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Abstract: The patient’s whole body except the face was covered with small red dots, dense, self-reported illness for more than 2 years, each time the onset of the disease is the whole body of small red dots, itchy and painful, unable to get up when serious, after examination preliminary judgment of the patient is allergic purpura. The patient was given a combination of Chinese and Western medicine medication, through 3 months of treatment, the patient’s allergic purpura gradually subsided, occasionally recurring, but the symptoms are mild.
Basic information】Female, 22 years old
Type of disease】Allergic purpura
Hospital】Shenyang Hospital of Integrative Medicine
Date of consultation】July 2021
Treatment plan】Western medicine (Prednisone acetate tablets, vitamin C tablets) + Chinese medicine (Radix Polygoni, Phellodendron, Gardenia, Dampi)
Treatment period】3 months of continuous medication, half a month of follow-up consultation during the period
Treatment effect】Allergic purpura gradually subsided, occasionally recurrence, but the symptoms are mild
I. First interview
The first interview was when the patient had the onset of the disease, the symptoms were more serious, the whole body except the face were covered with small red dots, dense. The patient reported that he had been suffering from the disease for more than 2 years, and every time he had an attack, he had red dots all over his body, and he was afraid to eat take-out or play outdoors for fear of having an attack, and every time he had an attack, his whole body was itchy and painful, and when it was serious, he could not get up. This time I came to see a doctor because the onset of the disease was more serious than before. After the last onset of the disease was cured by taking medicine, I stopped taking medicine, less than a month ago. After examination, the patient was initially judged to be allergic purpura, and a series of medication was formulated for him, and the patient agreed to take the medication.
Second, the treatment process
The patient reported that he had taken hormonal drugs during the previous attack, which did not work after 1 week and had become more severe, and grew all over his body even if he was not out at home. As the patient had taken a large number of prednisone acetate tablets, it made the patient gain weight significantly and become emotionally anxious and irritable. Knowing the patient’s medication history and that the patient was not in a state of pregnancy preparation, the medication plan formulated was to take prednisone acetate tablets and then reduce the dosage every 3 days, and at the same time to start taking tretinoin polysaccharide tablets with Chinese herbs, including Phellodendron, Gardenia, and Dangpi, etc. together with some vitamin C tablets to improve immunity. During the treatment period, patients should avoid seafood, mutton and spicy food, eat a light diet, try not to stay up late, develop a regular routine of early to bed and early to rise, and visit the hospital for follow-up every half month.
Third, the effect of treatment
In the second follow-up after 1 month, the purpura on the upper limbs had obviously subsided, the effect on the legs was not obvious, but it had changed from a large area to small red spots and did not continue to break out. At the third month follow-up, the purpura on the upper limbs and legs had all subsided, and the patient stopped taking Lei Gong Doside tablets and continued to take Chinese medicine for 1 week. The patient reported that after gradually stopping the hormone, her mood became better and she slowly started to have some small exercise, and after exercise, she found that there was no outbreak of purpura as before, only occasional recurrence and mild symptoms.
IV. Notes
I am glad that the patient’s condition is under control after treatment, but the patient needs to pay attention to diet, avoid seafood, cold food, spicy and stimulating food, and it is also recommended to do allergen testing at the hospital and try to stay away from allergens in life. Ensure enough rest time, avoid staying up late, staying up late will lower immunity and lead to big mood swings, suggest moderate exercise, avoid strenuous activities, pay attention to increase and decrease clothing according to weather changes, avoid catching cold and prevent recurrence of allergic purpura. The patient should especially pay attention to personal emotions, do not be too impatient, keep a happy mood, do not suddenly because of a certain thing angry or angry. Patients also pay attention to try not to be bitten by mosquitoes and insects to avoid recurrence.
Five, personal insight
In the process of treating allergic purpura, the patient’s own immunity, emotional state is very important, the lowered immunity will become the trigger of purpura outbreak, so it is very important to improve the immunity, you can improve the immunity through exercise, this case patient is also the same, after treatment to keep the right amount of exercise, but do not over-exercise. The high mood fluctuation will also affect the treatment, some patients will find purpura eruption together with the emotional outbreak, so keep a happy mood and actively cooperate with the treatment, it will achieve half the effect.