Henoch-Schonlein purpura (HSP) is a type of vasculitis that usually affects children; however adults may also be diagnosed with this condition. Vasculitis is characterized by inflammation of the body’s blood vessels. Damage to blood vessels caused by vasculitis can impair blood flow, which can lead to inadequate blood supply to organs. The kidneys may be affected. Bleeding into the skin may also occur due to breakage of a blood vessel wall. Purple spots on the skin (known as purpura) result, and appear as a rash. Signs and symptoms of HSP also include joint pain, joint inflammation, and stomach pain. An infection caused by a virus or bacteria, certain types of medications and vaccinations, and exposure to certain types of chemicals or cold weather could lead to development of HSP as well. This specific type of vasculitis typically resolves within a month.
Rest and fluids are recommended to aid the recovery process. Acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) such as naproxen (Aleve) or ibuprofen (Advil, Motrin) may be used for relief of joint and stomach pain. If symptoms are severe, admission to the hospital may be needed. Prednisone and methylprednisolone (Medrol) are corticosteroids that may be prescribed if the condition is severe.
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