过敏性紫癜治疗参考。本人以为IVIG首选、IV
SoluMedrol次选。请看维基百科。Pain
killers may be needed for the abdominal and
joint pains. It is uncertain as to whether HSP needs treatment
beyond controlling the symptoms. Most patients do not receive
therapy because of the high spontaneous recovery
rate. Steroids are
generally avoided.[5] However,
if they are given early in the disease episode, the duration of
symptoms may be shortened, and abdominal pain can improve
significantly. Moreover, the chance of severe kidney problems may
be reduced.[14] However,
some evidence suggests that steroids do not decrease the likelihood
of developing long-term kidney disease.[15]
Evidence of
worsening kidney damage would normally prompt a kidney biopsy.
Treatment may be indicated on the basis of the appearance of the
biopsy sample; various treatments may be used, ranging from oral
steroids to a combination of intravenousmethylprednisolone (steroid),cyclophosphamide and dipyridamole followed
by prednisone. Other regimens include steroids/azathioprine,
and steroids/cyclophosphamide (with or withoutheparin and warfarin). Intravenous
immunoglobulin (IVIG) is occasionally
used.[7]
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