May 25th: the patients below the knee purpura have blisters, not what neither painful nor itching adverse reactions, protein in the urine, t
May 25th: the patients below the knee purpura have blisters, not what neither painful nor itching adverse reactions, protein in the urine, the first hospital in the treatment of Qingdao Alexander hospital two weeks leg blisters disappeared, and the new, the doctor said if mosquito bites, urine protein and the doctor advised not on hormone the hormone is there another way?
Department of Pediatrics, the second hospital of Shandong University:
Children should be diagnosed as Henoch Schonlein purpura nephritis.
I do not know your child proteinuria level? Do you have any hematuria (I guess)?
The clinical classification of Henoch Schonlein purpura nephritis is divided into 7 types: (the information provided by you is not complete enough to determine the type of your child. )
Hematuria and proteinuria
Rapidly progressive glomerulonephritis
The pathological grade of Henoch Schonlein purpura nephritis can be classified into 6 grades: (the child has not been put on the kidney and can not determine the degree of pathological damage of the kidney)
Generally have proteinuria, pathological damage heavier.
The treatment of Henoch Schonlein purpura nephritis should be combined with pathological grading and clinical classification. (maybe your child belongs to the range below)
Isolated proteinuria, hematuria, proteinuria and pathological grade IIa
Angiotensin converting enzyme inhibitors (ACEI) and (or) angiotensin receptor blockers (ARB) drugs: proteinuria, protect kidney function, delay the development of disease. ACEI commonly used benazepril 5 ~ 10mg/d oral, ARB losartan for 25 ~ 50mg/d oral. However, patients with renal insufficiency should not be used.
Tripterygium glycosides: anti-inflammatory and inhibition of cellular immunity and humoral immunity. Dose 1mg/ (kg / D), 3 times oral, daily dose of not more than 60mg, course of treatment for 3 months. However, attention should be paid to the side effects of gastrointestinal reaction, liver function damage, bone marrow depression and possible gonadal damage.
Non nephrotic level proteinuria or pathological II B, a grade iii:
With Tripterygium Glycosides 1 mg/ (kg / D), oral administration of, the maximum daily dose of not more than 60mg, the course of treatment for 3 to 6 months.
Or hormone combined with immunosuppressive therapy: combination of CTX and cyclosporine A treatment.
The above answer hope to help you, or suggest that you take your child to have a large hospital of pediatric kidney doctor.