When should I be concerned about HSP?

When to see a doctor. If you think your child has HSP, take them to see your GP. Take your child back to the GP if they have HSP and they have increasing pain or swelling, blood in their stools or urine, or if you are worried at all.


Is Henoch Schonlein Purpura serious?

HSP is usually self-limited. Therefore, treatment is not indicated in all cases, and full recovery is the rule. HSP is more common in children than adults, but has a tendency to be more severe when it occurs in adults. In a small minority of cases, HSP can cause severe kidney or bowel disease.

When should I go to the ER for HSP?

Go to your doctor or return to the Emergency Department IMMEDIATELY if your child has: Blood in the stool, vomit or urine. Abdominal pain that does not improve or seems to be getting worse, especially if it comes in “waves” or makes your child unable to move.


How do you know if purpura is serious?

Patients who experience purpura with any of the following symptoms should seek medical treatment:
  1. low platelet count, which may lead to increased bleeding after an injury, bleeding gums or nose, or blood in urine or bowel movements.
  2. sore, swollen joints, particularly in the ankles and knees.


What causes HSP to flare up?

Nearly half the people who have Henoch-Schonlein purpura developed it after an upper respiratory infection, such as a cold. Other triggers include chickenpox, strep throat, measles, hepatitis, certain medications, food, insect bites and exposure to cold weather.


Are You a Highly Sensitive Person? (and here's how to tell)



How do I calm my HSP?

10 Tips for Highly Sensitive People
  1. Set a bedtime and morning routine. ...
  2. Identify your triggers. ...
  3. Plan ahead. ...
  4. Work around triggers. ...
  5. Investigate current stressors and solutions. ...
  6. Remember your gifts. ...
  7. Take mini retreats. ...
  8. Engage in gentle exercise.


Does HSP get worse before it gets better?

HSP usually gets better on its own without causing lasting problems. You can give your child pain relief (e.g. paracetamol) or an anti-inflammatory pain reliever (e.g. ibuprofen) to help relieve the joint pain and general discomfort. See our fact sheet Pain relief for children.

Should I go to the hospital for purpura?

Henoch-Schönlein purpura (HSP) affects the blood vessels and causes a spotty rash, usually in children. It's not usually serious, but can sometimes lead to kidney problems. You should always get medical advice for a diagnosis, if the rash appears.


What happens if purpura isn't treated?

In rare cases, thrombocytopenic purpura that's left untreated may cause a person to develop excessive bleeding in some part of their body. Excessive bleeding in the brain can lead to a fatal brain hemorrhage. People who start treatment right away or have a mild case often make a full recovery.

Is purpura a medical emergency?

Thrombotic thrombocytopenic purpura (TTP) is a medical emergency that is almost always fatal if appropriate treatment is not promptly initiated. (Thromb Res. 2020;193:53.)

Can HSP make you sick?

Symptoms and complications

pain and swelling in the joints – especially the ankles, knees and elbows. pain in the abdomen (tummy) – children may feel sick (nausea), be sick (vomit) or have constipation or diarrhoea; sometimes there is blood or mucus in the stools (poo) or vomit.


How long does swelling last with HSP?

Joint inflammation, involving pain and swelling, occurs in approximately three-quarters of cases, particularly affecting the knees and ankles. It usually lasts only a few days and does not cause any long-term, chronic joint problems.

Can HSP cause blood clots?

HSP is associated with thrombosis and HSP itself and some risk factors may result in thrombosis. We suggest that physicians should monitor patients with HSP who are at a higher risk of developing thrombosis more closely.

Does HSP rash get worse?

Most children with HSP fully recover within a month and have no long-term problems. Some kids who have HSP get it again, usually a few months after the first episode. If it does come back, it's usually less severe than the first episode.


Can HSP affect the brain?

Inflammatory changes associated with HSP can also develop in the joints, kidneys, digestive system, and, in rare cases, the brain and spinal cord (central nervous system). In one form of the disorder, termed Schönlein's purpura, the skin and joints are affected but the gastrointestinal tract is not.

How long does it take for Henoch Schonlein Purpura to go away?

Henoch-Schonlein purpura usually goes away on its own within a month with no lasting ill effects. Rest, plenty of fluids and over-the-counter pain relievers may help with symptoms.

What is the fastest way to get rid of purpura?

Splenectomy. If medications aren't effective in treating thrombocytopenic purpura, your healthcare professional may recommend a splenectomy. Removing the spleen is a fast way of increasing your platelet count. This is because the spleen is the main body part responsible for eliminating platelets.


Should I see a hematologist for purpura?

Chronic thrombocytopenic purpura.

Females have it more often than males. Chronic ITP can recur often and requires continual follow-up care with a blood specialist (hematologist).

What deficiencies cause purpura?

Vitamin C is involved in collagen synthesis and its deficit can cause disorders of connective tissue. The most frequent symptoms are weakness, arthralgias, anorexia and depression, commonly associated with follicular hyperkeratosis and perifollicular hemorrhage, with purpura.

Is purpura a blood clot?

Thrombotic thrombocytopenic purpura is a rare disorder that causes blood clots (thrombi) to form in small blood vessels throughout the body. These clots can cause serious medical problems if they block vessels and restrict blood flow to organs such as the brain, kidneys, and heart.


Can COVID vaccine trigger HSP?

HSP has previously been reported following immunization with various vaccines, mostly within 12 weeks post vaccination [3]. The aim of this report is to highlight a possible association between COVID-19 vaccination (Pfizer‐BioNTech BNT16B2b2 mRNA vaccine) and first onset of HSP in a previously well adult.

Who should I see for purpura?

Generally, haematologists are the specialists that treat purpura.

Is HSP caused by trauma?

Trauma affects highly sensitive and intense people more intensely. Like any other of your reactions to stimuli, as a highly sensitive person (HSP) your trauma reactions are also more intense than most. As a result, many HSPs have used trauma splitting, or structural dissociation, as a way to cope.


Can HSP affect the heart?

It is important to note that, while cardiac complications are rarely considered in HSP, there have been approximately 20 published cases of HSP with non-coronary artery cardiac involvement. Interestingly, not all patients had cardiac symptoms, and patients with HSP-related cardiac involvement are generally adults.

Is Henoch-Schonlein purpura lifelong?

In most children, the symptoms and signs of HSP go away within one month, though some children will have problems for three months or even longer. The purpura on the skin disappears – and usually does not leave any scars – and the joint pain and tummy pain go away. This is called remission.