Hello, to me in the childhood have diagnosed a hemorrhagic vasculitis. This...

[lana]

Hello, to me in the childhood have diagnosed a hemorrhagic vasculitis. Now to me 21 year, till 13 years was under observation at a hematologist. Would like to learn or find out more in detail about this illness or disease and that threatens me in an old age. In advance spasiboju

[Ermakov A.I.]

In staorsti nothing threatens you. Hemorrhagic vaskulit-immunokompleksnoe an inflammation of vessels with a lesion mainly kidneys, easy or light;mild, skins, zheludochno-an intestinal tract, a brain. At children's age has self-limited current. It is treated by nonsteroid antiinflammatory or anti-inflammatory preparations and plazmaferezom, to a lesser degree immunodepressants.

[rischat]

Hello! To my brother have diagnosed the Hemorrhagic vasculitis. He laid in a hospital of more month, maculae on extremities while he received treatment of steel svetlee. On an output or exit from a hospital later 2 weeks of maculae have again reddened and there were new rashes. Prompt what to do or make further, and raskazhite if it is possible please more in detail about this illness or disease since our therapist distinct cannot explain anything or does not want.

[Grigoriev Alla]

I tell. In the extremity or end treatment is resulted or brought, but and dosages the doctor treating you should select preparations only. At all be not engaged in a selftreatment. It is dangerous.

HEMORRHAGIC VASCULITIS (illness or disease SHenlejna - Genoha) - a systemic lesion of capillaries, arterioles, venules, mainly skins, joints, an abdominal cavity and kidneys.
Etiology. Disease arises usually at children and teenagers, less often at adults oboego a floor after the transferred or carried infection - a streptococcal angina or an exacerbation of a tonsillitis, a pharyngitis, and also after introduction of vaccines and Serums, in connection with a medicinal intolerance, cooling and other adverse influences of an environment.
The pathogenesis is connected with immune disturbances - rising of a level of circulating immune complexes with which the lesion of a wall of vessels communicates or is bound that leads to rising of their permeability, an edema and purpura of various localization.
Signs, current. Disease is quite often shown by a triad: melkotochechnye red, sometimes merging hemorrhagic enanthesises (purple or purpura), transient arthralgias (or an arthritis), mainly large joints, and an abdominal syndrome. Initial dermal rashes settle down on razgibatelnyh surfaces of extremities, sometimes on a trunk, come to an end
Residual pigmentation which can remain long time. The bottom extremities are more often amazed. Dermal rashes can be unique display of illness or disease.
Erratic symmetric polyarthrites, usually large joints, are observed more than at 2/3 patients, being accompanied by a pain of various character - from a short-term ache up to the sharpest, leading patients obezdvizhennosti. The arthritis quite often coincides on time with the advent of and localization of purpura.
The abdominal syndrome (abdominal purpura) is characterized by suddenly developing intestinal colic. The pain is usually localized around of a belly-button, but is frequent and in other departments of a stomach or belly (in the right ileal area, the right hypochondrium, epigastriums), feigning an appendicitis, a cholecystitis, a pancreatitis. The pain amplifies at a palpation. Simultaneously at ball the typical picture of an abdominal syndrome - paleness of the integuments, the grown thin face, the sunk down eyes, the pointed features, dry tongue, attributes of a boring of a peritoneum is observed. Patients usually lay edgewise, having pressed legs or foots to a stomach or belly, mechutsja. Simultaneously with a colic there is a hematemesis, a liquid chair quite often with streaks of a blood. All variety of abdominal purpura can be laid in following variants: a typical colic, the abdominal syndrome feigning an appendicitis or perforation of intestines, an abdominal syndrome with an invagination. This list of variants defines or determines tactics of joint observation by therapists and surgeons, necessity of a well-timed operative measure (perforation of an intestine, an invagination).
Quite often kidneys are involved in pathological process in the form of gematuricheskogo a glomerulonephritis due to a lesion of capillaries of glomuluses. However at an outcome of a glomerulonephritis in chronic the renal pathology can be various - from a urinary syndrome up to a diffusive or diffuse glomerulonephritis of the hypertonic or mixed type. At the general or common favorable current of a nephritis outcomes in a chronic progressing nephritis with a renal failure are possible or probable.
Other clinical attributes (lesion TSNS, hemorrhagic pneumonias, myocardites and serosites) are observed seldom and distinguished or recognized at special researches. Datas of laboratory maloharakterny - the leukocytosis most expressed at an abdominal syndrome is usually observed, with shift of the formula to the left down to juvenile ESR is usually raised or increased, especially at an abdominal syndrome and polyarthrites.
At acute current disease begins suddenly and flows roughly with mnogosimptomnoj clinic of illness or disease, often becoming complicated a nephritis. At chronic current mostly it is a question of a recurring dermo-articulate syndrome (orthostatic purpura elderly). The diagnosis at presence of a characteristic triad or only does not cause or cause hemorrhagic enanthesises of difficulties. However the syndrome of a hemorrhagic vasculitis can be observed at an infectious endocarditis, various vasculites, diffusive or diffuse illnesses or diseases of a connecting tissue, etc. At elderly faces it is necessary to exclude makroglobulinemicheskuju purpura Valdenstrema.
Treatment.
In most cases displays pass or take place spontaneously, duration of disease makes 6-16 ned. At not serious current symptomatic therapy is applied only.
Appoint or Nominate antihistamine and antiinflammatory or anti-inflammatory preparations in the standard doses. During the acute period of illness or disease the strict confinement to bed is necessary. In serious cases appoint or nominate a heparin.
At an abdominal syndrome introduction of greater or big doses of Methylprednisolonum is shown. At chronic current can be recommended aminohinolinovye preparations, greater or big doses of Acidum ascorbinicum (up to 3 g/?OO), Rutinum.
At a focal infection sanation - conservative or surgical is shown. With chronic relapsing current of dermal purpura or a glomerulonephritis the climatotherapy (the south of Ukraine, Southern coast of Crimea, Northern Caucasus) can be recommended to some patients.