if "一旦过敏,就身上起斑块,并且疼痛" is the main symptoms and if 疼痛 is on the 斑块, then 过敏性紫癜 is unlikely. 过敏性紫癜 is a serious systemic disease. you should get a sense whether the doctor who gave the diagnosis is that kind of "creative" type. I have to say, most doctors in China are too " creative." they diagnose diseases based on a few buzzwords.
【在 l*h 的大作中提到】 : if "一旦过敏,就身上起斑块,并且疼痛" is the main symptoms and if 疼痛 is on : the 斑块, then 过敏性紫癜 is unlikely. : 过敏性紫癜 is a serious systemic disease. : you should get a sense whether the doctor who gave the diagnosis is that : kind of "creative" type. I have to say, most doctors in China are too " : creative." they diagnose diseases based on a few buzzwords.
过敏性紫癜 in children is usually benign but in adults, should be treated as a serious systemic disease unless thorough examination shows no signs of kidney damage. the key of the skin presentation is 紫癜, not 斑块. the pain is in deep tissues, typically large joints or abdominal organs, not the skin itself. if there is no signs of kidney damage, a skin biopsy can be performed to establish diagnosis. pathology shows IgA vasculitis.
【在 l*h 的大作中提到】 : 过敏性紫癜 in children is usually benign but in adults, should be treated as : a serious systemic disease unless thorough examination shows no signs of : kidney damage. : the key of the skin presentation is 紫癜, not 斑块. the pain is in deep : tissues, typically large joints or abdominal organs, not the skin itself. : if there is no signs of kidney damage, a skin biopsy can be performed to : establish diagnosis. pathology shows IgA vasculitis. : : 你。
x*i
33 楼
不识庐山真面目,只缘身在此山中
【在 f*****g 的大作中提到】 : 诗配图呢 : 人捏? : : 的优山美地,
l*h
34 楼
age of your mother-in-law? does she take any drugs or supplements? what other conditions does she have? what are the basic lab results such as complete blood count etc.? with this skin presentation, I wouldn't diagnose her 过敏性紫癜 unless there is strong lab evidence. she may need a hemorrhagic workup. sometimes such ecchymosis can also be seen in aged and heavily sun-damaged skins.
this could be the benign senile purpura, could be something more serious, but doesn't look like 过敏性紫癜. for drugs and supplements taken by her, I meant a complete list instead of only those you/she thought for this condition. as a first step, she should get complete blood count, complete metabolic panel, bleeding time, PT and PTT when this condition happens.
【在 l*h 的大作中提到】 : this could be the benign senile purpura, could be something more serious, : but doesn't look like 过敏性紫癜. : for drugs and supplements taken by her, I meant a complete list instead of : only those you/she thought for this condition. : as a first step, she should get complete blood count, complete metabolic : panel, bleeding time, PT and PTT when this condition happens.