Clinical Reference Systems: Pediatric Advisor 10.0
Admission and Discharge Instructions
Anaphylactoid purpura (also called Henoch-Schoenlein
purpura) is an illness that can involve many different
organs in the body.
Anaphylactoid purpura can occur with some or all of the
- Rash: The rash is often located on the buttocks and
legs. The rash may first look like hives, but usually it
changes to purplish or brownish bruises within 1 to 2
days. There is always some rash on the ankles.
- Painful swelling of the joints: The joints most often
affected by pain are the knees and ankles. The joint
pain may be severe enough to make you child unable or
unwilling to walk.
- Abdominal pain: If your child has severe abdominal pain
or blood in his or her stools, the doctor may need to do
tests to rule out other, more serious causes of these
- Blood in the urine.
The cause of this illness is not completely understood.
Researchers believe that there is some inflammation
(swelling) in the blood vessels, which causes symptoms. The
illness is often seen in children who have had a viral upper
respiratory infection (a cold) a few weeks earlier. The
antibodies produced by the child's body to fight the cold
may contribute to development of the illness.
Reasons for Admission to the Hospital
Main complication: ________________________________________.
__ Needs IV fluids.
__ Needs IV antibiotic or other medication.
__ Other reasons: _________________________________________.
There is no way to predict who will get anaphylactoid
purpura and there is no way to prevent it. The illness may
last for several months and the symptoms may come and go
during this time. The older your child is, the more likely
it is that he or she will experience the symptoms again.
Your child will eventually get better on his or her own.
Until then, you can treat your child's symptoms.
Requirements for Discharge
Discharge Instructions for Home Care
- Anti-inflammatory medications
The best and safest medication to give to help with the
pain and inflammation of swollen joints is ibuprofen (for
example, Advil or Motrin). Use the same dose you use to
treat your child's fever. Do not use aspirin.
Acetaminophen (for example, Tylenol) may help with the
pain, but it will not relieve swelling and inflammation.
Your child's dose of ibuprofen is ____ mg every 6 to 8
hours as needed for pain.
- Steroid medications
Your child's doctor may prescribe a steroid medication,
such as prednisone, to reduce inflammation in the
intestine. The steroid may help control pain and
intestinal bleeding. Your child's steroid medicine is
Encourage your child to drink plenty of fluids and to eat
a normal diet as much as is possible.
- Other medicines
- Additional instructions
Follow-up Appointment after Discharge
Most children recover from anaphylactoid purpura completely
and have no further problems. Rarely, however, the kidneys
can be affected. It is important for your child to see a
doctor for blood pressure checks and urine tests every 1 to
2 months over the next 2 years.
___ Your child needs to be rechecked and has an appointment
on _____________ at _______ with
___ Your child needs to be rechecked in ________ days. Call
your child's doctor to make an appointment.
Call Your Child's Physician IMMEDIATELY If:
- Your child's abdominal pain is getting more severe, or
there is more blood in your child's bowel movements.
- Your child begins to look puffy, especially around the
face or eyes.
- Your child's urine has blood in it.
- Your child is acting very sick.
Call Your Child's Physician During Office Hours If:
- You have other questions or concerns.