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What Are The Chances Of Recurrent Henoch-Schonlein Purpura In Elderly People?

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Posted on Fri, 17 Oct 2014
Question: Is it possible for purpura blood disease (Henoch - Schonlein?) to reoccur from a 7 year old then pop back up at 64 ?
I had what was just called purpura when I was 7 with red and purple spots on legs and stomach pain and then when I was in the hospital it was internal bleeding.
So now at 64 I have kidney pain and recently had so much blood in my urine I could see it with my eyes. I had a lot of kidney pain and 2 Cat scans that ruled out kidney stones.
doctor
Answered by Dr. Prakash H Muddegowda (31 minutes later)
Brief Answer:
Not Henoch Schonlein purpura

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.

Henoch schonlein purpura does not usually occur in elderly and yes, recurrence are seen, but never these years apart.

Even if it were to be present now, your skin rashes, abdominal pain would have been present before involvement of kidney.

Blood in urine has numerous causes. Most common would be urinary tract infection, then tumors, then stones.
If you still have blood in urine, then urine examination would have showed other cells too. White blood cells or bacteria, if present would indicate urinary tract infection.
Tumors and stones would have shown on the scan.
Possibly, stone while coming through could have hurt the mucosa resulting in bleeding and the stone, must have gone in urine. You must have felt the pain during the stone movement and seen the bleeding later on.

If there is no bleeding now, not to worry.

If you still think Henoch Schonlein purpura, look for rashes in skin, which is the commonest presentation.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prakash H Muddegowda (52 minutes later)
just want to say thank you. I think it might have been such a small stone it didn't show up on the CT scan. The rest is like you said.
doctor
Answered by Dr. Prakash H Muddegowda (23 minutes later)
Brief Answer:
Stay well hydrated.

Detailed Answer:
Hi,
Thanks for writing again.

You are welcome.
Drink good amount of fluids, specially during daytime. Stay well hydrated. It will reduce chance of stone formation and also urinary tract infection in future.

If you do not have any further queries, you can close the discussion and rate the answer.

Take care.
Dr. Prakash HM
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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What Are The Chances Of Recurrent Henoch-Schonlein Purpura In Elderly People?

Brief Answer: Not Henoch Schonlein purpura Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Henoch schonlein purpura does not usually occur in elderly and yes, recurrence are seen, but never these years apart. Even if it were to be present now, your skin rashes, abdominal pain would have been present before involvement of kidney. Blood in urine has numerous causes. Most common would be urinary tract infection, then tumors, then stones. If you still have blood in urine, then urine examination would have showed other cells too. White blood cells or bacteria, if present would indicate urinary tract infection. Tumors and stones would have shown on the scan. Possibly, stone while coming through could have hurt the mucosa resulting in bleeding and the stone, must have gone in urine. You must have felt the pain during the stone movement and seen the bleeding later on. If there is no bleeding now, not to worry. If you still think Henoch Schonlein purpura, look for rashes in skin, which is the commonest presentation. Hope it helps. Any further queries, happy to help again. Dr. Prakash HM