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Purpura Nephritis

What is purpura nephritis?

What are the symptoms of purpura nephritis?

What are the causes of Henoch-Schönlein purpura?

How purpura nephritis is diagnosed?

Life style changes and home remedies

What is purpura nephritis?

Purpura nephritis is one of manifestations of Henoch-Schönlein purpura. Henoch-Schönlein purpura is a type of vasculitis, a group of disorders that can cause the inflammation of blood vessels throughout the body. When the tiny blood vessels are involved, it will cause purpura nephritis.

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What are the symptoms of purpura nephritis?

* Proteinuria. Massive protein loss in urine can cause foamy urine.

* Hematuria. Hematuria refers to loss of red blood cells in urine and it is a very first sign of purpura nephritis.

* Swelling. It usually occurs in feet and legs and around eyes.

* About 20-40% of purpura patients live with high blood pressure. Their blood pressure elevates mildly in the initial stage but begin to soar over time.

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What are the causes of Henoch-Schönlein purpura?

Henoch-Schönlein purpura may be the result of an overzealous immune system responding to certain triggers. Some of these triggers may include:

* Viral and bacterial infections.

* Certain medications, such as antibiotics and antihistamines.

* Inset bites.

* Some vaccinations.

* Certain chemicals.

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How is purpura nephritis diagnosed?

■ Blood test: If a special type of protein called IgA increases, it may suggest Henoch-Schonlein purpura, but it is not conclusive. Another indication may be an elevated sed rate.

■ Urine test. Urine test is performed to find out if the kidneys are affected. It can take several months after the onset of purpura for the kidneys to be involved. So the patients should do urine tests monthly for up to six months. Appearance of proteins and red blood cells in urine indicate kidney damage.

■ Kidney biopsy. If the patients present serious symptoms of kidney damage such as high blood pressure or sudden onset of kidney failure, but the above tests above are not conclusive, kidney biopsy will be performed. The results of renal biopsy can help the doctor decide on appropriate treatment.

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Life style changes and home remedies

* Eat a simple and bland diet as eating may trigger further abdominal pain.

* Avoid allergic foods.

* Reduce intake of foods high in proteins.

* Avoid intense exercise since it can worsen bleeding.

* Have enough rest.

* Reduce foods high in salt.

* Avoid foods high in phosphorus and sodium if there is kidney damage.

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