Is there a pattern to the occurrence of allergic purpura nephritis?

  Scientifically speaking there is no pattern to the occurrence of allergic purpura nephritis.  The onset of allergic purpura is common in children under 10 years old and rare in adults (>20 years old). It occurs in the cold season and is more frequent in winter and spring. About 1/2 of the patients have a history of pioneer infections such as bacteria and viruses, and about 1/4 of the patients are related to fish and shrimp allergy or prophylactic injections and medications. Most patients have a benign, self-limiting process, and most heal within a few weeks. However, there are recurrent episodes or delays of several months or years, and about 50% of patients have recurrent episodes of the disease.  The occurrence of purpura nephritis is mostly seen within 2 to 8 weeks after the occurrence of allergic purpura, a few months later, the incidence can be as high as 30% to 60%, individually seen before purpura or after 2 years or even years after purpura. The most common presentation is isolated hematuria. Proteinuria is mostly mild, but it can develop into massive proteinuria and manifest as nephrotic syndrome. In a few cases, acute deterioration of renal function may occur. Some patients may have hypertension and edema.  Children with allergic purpura have four conditions that predispose them to kidney problems: 1. Those with more extra-renal symptoms early on.  2. Those with significant gastrointestinal symptoms.  3. Those with recurrent skin lesions appearing in batches.  4, Male, older children.