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2013年09月06日

(2013-09-06 19:09:39)

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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