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Treatment. Henoch-Schonlein purpura

By Editorial Team (A)
February 22, 2022

Henoch-Schonlein purpura treatment

In most cases, Henoch-Schonlein purpura resolves on its own within several weeks and causes no complications. The treatment usually includes ensuring adequate fluid intake, plenty of rest in bed, and age-appropriate pain medications.

Henoch-Schonlein purpura medications

The use of steroids, like prednisone to treat Henoch-Schonlein purpura or prevent complications of the disease is controversial. Most of the time, doctors only prescribe these drugs in cases where the gastrointestinal symptoms are very severe. It is because steroids have the potential for causing severe side effects, and it is not clear how beneficial they are. You can talk with your doctor about the risks and benefits of steroid treatment for Henoch-Schonlein purpura.

Henoch-Schonlein purpura surgery

If part of the intestine ruptures or kinks due to Henoch-Schonlein purpura, surgery will be necessary to repair the bowel.

Henoch-Schonlein purpura useful advice and home remedies

Individuals with mild cases of Henoch-Schonlein purpura should be treated with comfort measures. These include: 

  • Rest in bed
  • Offering plenty of liquids
  • Age-appropriate medications for pain 

Henoch-Schonlein purpura complications

Most people who have Henoch-Schonlein purpura feel better, and symptoms resolve within a few weeks to a month. Typically there are no lasting complications, but the condition can recur. 

Complications don’t often develop, but problems that are associated with Henoch-Schonlein purpura include:

  • Damage to the kidneys. This is a serious complication of Henoch-Schonlein purpura. The damage may be extreme enough to require the need for a kidney transplant or renal dialysis.
  • Bowel obstruction. In rare circumstances, Henoch-Schonlein purpura can result in bowel intussusception. It is when part of the bowel “telescopes” or folds into itself. The material in the bowel can’t pass through the telescoped portion, and surgery is often needed. 

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