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Hemorrhagic vasculitis

What is a hemorrhagic vasculitis?


Hemorrhagic vasculitis (Henoch disease-Schonlein purpura) is one of the most common forms among systemic vasculitis. The disease affects the capillaries, arterioles and venules of the skin, joints and internal organs (kidneys, abdominal organs, etc.). In hemorrhagic vasculitis walls of inflamed microvessels, there was a lot of microthrombi.

The disease most often strikes children and adolescents, arising as a complication of a previous infection (strep throat, pharyngitis, tonsillitis) or due to intolerance to certain medications, vaccines and serums. Adverse environmental effects can also cause a hemorrhagic vasculitis.

There are a number of classifications of hemorrhagic vasculitis.

Forms it can be cutaneous, cutaneous-articular, simple, necrotic, abdominal and skin-abdominal, renal and skin, kidney, cold urticaria , and edema, as well as mixed.

Haemorrhagic vasculitis can proceed with lightning speed, sharp (1 month), subacute (3 months), prolonged (6 months) and chronic forms.


Symptoms of hemorrhagic vasculitis

There are three degrees of activity of the disease. They determine the severity of clinical symptoms of hemorrhagic vasculitis.

For first degree of activity typical of the satisfactory condition of the patient, body temperature normal or slightly elevated, skin rashes are of a scant nature. The second degree of activity of the patient's condition becomes more severe: intensify the rash appears fever (up to 38 degrees), there is an intoxication manifested headache, weakness, muscle pain. The third degree of activity of the hemorrhagic vasculitis is characterized by a significant deterioration of the human condition. The defeat is the nervous system, skin, joints and kidneys. Intoxication leads to severe weakness, headache and muscle pain, abdominal pain, bloody vomiting.

Patients rash was observed symmetrically located with clearly limited touches, swelling of joints, gastro-intestinal bleeding; a couple of weeks after the onset of the disease occurs renal syndrome.

The disease with alternating periods of exacerbation and remission.

Due to fulminant course of the disease affects many internal organs in a very short time that sometimes becomes the reason of hemorrhages in the adrenal glands andeven dying.

Hemorrhagic vasculitis leads to the development of intestinal obstruction, gastrointestinal bleeding, peritonitis, intestinal perforation, post-hemorrhagic anemia, thrombosis, heart attacks and other complications.


Treatment of hemorrhagic vasculitis

Treatment of hemorrhagic vasculitis is in hospital with strict bed rest. The patient is assigned a diet that excludes foods that can cause an allergic reaction. For the treatment of used medicines (antiplatelet agents, "Trental", indomethacin, heparin) in severe cases, therapy includes plasmapheresis, use of corticosteroids, cytostatics (in the case of autoimmune nephritis).

The disease often has a favorable character. Sick children will be subjected to dispensary registration. For the prevention of hemorrhagic vasculitis should be timely treatment of chronic infections.

After recovery, the man shows a soft diet without strenuous exercise and prolonged exposure to the sun.