutrition is obtained from food, and patients can also eat more fruits that are common in the season. When cooking vegetables rich in vitamin K, the temperature should not be too high and the cooking time should be too long because of the high temperature resistance. If you have any questions about this article or the disease, please feel free to follow us on WeChat Soyisou: gmxzd1

Treatment of allergic purpura

 Allergic purpura is an allergic vasculitis, which is caused by invading the small arteries and capillaries of the skin and other organs of the body. This type of damage is often accompanied by abdominal pain, joint pain, and weakened kidney function. This disease occurs mostly in children and adolescents, and the lesions are often symmetrically distributed, appear in batches, and are prone to relapse.  In view of the reasons that this disease is easy to relapse and difficult to cure, it is generally recommended that patients find that they will go to the hospital for treatment immediately, so what kind of treatment is better?   First, hospitals generally use the instrument to change the natural laws of human metabolism through the instrument. This is a compulsory treatment that easily damages capillaries and has a high possibility of recurrence. &nbsp.&nbsp. Second, because of concerns about the side effects of Western medicine, some patients will resort to the method of traditional Chinese medicine. Although this method has no side effects, it has a long course of treatment and slow results, and not everyone’s physique can accept traditional Chinese medicine. Yes, Chinese medicine can also cause allergies. &Nbsp.&nbsp.Third, taking some hormones, but this method is only to improve the condition of the disease from the top layer, the targeted is not obvious, it is a cure for the symptoms, and this method is too irritating and it is easy to damage the skin. For the case of topical hormone drugs, although it can alleviate the condition of the disease to a certain extent, it will make us dependent and will be repeated.

Raising children’s sensibility and rationality

During pregnancy preparation and pregnancy, the parents and prospective parents imagine: Does the child look like a cake or is it like hemp? Do not have allergic constitution like Baba! Don’t be highly myopic like mom! Be sure to let children develop regular eating and sleeping habits from an early age! The children are so sloppy, who will sing the red face, who will sing the white face? ……The children haven’t arrived yet. Although the parents are a little bit unconfident, they feel that they can deal with the various problems after the child’s birth rationally. There are elders, mothers, and books. If you don’t understand, ask more and learn more! When a child is born, many parents will have a deep understanding. The child’s upbringing and theoretical knowledge are still different. The child’s various situations will make the parents caught off guard. The mother and the book may not work. The original rational ideas are filled with emotion. Sometimes it’s a dilemma, sometimes it’s a tangle of troubles, it’s so hard to be a mother and father! We can’t do it! Moms and dads clearly know the answer and know that they should be treated rationally, but they don’t admit it and don’t allow it! A father and child-raising sister in the child care clinic brought a 5-month-old child to the medical examination. The child’s height and weight have not reached the 3-month-old standard. The parents of the child’s poor sleep quality are very anxious! Physical examination found that the child had severe skin eczema, and there were varying degrees of exudation in the auricle and skin folds. When the child’s clothing examination bed was opened, a layer of white skin rash was obvious. Ask the child’s feeding history, the child is fed with regular formula milk, no supplementary food is added, and the blood eosinophil value is three times higher than the normal range. I told my dad to consider the rash caused by milk protein allergy and intestinal intolerance, which affects the child’s physical development and sleep. It is recommended to replace the hypoallergenic formula (amino acid formula) to reduce the child’s allergic performance. The parent-in-law said: “The doctor before the medical examination will change it!” The next day I received a complaint from my parents. The content of the complaint was this: The child had a maternal and child medical examination yesterday. The inspection doctor arbitrarily said that my child is allergic to milk protein. , What is the basis? I went to the dermatology clinic of the Children’s Medical Center and prescribed a medicine. I didn’t ask us to change the milk powder. I need to check with the doctor to explain. Ok! Because of the complaint, I called my dad to explain, and my dad said this on the phone: “Doctor, we have seen it in the dermatology department of the Pediatrics Center several times. Some doctors asked us to change the milk powder, but I went to prescribe medicine yesterday and did not let us change it. You Why do you say that it is caused by milk allergies during the medical examination?” I replied: “Dad, your baby is 5 months old, no supplementary foods are added, whole milk powder feeding, poor physical development, and obvious skin rashes. Consider milk protein allergy first.” Dad said : “Yes, my child is shorter than the children of the same month age, eczema should be related to the heat! Why do we say that we are allergic!” I replied: “The weather is hot, eczema is easy to be obvious, but other babies are not like your child. Systemic allergic eczema performance. Generally, allergens can be checked through venous blood after 6 months of age. Your child is fed with pure milk powder for 5 months. The eosinophil value is so high. Currently, the main concern is the possibility of milk protein allergy. Milk protein sensitizes the intestine Dao will not tolerate, affect the digestion and absorption of nutrients, and indirectly affect the physical development of the child, so from the perspective of the child care doctor, it is recommended that parents change to a hypoallergenic formula to reduce the child’s allergic performance, thereby promoting the child’s physical development.” Dad said : “This I know, I am allergic, allergic rhinitis is so uncomfortable, how can my child be allergic! Doctor, do you say which brand of hypoallergenic formula I want to change?” I replied: “Both parents have allergies The chance of a baby with a constitution is 20%-40%. In general, infants show repeated eczema, intestinal intolerance, and slowly grow up to show allergic conjunctivitis, rhinitis, specific dermatitis, asthma, etc., so early You need to avoid possible allergens. There are several brands of amino acid formulas. Parents choose it. After 6 months of age, you can help your child check the venous blood allergens and add supplementary food as a reference to avoid possible allergens.” Dad said: “Good Yes, good! Thank you doctor, I’m not complaining to you. I mainly want to ask you clearly. You check and explain very carefully in the outpatient clinic.” I said this complaint is a little bit unreasonable, but I can understand that my father’s allergic constitution , Do not want the child to be allergic. The ideal is beautiful, the reality exists objectively, the child’s eczema performance is obvious, and the laboratory also has indicators to prove that self-evasion is not a way. Raising children is a sensuous process

Summary of the 20 most frequently asked questions of patients with allergic rhinitis

Every time the popular science of allergic rhinitis is published, there will be many netizens leaving a message to ask questions. Now I will summarize some of the more asked questions: 1. What is allergic rhinitis? Many rhinitis patients are not sure whether they are allergic rhinitis. Allergic rhinitis is also called allergic rhinitis. Its typical symptoms are: paroxysmal sneezing, watery nose, stuffy nose and itchy nose. Paroxysmal sneezing and watery nasal discharge are also the main symptoms distinguished from other rhinitis. The characteristics of allergic rhinitis sneeze are: as few as three or five, as many as a dozen or even dozens, most of which occur immediately in the morning, at night or after exposure to allergens. The allergic rhinitis snot is characterized by a large amount of watery snot, and in serious cases it will drip from the nostrils like water unconsciously. If you only have stuffy nose, itchy nose, or occasionally one or two sneezes, or runny nose, it is probably not allergic rhinitis. 2. In the end, can allergic rhinitis be cured or cured: This problem is a problem that the majority of patients are very concerned about. To answer this question, it must first be clear: the incidence of allergic rhinitis depends on the patient’s allergic constitution and the presence of allergens in the environment ,Neither of them is dispensable. Allergic constitution is related to genetics, and the current medical level cannot change allergic constitution to non-allergic constitution. From this point, allergic rhinitis is difficult to cure. If a doctor can answer: how long to take the medicine can eradicate allergic rhinitis. I believe there will be no more patients with allergic rhinitis in this world. Treatment of this disease generally only talks about control, not about eradication. If you can control your life without recurrence, it is equivalent to eradication. But to achieve this goal is very rare, and no one can predict this result before treatment. In the process of treatment, work towards the highest goal. In most cases, allergic rhinitis can be controlled. 3. The topic that patients with rhinitis cannot avoid: Is the toxicity of Xanthium sibiricum terrible? Xanthium sibiricum is the “essential medicine” for the treatment of rhinitis, and it is almost indispensable medicine for the treatment of rhinitis by traditional Chinese medicine. However, we all know that Xanthium is poisonous. Will it be poisoned while taking rhinitis medicine? Let’s first look at how Xanthium can be poisoned: when taking more than 100g of fresh Xanthium, it is prone to poisoning. Pay attention to a few words: a large amount, 100 grams, fresh products, that is, you only take one hundred grams of Xanthium, which you just picked off, may cause poisoning. Therefore, although Xanthium sibiricum has small toxicity, it is safe to take it at a regular dose, that is, the dose prescribed by the National Pharmacopoeia (that is, 3-10 grams). However, we also need to be careful not to take Xanthium sibiricum on its own without the guidance of a professional doctor, especially if it is taken in large amounts and continuously, it may cause kidney failure or even death. 4. Can long-term hormone therapy be used for rhinitis? are there any side effects? Long-term use of antibiotics will cause the body to develop drug resistance, thereby reducing immune function. The long-term use of hormones and antibiotic drugs is extremely harmful: (1) due to the stimulation of blood vessel contraction, the blood vessels are in a state of contraction and contraction for a long time, and the blood vessel wall is elastic Weakening, thinning and brittle formation of vascular sclerosis. (2) The cilia structure of the nasal mucosa will be damaged, thereby affecting the physiological function of the nasal mucosa. Vascular contraction, subsequent dilation, repeated stimulation, mucous cilia stopped movement or even necrosis, disappeared, submucosal plasma oozed, formed edema, caused repeated inflammation of the nasal cavity, tissue adhesions, and the condition worsened. (3) Due to the action of hormones, the endocrine system of human beings is disordered, especially for women, the harm is even worse. (4) Due to the abuse of hormones and antibiotics, the immune function of impaired blood circulation is impaired. In addition, the virus resistance is enhanced, and nasal tissues are prone to malignant lesions. 5. Why patients with allergic rhinitis should drink less alcohol: drinking can cause rhinitis attacks, after drinking, the blood circulation is accelerated, causing the capillaries in the turbinate to expand, the blood volume increases, blocking ventilation, causing some neuropeptide release and parasympathetic nerves of the nasal mucosa Symptoms such as stuffy nose, sneezing, and runny nose appear when the system overreacts to this stimulus. 6. How to deal with dust mites in patients with allergic rhinitis: We know that the most common allergen of allergic rhinitis is dust mites. For dust mites, you can use the following methods to deal with (1) wrap the mattress with plastic cloth. (2) Soak the bedding in hot water at 55℃ for ten minutes once a week and then clean it. (3) When cleaning the room, it is best not to use a broom to avoid dust. You can vacuum with a vacuum cleaner once a week, and the vacuum cleaner must have double thickness

The correct treatment of syphilis

Syphilis (syphilis) is a chronic infectious disease caused by Treponema pallidum (Treponemapallidum, TP), mainly transmitted through sexual contact and blood. TP can invade almost all human organs, so the clinical manifestation of syphilis is extremely complicated, and can cause miscarriage, premature delivery, stillbirth and fetal syphilis through placental transmission, which is extremely harmful. Commonly used anti-ume drugs 1. Penicillins: the drug of first choice, the serum concentration of 0.03IU/ml can kill TP, but the serum concentration must be stable for more than 10 days to completely remove TP from the body. Commonly used benzathine penicillin G, procaine liquid penicillin G, liquid penicillin G, benzathine penicillin G for cardiovascular syphilis. 2. Ceftriaxone sodium: It has been proved to be an effective anti-TP drug in recent years, and can be used as a preferred alternative treatment for penicillin allergy sufferers. 3. Tetracyclines and erythromycins: less effective than penicillin, usually used as an alternative treatment for penicillin allergy sufferers. Choice of treatment plan 1. Early syphilis: benzathine penicillin G2.4 million U, divided into bilateral hip intramuscular injection, 1 time/week, continuous 2 to 3 times; or procaine penicillin G800 thousand U/d intramuscular injection, continuous 10 ~15 days. Patients with penicillin allergy can choose ceftriaxone sodium 1.0g/d intravenous infusion for 10 to 14 days, or continuous oral administration of tetracycline drugs (tetracycline 2.Og/d; doxycycline 200mg/d; minocycline 200mg/ d) 15 days; or continuous oral administration of erythromycin drugs (erythromycin 2.0g/d) for 15 days. 2. Late syphilis: benzathine penicillin C2.4 million U, intramuscular injection on both sides of the hip, 1 time/week, consecutive 3 to 4 times; or procaine penicillin C800,000 U/d intramuscular injection for 20 consecutive days. Patients with penicillin allergy can use tetracycline or erythromycin drugs for 30 days at the same dose as above. 3. Cardiovascular syphilis: should be hospitalized. For those with concomitant heart failure, the heart failure should be controlled before syphilis treatment. In order to avoid the Ji-Hai reaction, oral prednisone (20 mg/d, divided into 2 times) should be started 1 day before the treatment of meimei, for 3 consecutive days. First choose intramuscular injection of penicillin G in water, the dose is 100,000 U on the first day, 200,000 U on the second day (two divided times), 400,000 U on the third day (two divided times); intramuscular injection of proca from day 4 Because of penicillin G800,000 U/ (1 course for 15 consecutive days, a total of 2 courses, intermittent treatment for 2 weeks. The treatment of penicillin allergy is the same as above. 4. Neurosyphilis: should be hospitalized, to avoid Jiyihai reaction, oral Prednisone (same as above). First choose the liquid penicillin G 12 million ~ 24 million U/d, 4 to 6 intravenous infusions for 10 to 14 days, followed by intramuscular injection of benzathine penicillin G 2.4 million U, once a week , 3 consecutive times; or procaine penicillin G2.4 million U/d intramuscularly while oral oral probenecid (2.0 g/d, divided into 4 times) for 10 to 14 days, followed by benzathine penicillin G2.4 million U intramuscularly , 1 time/week, 3 times in a row. Treatment of penicillin-allergic patients is the same as above. 5. Pregnancy syphilis: According to the different stages of syphilis in pregnant women, the corresponding regimen is used for treatment, usage and dosage are the same as other syphilis patients in the same period, but 3 in early pregnancy Month and the third trimester of pregnancy each for 1 course of treatment. Penicillin allergic patients use erythromycin drugs for oral administration. Congenital syphilis 1. Early congenital syphilis: those with abnormal cerebrospinal fluid use penicillin G 100,000 ~ 150,000 U/(kg · D), 2 to 3 intravenous infusions for 10 to 14 consecutive days; or procaine penicillin G 50,000 U, (kg·d) intramuscular injection for 10 to 14 consecutive days. Those with normal cerebrospinal fluid use benzathine penicillin G5 Ten thousand U/(kg·d) intramuscular injection). Those who unconditionally check cerebrospinal fluid are treated according to the protocol of those with abnormal cerebrospinal fluid. 2. Late congenital syphilis: Aqueous penicillin G200-300,000 U/(kg·d), 4 to 6 intravenous infusions for 10 to 14 consecutive days; or procaine penicillin G50,000 U/(kg·d) Intramuscular injection, a continuous course of treatment for 10 to 14 days, can be used for 1 to 2 courses. The dose of penicillin in older children should not exceed the dose of adult patients in the same period. Patients with penicillin allergy use erythromycin, 10~15mg/(kg·d), orally in 4 times for 30 consecutive days.

Do allergic purpura have to eat hormones? Can you recover at the development stage?

Questions from local allergic purpura patients in Hunan-I heard that the disease is more and more difficult to treat, and it will definitely develop into purpuric nephritis later. Is this true? In addition, there are two additional questions-do you have to eat hormones for allergic purpura? Is it possible to recover at the stage of disease development? Does purpura relapse every time, will it further aggravate the condition? For the questions mentioned above, do related answers. Hormonal treatment of allergic purpura in most cases is relatively straightforward, but the cure rate is not impressive. In addition, the recurrence of purpura is not only cured by hormones, nor does it require long-term and massive consumption of hormones, and excessive treatment will not promote the recovery of the disease. The most worrying problem of recurrent purpura is affecting the kidneys, otherwise simple skin purpura will generally not have serious complications (except for some cases of local ulcers in the early stage). It is recommended to follow up urine routine and pay attention to the situation of purpura To adjust the treatment ideas, Chinese medicine who simply adjusts the body and does not aim at the problem of the disease is not recommended to eat, as this will only delay the duration of the disease. In addition, taboo is just a measure. In the long run, there are also unbalanced nutritional intakes. It is recommended to gradually add basic protein diets, including the control of activity, and the key is to treat, adjust the mental state and rest the body state. For every purpura, it will be worse than that, there is a certain basis, and most medical practitioners also agree with this statement. Purpura is a recurring process in the early days. Within this natural course, purpura may not necessarily be very heavy, that is, there are two phenomena: one is very serious before, and then gradually becomes lighter and lighter; the other The species is relatively mild before, and the number of repetitions is more than one, but the condition is getting more and more serious, which eventually affects the complications of organ damage. Once this part of the patient affects the kidney, the condition is also more stubborn. If targeted treatment is not done as soon as possible, continuous aggravation is possible. It is recommended to pay attention to treatment-whether it is early or the subsequent development stage of the disease, targeted treatment can achieve a complete cure. If you have any questions about this article or the disease, please feel free to follow us on WeChat and find out more: gmxzd1

Shi Shurong: What are the risk groups of allergic purpura? Look at your risk index!

Shi Shurong’s studio WeChat xyk261. The initial symptoms of many patients with allergic purpura start from the skin and appear stagnation. They will not care at first, but they will spread to the whole body after a long time. This is related to human immunity. Children and adolescents are more frequent. Because their immune function is not perfect, they are prone to allergic purpura. Allergic purpura is generally divided into four categories, including simple, abdominal, articular, renal, and mixed. Simplex is the most common type, mainly skin purpura, generally the limbs, especially the lower limbs and buttocks. In addition to skin purpura, patients with abdominal type also have gastrointestinal symptoms such as nausea, vomiting, and hematemesis. Joint type mainly shows joint swelling, pain, and dysfunction. The kidney type is generally more serious, and there will be hematuria, proteinuria, and tubular urine. There are also some factors that induce asthma regardless of seasons and regions, and they exist for a long time in our daily lives. They not only have various stimuli, disease infections from the external environment, but also individual activities, dietary medication and other factors. 1. Indoor dust mites, their secretions and dead bodies can exist on cats, dogs, birds, silk, cockroaches and down products. 2. Outdoor pollen. In addition, indoor and outdoor fungi are also common causes. 3. Indoor air pollution. Such as cigarette smoke, kerosene stove smoke, wood burning grass, cooking fumes, household sprays and irritating odor cosmetics, including perfume, hair spray, talcum powder, interior decoration materials, paint smell, insecticide aerosol, Mosquito coils, to Su water. 4. Viral upper respiratory tract infection. For example, upper respiratory tract infections caused by respiratory syncytial virus, rhinovirus, influenza virus, etc. can induce and aggravate asthma. 7. Food and food additives. Common foods that are prone to asthma include fish, shrimp, crab, eggs, milk, cashew nuts, sesame, peach, etc.; food additives include preservatives, color enhancers, bleach, etc. Therefore, in life, the diet needs to be nutritious and balanced, exercise the body, enhance resistance, and effectively prevent viral infections. Because of allergic purpura due to drug allergies, these drugs will not be taken in the future. Maintain home hygiene, pay attention to personal hygiene, do not sit on the floor when going out, wash hands before eating to prevent parasitic infections.

What is atopic dermatitis?

What is atopic dermatitis? Atopic dermatitis, also known as genetic allergic dermatitis, indicates that the genetic tendency of allergic reactions to food and inhaled substances affects family members who can present any combined symptoms of eczema, asthma, allergic rhinitis, allergy to foreign proteins, and elevated serum IgE , Eosinophilia increased. If one of the parents suffers from atopic dermatitis, then more than half of the children have allergic symptoms before the age of two. Atopic dermatitis is divided into three stages, infancy (1 month to 2 years old) childhood (2 to 10 years old) and adulthood (12 to 23 years old). 60% of cases of specific dermatitis occur in the first year of life, usually in the second or third month after birth, and some in the second or third week of life. The rash mainly occurs on the cheeks, forehead, and scalp, and can individually develop to the trunk and limbs. The place where the rash occurs is often the place where the child can grasp and rub. Mainly manifested as changes in the face, scalp, neck, trunk erythema, papules, papular herpes, blisters, exudate, etc., secondary infections can appear pustules. Most infantile specific dermatitis can heal itself within 2 years of age, and about 10% enter childhood. Childhood lesions, reduced exudation, and itching are a constant feature, so most rash changes are secondary to itching. Scratching leads to lichenification and secondary infection of the skin lesions, mainly manifested as chronic dermatitis damage such as elbow fossa, popliteal fossa, ankle, back of the foot, dryness behind the ears, hypertrophic leather, as it often occurs on the curved side of the limbs, It is also known as the Four Winds; if atopic dermatitis develops after 2 years of age, it often has a long course, is difficult to treat, and migrates to adulthood. Adults show dry, hypertrophic mossy skin lesions, and the performance in adolescents is the same as childhood, with the elbow fossa, popliteal fossa, and neck as the weight; the distribution of skin lesions in older adult patients is usually not obvious, and common skin Dry, chronic hand eczema, itching, and moss, often reacting to heat or tension. As you age, your condition will ease. In addition to the appearance of eczema, a horizontal linear fold on the edge of the lower eyelid is a sign of specific physique. Dry skin, ichthyosis, palmprint disease, keratosis pilaris, pale around the mouth, nose, and eyes, positive for white scratches, and white pityriasis are also often characteristic. The pathogenesis of atopic dermatitis is inseparable from genetic and environmental factors. Clinically, it is often found that there is allergic rhinitis or asthma in patients or their immediate family members. It is difficult to carry out etiological treatment, but it is still very important to reduce the motivating factors. If you want to avoid any external irritation, keep your skin hydrated, wear loose cotton fabric, and do not wash your skin with soap or disinfectant, some cases may be related to special food allergies. Therefore, you need to limit the intake of allergic foods and use less irritating foods. , Keep away from allergens such as pollen and dust mites, and pay attention to prevent secondary skin infections. Some medical measures can also be taken when necessary.

Should children with allergic rhinitis detect allergies to some foods, should they be strictly avoided?

Patients with allergic rhinitis test allergens and sometimes detect allergies to some foods. The most common food allergies are peanuts, nuts, fish, shrimps and crabs, eggs, milk and plant seeds. Allergic reactions caused by food are usually systemic, such as urticaria, gastrointestinal symptoms of nausea, vomiting, and abdominal pain. Only a few people with food allergies only show allergic rhinitis and asthma. The main cause of allergic rhinitis is inhalation of the nose, and there are very few allergic rhinitis caused by ingestion. After all kinds of food debris or particles that can cause allergic rhinitis are spread into the air, they are inhaled into the nasal cavity, causing symptoms of allergic rhinitis, sneezing, stuffy nose, runny nose, and itchy nose. Inhaled food allergens are commonly wheat and soybeans. Eggs, seafood and other foods that produce aerosols during cooking can also be caused. The food allergens examined in the hospital may not be accurate. Patients with allergic rhinitis should pay more attention to observation in their lives to see if they are related to contact or eating certain foods. There is no need to absolutely avoid taboos. For children, milk, eggs and other foods are the main source of high-quality protein, which is essential for their growth and development. Blindly avoiding allergic rhinitis strictly avoids the growth and development of children, which is more than gains. (The above recommendations are only for patients with simple allergic rhinitis. If they are combined with asthma, urticaria and other systemic allergic diseases, it is another matter, and the opinion of the specialist should be followed.)

Shi Shurong: Purpura can’t be cured for a long time, don’t miss the good time for summer treatment

Shi Shurong’s studio WeChat xyk261 Many children with purpura are suffering from stomach pain and leg pain. When spring and summer arrived, pollen catkins raged. Nowadays, the weather is hot, the air-conditioned space is closed, and dust and bacteria in the air are more likely to be allergic to these. Allergic purpura, focusing on early detection and early treatment, the early effect is more obvious and effective. If you are currently suffering from nasal congestion, runny nose and other problems, you may wish to self-test according to the following method to see if you have contracted allergic purpura! 1. A rash appears, similar in appearance to measles or papules, it can also be fused into a sheet, forming a purple ecchymosis, which will not fade when pressed. It mainly occurs on the buttocks and legs, mostly on both sides of the body. 2. Joint pain and swelling, mainly affecting the knees and ankles. 3. Abdominal pain or cramps may also cause loss of appetite, vomiting, diarrhea, and occasionally bloody stools, but no gastrointestinal bleeding. 4. Kidney damage, most patients have minor damage and usually do not cause any discomfort. Only when a urine test can be found that the urine contains protein or blood components. How does Chinese medicine treat allergic purpura? Chinese medicine belongs to the category of “blood syndrome”. Generally belong to the “spot” category, because allergic purpura often has external feelings at the beginning of the disease and is caused by allergies, so its cause is mostly related to wind, dampness, heat, and poison. The pathogenesis of purpuric nephritis can be considered as a patient with blood heat content, exogenous wind evil or food with moving wind, wind and heat fight or heat poison, such as burning blood, causing blood pressure, and overflowing the skin , Intestinal gastrointestinal, and even kidney, so there are frequent skin purpura of the lower limbs, abdominal pain frequently, even blood in the stool and urine. For example, after being bitten by an insect, local swelling and blisters are caused by the intoxication of insect poison. The dampness heats up, blocks the veins, the blood and blood circulation is poor, and the blood is forced. Such as cold evil invasion, stagnation in the blood network, can also be purpura, qi does not take blood or virtual fire burning network, urine blood can occur. When Western medicine treats HSPN, oral administration of hormones or immunosuppressants can easily cause gastrointestinal adverse reactions. Chinese medicine believes that these drugs are more bitter and cold, and the patients have strict dietary requirements. They need to restrict seafood, low salt and low fat light diet. The spleen and stomach are damaged, qi and blood are impaired, the subtle function of Yunhua Mizutani is reduced, and uncomfortable symptoms such as fatigue, abdominal distension, and loss of appetite appear; the spleen does not control blood, and purple spots and bloody stools can be seen outside the blood spill.

Focused Q&A (Otorhinolaryngology) 20200616

The time to answer questions about nasal problems once a week is up again. Let’s take a look at these issues. See if yours is selected? Answering rules 1. Questioning method: a. Direct questions within the group (format: nickname + question), the more detailed the better 2. The questioning time is 20:00-21:00 every Tuesday night Q Qiting: Boy three and a half years old, history of allergic rhinitis (House dust mite class 3 allergy, dust mite class 2 allergy), adenoids blockage two thirds, tonsils second degree, history of wheezing bronchitis, total adenoids and tonsils have been done on the 25th of last month Partial excision surgery, and today, there is no nasal congestion and sleep snoring under the condition of medication. May I ask whether I should go to the otolaryngology department or the respiratory department for follow-up standard treatment? Dr. Oz: Hello, thank you for your trust. The operation of adenoid and tonsils does not mean that allergic rhinitis and bronchitis will not recur. The future treatment is mainly based on the symptoms of the child, such as the symptoms of allergic rhinitis, depending on the ear, nose and throat Department, mainly on the symptoms of bronchitis, see the respiratory department. But no matter how, it is very important to avoid the dust mite environment in life. Q Feng Xia: Male, 3 weeks and 3 months, runny nose for 7 days, no cough, insist on washing the nose every day, has not been good, is it a sinusitis attack, do you need to take antibiotics plus Nesuna treatment? Have done adenoid ablation before. Dr. Oz: Hello, thank you for your trust. If it is a recently completed adenoid ablation operation, it is recommended that the surgical hospital be revisited. If the adenoid operation has been performed for more than one month, it can be treated as sinusitis. If it is the latter, the yellow snot has not alleviated when I received my reply. It is recommended to add antibiotics and Nesuna. Q Xiaoyuan: Male, two Tuesdays ago, had acute sinusitis before, and had not relapsed for several months. There was a snot on 6.5, which was cleaned daily with sea salt water and sucked out with a nasal aspirator. Every morning, there is a lot of snot, with a little light green, no other symptoms, and no nasal congestion during sleep. 6.12 Began spraying with hypertonic sea salt water, the amount of snot has decreased in recent days, but some light yellowish green snot will be sucked out every morning. Generally not in the afternoon and evening. Is sinusitis recurring? What should I do next? Dr. Oz: Hello, thank you for your trust. If the symptoms do not worsen, nor affect the child’s eating and sleeping, I suggest continuing to follow the current plan of care. However, if the yellow snot in the morning continues to increase, or the green snot is more obvious at other times of the day, then it may be necessary to give appropriate antibiotic treatment according to bacterial sinusitis. Q Xiaoyu Mom: Girl, 4 years old, these two days, I feel that my baby will runny nose when he touches cold air. When the cold air passes, the nose will disappear. Is it allergic to cold air? Need to deal with it? Dr. Oz: Hello, thank you for your trust. Do you mean the cool air means the cool air conditioner? If it appears after turning on the air conditioner, you need to clean the air conditioner filter. Q Xiaokuaiai: My daughter had an adenoidectomy in April last year. Since the beginning of this year, I have been sneezing and sleeping at night, sometimes accompanied by nasal congestion. About ten sneezes a day. After two months to the end of April this year, the medicine was stopped. About a week ago, my daughter started sneezing madly every day. The frequency was at least once an hour during the day. Every time it was two or three. I didn’t say itchy nose (basically I didn’t rub my nose but sometimes rubbed my eyes), and I didn’t cough. I had nosebleeds in the last month or two. I bleed nose three times a day yesterday, but I don’t need much amount each time drop. May I ask the doctor: 1. Will the stuffy nose be adenoid hyperplasia? 2. Will sneezing be allergic rhinitis? 3. Is nosebleed related to Penesuna? I am all facing Dr. Nose: Hello, thank you for your trust. 1. Nasal congestion is not necessarily caused by recurrence of adenoids, but may also be caused by rhinitis itself and turbinate hypertrophy. After adenoid surgery, there is a certain chance of recurrence of adenoid, but few operations need to be performed again, so no matter whether it is nasal congestion caused by turbinate hypertrophy and swelling of the turbinate, or nasal congestion caused by adenoid recurrence, only symptomatic treatment, such as the use of nasal Spray hormones. However, your child currently has nosebleeds, so topical nasal sprays are temporarily not used. 2. Frequent sneezing and nasal congestion, suggesting the possibility of allergic rhinitis. 3. The use of Nesuna may cause nosebleeds, but such nosebleeds generally occur during medication. And currently

How to choose breakfast for patients with purpura? Can I eat soy milk fritters?

Breakfast for patients with purpura|&nbsp. Can the most common “soybean milk and fritters” be eaten? Before answering this question, you need to talk about the “allergic” etiology of allergic purpura. If the patient is allergic and has a clear allergy to soy products and flour, it is necessary to avoid it for a period of time in the acute phase. Generally speaking, it is mainly to avoid foods that are prone to allergies. Allergic purpura produces high-sensitivity foods in the disease stage, most of them are “animal protein”, but there are few vegetable proteins. Therefore, soy milk, noodles, and steamed buns can appear in the patient’s breakfast list. But fried fritters are best not to eat for now. Of course, if allergic purpura is mild, it can be eaten in moderation, not too much. Allergic purpura is strictly an autoimmune system disease. Poor food can affect the direction of the disease. It is recommended that light food be the mainstay during the illness. Rice, wheat flour and cornmeal are the staple foods. You can also eat more fresh green vegetables and fruits. In addition to abdominal purpura, pork, eggs, dairy products, etc. of early patients can be gradually added according to the relief of their own symptoms. Try to avoid some spicy and irritating cold foods, but garlic, green onions, leeks, coriander and other accessories are okay, avoid eating raw. From the perspective of Western medicine, allergic purpura generally has a small list of taboos. From the perspective of Chinese medicine, it is mainly based on the constitution of some patients to avoid food (this has been previously detailed in a push article). , Blood stasis diet. In short, there are three recommended directions for patients to choose breakfast every day: ① easy to digest; ② easy to absorb; ③ avoid irritation! Healthy and reasonable eating habits can ensure the smooth treatment stage of patients with purpura. It can also prevent allergic purpura from causing large-scale recurrence or even worsening progress due to improper diet. If you have any questions about this article or the disease, please feel free to follow us on WeChat and search more: gmxzd1

What is the relationship between allergic purpura and allergies?

Allergic purpura Because the first three words have the word “allergic”, many patients believe that allergic purpura must be related to allergies. Here we want to emphasize that some allergic purpura can be detected with allergens, and some have nothing to do with allergies. So the name is just the literal meaning of allergic purpura, not all. Allergic purpura is often closely related to infection, allergies, stress reactions and other factors, so many people mistakenly believe that allergic purpura is allergy, but it is not. Henoch-Schonlein purpura, in essence, is an IgA vasculitis, that is, the type III allergy caused by the deposition of IgA immune complexes on the blood vessel wall due to immune dysfunction. And we often say allergies refer to type I allergies (such as acute urticaria, allergic rhinitis) and type IV allergies (such as contact dermatitis). Therefore, although allergic purpura includes “allergy” in its name, it is not allergy in the actual sense. Allergic purpura is special in the damage of multiple organs, mainly including skin, joints, intestines and kidneys, of which the kidney sequelae are the most serious, and nearly half of the patients will have hematuria and proteinuria. Purple spots on the skin mostly occur in the lower limbs and buttocks, and they feel tender when they float slightly. Arthritis is most affected by the knee and ankle. In addition, half of the patients have severe abdominal pain and positive occult blood reaction in the stool. Abdominal pain mostly occurs around one week after the appearance of purple spot syndrome, and a small number of patients first attack a few weeks ago. Of course, don’t panic if you get this kind of disease, you should go to the hospital in time and cooperate with the doctor’s treatment. There is also the diet to avoid allergens and avoid contact with allergens. Most patients have a good prognosis. If they affect the kidney or have proteinuria, they should go to the Nephrology Department for treatment.

Examples: Chinese medicine treatment corresponding to the dialectic of allergic purpura

For different patients with allergic purpura, different ages, different constitutions, different symptoms, different courses of disease…the prescriptions taken are different, even if the prescription name is the same, the medicinal materials and dosages contained therein The way to add and subtract is also different. In view of the recent patient’s doubts, the following are some of the Chinese medicine prescriptions corresponding to the dialectic of allergic purpura, which can be used as a reference! Note that the medication should not be too cold and not conducive to evacuation of external evils, or lead to the introduction of evil into the inside and affect the efficacy. Clearing heat and cooling blood: Fang uses Xijiao Dihuang Decoction to add or subtract blood due to evil. Blood that separates from menstrual blood is blood stasis, so it is not appropriate to choose products that promote blood circulation and blood stasis in favor of spiciness and dryness, so as not to increase blood consumption and blood circulation. Qingli damp heat: Fang Sansan Siwu Decoction is the most common form of damp heat. It has the characteristics of damp heat. Wet and sticky, it is easy to suppress the ventilator, and wetness tends to fall, so the rash and joint swelling and pain are more than the lower limbs, and hematuria under the microscope is common, and the disease is difficult to heal. Therefore, governance is mainly based on clearing dampness and heat. Tongqiao Liyan: The application of the above three methods in clinical practice often has the functions of Xuanfei Tongqiao Qiqi, removing evil and protecting the lungs, which can effectively prevent upper respiratory tract infections, prevent recurrence of the disease and improve the efficacy. Promoting blood circulation and removing blood stasis: This method is clinically important and can improve the curative effect, which can be used in the treatment of allergic purpura. Blood stasis can occur in different periods of the disease, but the mechanism of causing blood stasis is different. It should not be too warm and dry to avoid blood consumption and dysfunction, and refractory purpura can also be appropriately used to break the blood and remove blood stasis medicine. The above can be used as a reference for the selection of prescriptions, and the specific prescribing medication needs to follow the advice of the doctor. If you have any questions about this article or the disease, please feel free to follow us on WeChat and search more: gmxzd1

Allergic purpura is finally cured, do you need to avoid it?

We know that adolescents with allergic purpura are susceptible to this disease. There are many contraindications during the illness, and the patients are suffering torture. You can’t eat it, you can’t touch it, you’ll be cured, and finally you can eat what you want? Is it really. Henoch-Schonlein purpura is repeated over and over again, and the etiology is complex, and everyone’s situation is different. Some patients can eat this food, but some patients cannot. Even when the treatment is cured and discharged, the doctor has asked thousands of people to tell you to pay attention to diet. So, if allergic purpura is cured, does it really need to be avoided? Generally, after allergic purpura subsides for 2 to 4 weeks, you can consider adding a small amount of fresh lean meat diet, fried, stewed, or cooked, and the oil should be less. But can’t eat cured meat, bacon and ham sausage. The first major illness recovered, the main thing was light food, such as rice soup, porridge, rotten noodles and so on. Do not eat fish and seafood and indigestible foods to avoid relapse after the disease has not been cured yet. After 1-2 weeks, no recurrence of purpura can gradually increase the amount and increase the variety. For example, some ordinary vegetables potatoes, cabbage, tomatoes and so on. You can eat some fresh fruits when the condition is gradually stabilized, but do not eat anti-season fruits and long-term storage of ripe fruits. Human life is inseparable from protein, so we must add protein, the most effective and simple way is even eggs and milk, but when can you eat it? If the condition continues to improve for 3-4 months, eggs can be added, boiled first, and fried after 1 month. Milk can only be added after 6 months of stable disease. The most important thing is that many people are concerned about whether they can eat seafood. After all, seafood is very delicious, and some people are difficult to give up, but for your own health, be patient. Seafood can only be added under the advice of a doctor after 1-2 years, so allergic purpura is cured and it is necessary to avoid it. It is the most important to restore the diet according to the physical condition.

How does allergic purpura reduce the disease recurrence rate?

Allergic purpura can be prevented, this is certain. The source of prevention is mainly based on the etiology of allergic purpura and related inducing factors, mainly to maintain a healthy body state, and have enough disease resistance to resist “external cause invasion” and “internal cause incidence”. Want to [away from] allergic purpura, how to prevent it in life? ①——For those with allergic physique, it is recommended not to come into contact with things that are likely to cause allergies. It is best to do a high-precision allergen test and purposely avoid a substance that is highly sensitive to itself. For such groups, it is also not recommended to contact pets more, because there are many substances in the fur of the animal that are easily allergic. ②——Pay attention to the fact that you can go out more, maintain a reasonable diet and rest habits, develop exercise habits, enhance the body’s resistance, improve the body’s resistance to external allergens, and also pay attention to your own hygiene. ③—— Try to prevent cold and fever infections as much as possible, and it is necessary to do targeted treatment and protective measures as soon as possible in these situations, and to increase and decrease clothing, pay attention to temperature changes, and keep the indoor air ventilated and fresh. Because there are many cases of allergic purpura caused by cold, infection and fever. ④——Try not to get more exposure to pollen, gasoline, chemicals, etc., or stay in an air-polluted environment for a long time. It is necessary to go out with a mask during the sick stage to avoid the flow of people. How does allergic purpura reduce the disease recurrence rate? #1, choose the right treatment, take medicine reasonably, maintain the correct habits of daily life and rest, do not fish for three days and two days for drying the net; #2, it is necessary to add more fresh vegetable vitamins, eat more fruits that are beneficial to the health of the body, appropriate Carry out anti-allergic diet therapy; #3. Do not receive the vaccine shortly after the treatment is stopped. It is best to consider it about 3-6 months after recovery. Of course, if necessary, you must be vaccinated within the treatment stage (bitten by the animal) It can be considered at the discretion; in addition, it is recommended that allergic purpura patients need to exercise properly after recovery to improve their resistance to disease, and early symptoms of cold and fever, such as sneezing, runny nose, etc., can be treated with Chinese patent medicine first. If you have any questions about this article or the disease, please feel free to follow us on WeChat and search more: gmxzd1

Is it necessary for patients with allergic purpura to do allergen testing?

Some cases are exposed to relevant tests at an early diagnosis, including allergens. Regarding the problem of [allergens], the relevant analysis is made below. Should I do allergen testing? Generally, the cost of doing such a test ranges from hundreds to thousands. The accuracy rate is indicative, but not absolute. Especially for allergic purpura, the allergen is only a precipitating factor, and the disease is already the actual result, so even if it is found, staying away from this substance or not away from this substance, can not cure the disease. And it is true that most patients with purpura have inaccurate results. For those with allergies, if they are diagnosed with anaphylactoid purpura, then allergen testing can be done. It’s just that some domestic allergen testing equipment is mostly useless. It is recommended to go to a regular hospital. Everyone with Henoch-Schonlein Purpura must know the “allergen” problem! 1. There are too many known allergens at present, and it is impossible to check all of them; 2. Even if the allergens are detected, they cannot be completely avoided, such as some airborne bacteria and dust mites? Unless the patient is not breathing; 3. Many cases will encounter incorrect allergen test results, because people’s status is different, the degree of allergy to the substance is also different, and the test results done at different stages may vary greatly. Therefore, it is not recommended to blindly check allergens for many times. Checking allergens has only a certain reference significance and has little effect on curing diseases. Common allergens of allergic purpura are mainly: microorganisms (bacteria, viruses, parasites, etc.), food (such as fish, shrimp, crab), in addition to some drugs such as aspirin, antibiotics, etc. can also cause allergies. Therefore, you should pay special attention to these in your life. Once you have eaten these things and feel uncomfortable, you should try to reduce or simply avoid these and change to other foods with higher nutritional value! If you have any questions about this article or the disease, please feel free to follow us on WeChat and search more: gmxzd1

Purpura will also appear after standing for a long time? Pay attention to what?

There are more than one type of allergic purpura, including our common skin type, followed by gastrointestinal type, joint type, and concurrent type kidney type, as well as mixed types with more than two types of symptoms. After the scope of purpura disease is expanded, it is not only allergic purpura, but other life-related factors can also cause skin purpura! Relevant analysis is made below. Purpura appears after standing for a long time, what is this all about? Purpura that appears after standing for a long time is called orthostatic purpura, also known as orthostatic purpura, which is more common in the elderly, especially women or elderly people with varicose veins of the lower extremities often have increased capillary fragility. This type of purpura usually appears on the distal end of the lower extremity, and it can occur when the upper extremity droops for too long, but it is rare. Changing posture or reducing standing time can avoid purpura. When purpura occurs, there are often no conscious symptoms and no bleeding in other parts, such as nose bleeding or gum bleeding. In addition, for patients who already have allergic purpura, you can’t stand for a long time during the onset! Can’t stand for long! Can’t stand for long! Say the important thing three times! Medical practitioners said that before allergic purpura patients have not recovered, they need to pay attention to many aspects of life, including activities, diet and work and rest, to maintain emotional stability and avoid strenuous exercise and standing for a long time, so as to prevent recurrent purpura. If you have any questions about this article or the disease, please feel free to follow us on WeChat and search more: gmxzd1