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What Causes Cough Followed By Rashes In Lower Legs?

Posted on Mon, 16 Feb 2015

Question: My son 13 years old came home a few months ago from a soccer game with heavy cough, the next day, there were red rashes in both lower legs. It persisted for a few days then brought hin to a hematologist. Tests like ANA test were taken, rh factor, cbc. RH factor came out negative, cbc normal, AnA test came out positive w a dilution of 1:160 twice. Doctor said my son had HSP vasculitis, gave him ibuprofen then it was gone, a few days later it came back, so he was on prednisone from 10mg a to from september 2014 then increased to 20mg then 40mg from nov to dec 10 2014. Went to see another doctor and she gave my son colostrum milk and surprisingly it slowly healed thats why we stopped taking prednisone, tapered it for 3wks then off. Now he is completely healed. He didnt have any other symptoms aside from the rashes.

My question is the positive ANA that he had last Septemebr. He tested negative for Anti DSna and anti SM. Creatinine at .60, Rheumatoid Artthritis also negative, urinalysis now negative for blood and protein . His Pedia said no need to worry about his positive ANA test before bec he doesnt have any symptoms. No joint pains whatsoever.

My question is, bec of his positive XXXXXXX test 4 months ago, im so worried that it might lead to SLE. Doctor said that not all people w positive ana will have sle. Is this correct? Pls help

Answered by Dr. Sumanth Amperayani (24 minutes later)

Brief Answer:
Your doctor is right - Do not worry

Detailed Answer:
Hi...I have read through your history completely and I assure you that your doctor is absolutely right. You need not be worried about it.

The statement of your doctor that - not all people who have positive ANA will have SLE is correct.

I want to allay your fears regarding ANA - A positive antinuclear antibody (ANA) test does not automatically mean your son has lupus. A positive ANA blood test shows that the immune system is making an antibody (protein) that reacts with components of the body's cells. This is called autoimmunity and may or may not be harmful to the body.

So while a positive ANA may be associated with an autoimmune illness like lupus, it does not mean your son has the disease.

Approximately 20% of the normal population will have a positive ANA test.

If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sumanth Amperayani (4 minutes later)

Brief Answer:
Your doctor is right - Do not worry

Detailed Answer:
Hi...I have read through your history completely and I assure you that your doctor is absolutely right. You need not be worried about it.

The statement of your doctor that - not all people who have positive ANA will have SLE is correct.

I want to allay your fears regarding ANA - A positive antinuclear antibody (ANA) test does not automatically mean your son has lupus. A positive ANA blood test shows that the immune system is making an antibody (protein) that reacts with components of the body's cells. This is called autoimmunity and may or may not be harmful to the body.

So while a positive ANA may be associated with an autoimmune illness like lupus, it does not mean your son has the disease.

Approximately 20% of the normal population will have a positive ANA test.

If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (14 minutes later)

Thank you very much for your reply doc.

My next question is, can my son go back to playing soccer? That means that he will be exposed to sunlight all the time. Koz i did not let him play since his HSp. Will exposure to sunlight put him at risk for developing SLE?

Answered by Dr. Sumanth Amperayani (22 minutes later)

Brief Answer:
He can play soccer under sun

Detailed Answer:
Hi...
He can play soccer under sun.
HSP can cause joint pains... Take care.
Exposure to sunlight doesn't lead to SLE.

REGARDS - DR. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (11 minutes later)

A big thank you. My son would be so happy to know this. And oh fyi , when he had HSP, he didnt have any joint or abdominal pain. He just had protein and blood in urine thats it. Will his HSP come back? If so, is HSP life threatening?

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
HSP Prognosis

Detailed Answer:
Hi...Regarding HSP prognosis I would like to tell you certain facts - Henoch-Schönlein purpura is a self-limited illness that demonstrates no clinical sequelae in most patients without renal involvement. Most patients recover fully within four weeks. Recurrences of Henoch-Schönlein purpura occur in up to one third of patients within the first six months after onset and are more common in patients with renal involvement.

But here your son does not have any renal involvement. So you can be rest assured regarding this.

If the initial urinalysis at diagnosis is normal, or if there is isolated hematuria (without nephritic or nephrotic syndrome), a monthly urinalysis should be performed for the first six months after the diagnosis of Henoch-Schönlein purpura.

HSP is not life threatening.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (10 minutes later)

Thank u again

Answered by Dr. Sumanth Amperayani (4 minutes later)

Brief Answer:
Please rate the discussion

Detailed Answer:
If you are happy with the interaction, kindly close the discussion and rate it.

Regards - Dr. Sumanth

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar