Henoch-Schonlein purpura

Diagnosis

If the characteristic rash, joint pain, and digestive tract symptoms are present, your doctor can make a diagnosis of Henoch-Schonlein purpura. However, if one of these signs or symptoms is absent, your doctor may recommend conducting one or more of the following tests.

Lab tests

A diagnosis of Henoch-Schonlein purpura cannot be made by a single laboratory test, however specific tests can help rule out other illnesses and increase the likelihood of a Henoch-Schonlein diagnosis. They may consist of:

• Blood examination. If your diagnosis is unclear based on your signs and symptoms, your blood may be checked.
• Urine analysis. Urine tests can be conducted to detect signs of blood, protein, or other irregularities, indicating the functioning status of your kidneys.

Biopsies

Henoch-Schonlein purpura frequently leads to the accumulation of a specific protein called immunoglobulin A (IgA) in the affected organ. To examine this protein and make an accurate diagnosis, your doctor may extract a small section of your skin for laboratory testing. If the condition severely affects your kidneys, a kidney biopsy might be recommended by your doctor to assist in determining the most suitable treatment options.

Imaging tests

To rule out alternative causes of abdominal pain and to look for potential consequences like a bowel obstruction, your doctor could advise an ultrasound.

Treatment

Henoch-Schonlein purpura typically resolves spontaneously within a month without causing any long-term complications. Managing the symptoms can be achieved through adequate rest, staying hydrated, and using over-the-counter pain relievers as needed.

Medications

In some cases, corticosteroids like prednisone may be prescribed to alleviate joint and abdominal pain associated with Henoch- Schonlein purpura. It is important to note that these medications carry potential side effects, so it is crucial to have a discussion with your doctor regarding the risks and benefits before considering their use.

Surgery

If there is a complication such as bowel obstruction or rupture, surgical intervention may be necessary to address the issue.