Is purpura a serious disease?

Speaking of purpura, many people may ask: What is purpura and is it a serious disease? Purpura, also known as purple spots, is the most common clinical manifestation of hemorrhagic diseases. The causes of purpura are: 1. Abnormalities in the quality and quantity of platelets: Insufficient platelet quantity or quality problems. When the skin or mucous membrane is collided, rubbed, or squeezed, bruises of varying sizes may appear, and bleeding will not stop when injured. 2. Abnormal capillary wall permeability: common in vitamin C deficiency. 3. Bacteremia or sepsis: The capillaries are blocked by bacteria, so small white spots can be seen in the center of the bleeding point. The white spots may appear in patches or clumps, or they may fuse with each other or become necrotic near the center.

Purpura first manifests itself on the skin as changes in petechiae and ecchymoses. Common clinical manifestations include allergic purpura, thrombocytopenic purpura, pressure purpura, and purpuric dermatitis occurring on the lower legs of middle-aged and elderly patients. If the thrombocytopenic purpura is relatively severe, the primary disease should be treated and the number of platelets in the body should be improved, so as to less easily lead to the occurrence of purpura. If it is allergic purpura, if it does not accumulate in the kidneys, it mainly manifests as skin type, joint type, and gastrointestinal type, which is relatively mild. Renal purpura is the most serious, eventually leading to renal failure or severe renal insufficiency. Pressure purpura is mainly caused by strenuous activities, crying children, constipation, etc., which cause increased permeability of small blood vessels and red blood cell extravasation, resulting in temporary purpura. After removing this factor, it will quickly subside.

In most cases, allergic purpura can be cured through anti-allergic treatment. In some rare cases, the symptoms are relatively mild and can be mainly treated through clinical observation. It can heal itself without drug treatment. However, because the disease is difficult to predict, most people are given anti-allergic or hormone treatment after the onset of the disease. Generally, some Chinese medicines that can cool blood, replenish qi and nourish blood can be used, such as: Codonopsis pilosula, Astragalus membranaceus, Imperata cylindrica, White Peony Root, Donkey-hide gelatin, Rehmannia glutinosa, Scrophularia ningpoensis, etc.; Western medicines include Anluoxue, rutin, vitamin C, etc. Antihistamines such as diphenhydramine, promethazine, ancillary drugs, and chlorpheniramine can also be used according to the condition of the disease. Unless the condition is serious or there are special circumstances, glucocorticoids should generally not be used.