Henoch Schonlein Purpura in Adults?
Posted , 75 users are following.
Hi,
I'm currently a 19 year old female student in my 2nd year of my degree, during March 2012, I was diagnosed with Henoch Schonlein Purpura (HSP) after being sent to hospital with meningitis like symptoms. You can imagine the relief, when I found it it was not in fact meningitis. The symptoms of HSP (Rash, Swelling and Abdominal Pain) however, have interfered in my life a great deal, leaving me having to take a lot of time off work and my studies, which actually resulted in me being very ill for my end of year exams. Fortunately, I still managed to pass my first year at university.
These symptoms are causing a great stress in my life, and continuous hospital appoints are a constant pain.
As a 19 year old female, my appearance is very important to me, and I am struggling to keep a 'positive' face when I have to constantly cover up from my neck down, otherwise I am bombarded with questions and looks as though I am a freak of nature, on more than several occasions I have been very upset with this illness.
During my visits to the hospital, despite my kidneys being priority there (thankfully, they are still functioning fairly normal with little blood in my urine) the rash itself is one of my biggest problems.
I have been trying to find people in recent times with the same condition, but am struggling to do so, many discussion forums tend to be around the time of 2008, many of adults complaining that despite being told the symptoms would leave after 4 weeks, have been left with this illness permanently. This has brought me down even more, to discover that no one has been able to share their story of recovering from this frustrating illness.
I was hoping that by me bringing this up, hopefully someone with the same problem as me would be able to shed some light on to this, as doctors seem to be just as useless and clueless as me. I am in no position to say that this is the worst thing to ever happen, as I know others have it a lot worse, but I simply could not imagine leading a 'normal' life at my current rate, as for me, walking is an incredible difficultly for me, due to my massive ankles, knees and feet.
If anyone can help me, at all I would be extremely grateful.
I am on no current treatment, besides painkillers to reduce abdominal pains, and bed rest for swelling.
Thanks in advance x
5 likes, 114 replies
colton25293 ZBee
Posted
I'm very sorry to hear about your case of HSP. I was diagnosed March 29 this year. I'm 16 years old and they had told me I had to wait it out. I did normal checkups with my blood and urine. I had no signs of kidney problems not intestine problems. It is now May 17th and my disease has completely gone. I do hope you're better now. I know I'm very happy with the way it turned out and hope it never comes back. It brings a whole lot of self esteem issues with it. I hadn't worn shorts that entire time. Everyone would question why I looked so different and had been separated from other people who thought it was contagious. I had also been asked questions if I was dying and it was totally horrific for me. I never experienced any symptoms with this disease other than the rash. I do hope you feel better.
Colton.
sunaina250185 ZBee
Posted
My brother in newzeland has just been affected with this condition but the issue is that it is affecting his eyes too as he was unable to open his eyes this morning.. he already has rashes in lower part of his body but they are now coming towards is upper body with severe pain in his throat.. i am extremely worried and want to know if this is normal?
Kind Regards
Sunaina
caitlin49873 ZBee
Posted
Hi,
I am a 21 year old female and I got diagnosed with HSP in April of this year. A few weeks before my rash popped up I had a really bad sore throat and went to the doctor about it, where I got tested for strep throat. The test came back negative, (which I much later learned was a false negative) and I was treated for seasonal allergies. Fast forward 2-3 weeks and I wake up with tiny red spots on my foot. The next day they were on my other foot and the day after that it was going up my legs. I got a correct diagnosis fairly quickly when I went back to the doctor about the rash, but I ended up making 3 hospital visits due to the pain and discomfort from the rash. I am very lucky in a lot of ways; I never had much abdominal pain and although my kidneys were damaged, they are getting better on their own.
My treatment was a long course of prednisone that lasted 6 weeks. My symptoms are gone but I am still dealing with the aftermath of my rash. My purpura was so severe it left several ulcers on my legs and feet. I've had to go to a wound care clinic for treatment and I now have several scars that will take several months to a year to fade. I'm in almost constant fear that the rash is going to flare up again but I'm trying to remain positive. It's been nice to read other people's stories since no one I know has heard of the disease and none of my peers can fully grasp what I've had to go through. I wish everyone who's still battling this terrible condition the best of luck.
peggy_56995 ZBee
Posted
Hello, I am grateful to find this group. My first inflammatory auto immune disease occurred when I was 19.I had huge painful welts on my legs, an uncontrollably cough and I could not walk because of the pain in my legs. That was sarcoidosis. Later, I got Graves disease and early cataracts. I believe that I have had HSP for a few years but now I also have the rash and GI involvement. I know how awful it is to have scarred legs. I became an expert on sef tanners. Over the years, every time I followed The Blood Type Diet, I seemed free of many inflammatory symptoms. Unfortunately, I have a hard time with food discipline. Well, I am so frightened by this disease that I am committed to staying on an anti inflammatory diet. I am seeing my naturopath on the 26th for her take on how to manage. And I will do acupuncture. I will keep you posted on the results. Since you all are so young, you may be able to make hard lifestyle changes. I am also going back to water aerobics after I get the stitches out from the biopsy. That has always been the only exercise that I can do without everything swelling up. I do know that stress was a huge factor because although I did have an infection, I also had to put my dog to sleep. I was so upset that I couldn't talk from the crying
Magstah ZBee
Posted
Hi
unfortunately, I can't tell you that this will completely go away. From my experience, I'd say you can manage it so you can go long periods of time where it does not flare up.
I have only recently been diagnosed properly with HSP at the age of 58. However, I have had the symptoms since my twenties. I found that cutting as much processed food out of my diet - tinned/packets - as I can helps. This keeps additives out of your diet. I actually became a vegetarian over time.
I also found less dairy and caffeine and alcohol helps. I love cheese, yoghurt, ice cream, and like to have a drink at times, but I now limit these things a lot more. I also love a good coffee, but have limited this too. I use soya milk more now.
I have gone for years without having a flare up once I changed my diet, and I would say alcohol really affects me. My guess is that as a 19 year old student you are encouraged by your peers to go out and party! If you do drink, I'd try to do it slowly so you cut down the alcohol. I also take multi vitamins daily to try and stay healthy.
Managing my diet has not completely prevented me from having a flare up, but I think it has helped me go for years at a time without having one, and I don't take steriods or anything for the HSP - unless I have a very bad flare up and am given antibiotics. I really notice that minimising alcohol, coffee and dairy helps.I've recently had a flare up when I have either had infection due to a cold, or I have drunk a lot of alcohol or caffeine - or both!!
Good luck with things!
blueflamingo Magstah
Posted
Hi,
I find alcohol to be a big trigger of the rash for me too. This makes sense to me because at lower levels it is a vasodilator and at higher levels it is a vasoconstrictor. So a possible mechanism off the top of my head: when you start drinking alcohol the capillaries dilate, allowing access to more immune complexes. As drinking continues, the capillaries constrict and the immune complexes cause damage to the capillaries and result in leaking (the marks on the skin). No idea if this is correct but it matches my experience of having no problem with one drink but significant symptoms after numerous.
I do drink coffee and have a lot of dairy. I personally haven't noticed a link to those but I also haven't tried to stop them - perhaps I should!
peggy_56995 blueflamingo
Posted
I also suspect high temperatures and certain fabrics. . I have given up coffee and all dairy with the exception of butter. I don't drink alcohol but I do use nicotine gum. That is a hard one because I am so addicted to it.
joie425 ZBee
Posted
Hi everyone! If anyone has any new information from doctors and would like to share that would be greatly appreciated! I'm an 18 year old girl from California, and I recently got HSP. The first week of January this year I had come home from a friend's birthday party late at night only to discover bright red spots on my arms, legs, and a little on my bottom even. They weren't itchy or painful, so that's why I was really surprised to find them scattered on my skin as I was changing into my pjs. Anyway, being a very stubborn person, I decided I'd wait a week to see if it could be an allergic reaction that'd go away on its own... A little over a week later, still covered in spots (but not experiencing any associated symptoms), I finally went to Urgent Care where 3 different doctors stared at me funnily and called me a "mystery" case. It was probably because I had no other symptoms such as the joint or abdominal pain that many of you have described. But just based on appearance they told me that they thought it was most likely HSP. They didn't tell me ANYTHING about it other than the fact that it should go away on its own in 4-6 weeks. 6 weeks later (mid Feb), I follow up with my doc (who seems more clueless than ever) & she has me do blood tests and urinalysis as well as refers me to a dermatologist. They find moderate amounts of blood in my urine and the dermatologist has yet to get back to me about a skin biopsy I had over a week ago today. They had me do a repeat of my tests and found even more blood in my urine so now I'm being referred to a kidney specialist. I'm just getting worried because none of these doctors I've spoken with have told me much info in the first place (I've had to do my own research) and neither have any of them been very comforting as I wish the would. I expect doctors to be truthful yet still instill hope in patients, but I've been feeling quite the opposite of hopeful. I keep getting so frustrated since it's quite warm in Southern California and I feel like I have to wear jeans and long sleeves. I just really want some information because I know internet cases are not going to apply to everyone. I do notice that if I walk a lot (for ex after walking around all day at a theme park) a lot more spots appear; they also fade the more laid back of a week I have. Also, any little scratches on my skin seem to leave behind what I call "blood stains" which are basically just like the spots but in line form. I don't know if this was associated with the HSP, but I also experienced sharp chest pain that would come in quick bursts right around the sternum for a few days early in my weeks with HSP. I'm also not sure if this was a result of the HSP but one time a couple weeks ago when I took a 10 hour road trip to Northern California, I got got terrible stomach pain/ diarrhea (but that could have been McDonald's lol who knows) and flu like symptoms for only two days. My ankles are swollen and sometimes I do feel like some clothing material irritates the spots more, and "pressure" like from the button on pants often leaves behind some spots in the pattern of the dents left on the skin. This is so long but hopefully people can relate. I'm so sorry some of you suffered much more and it was very painful for you. I hope someday soon someone finds a solution for all of us <3 Please share any info you get from professionals here! Perhaps some docs from other regions are more advanced on HSP!
Best wishes everyone
Magstah joie425
Posted
Hi,
sorry to hear of your suffering. Unfortunately, I am not suprised your doctor left you to do your own research as that's exactly what mine told me to do!
Linking your walking around and a road trip to further symptoms of HSP is also not suprising. Tiredness makes mine worse. Stomach pain and flu like symptoms are familiar to me too, as are swollen ankles and dents in the skin.
I can only tell you that I've had long periods of time where I don't get the symptoms of HSP - years even - and that I have found eating well and resting really helps. However, you're a teenager and it's hard not to eat McDonalds and to party at your age! There is hope though that you don't have to constantly suffer and take steroids.
As I have said before, I have only recently been diagnosed properly with HSP at the age of 58. However, I have had the symptoms since my twenties. I found that cutting as much processed food out of my diet - tinned/packets - as I can helps. This keeps additives out of your diet. I actually became a vegetarian over time.
I also found eating less dairy and drinking less caffeine and alcohol helps. I love cheese, yoghurt, ice cream, and like to have a drink at times, but I now limit these things a lot more. I also love a good coffee, but have limited this too. I use soya milk more now. Recently I have started drinking probiotic yoghurt drinks which seems to have settled my stomach a bit. I try to eat a lot of vegetable and protein meals which don't have a lot of additives in them, and I don't add salt to cooking. I think this helps my bodynot to have to fight too much crap.
Good luck, and I hope you find a way of life which limits any medication you might have to take such as steroids, and which limits your HSP flare ups.
joie425 Magstah
Posted
Thank you so much! It definitely would not hurt to really start limiting any potential sources of flare ups. Thank you for your help! It's more information than any doctor has given me so far haha!
Good luck to you too!
jean24910 ZBee
Posted
Hi my name is Jean I am 35yr old female with HSP vasculitis I was diagnosed in 2013 with it. I thought I was having an allergic rash but the purpera was so painful all on my legs. At the time I was working as a medical assistant for a multi practice group. I went into work and was in so much pain to walk and became really fatigue so the doctor did blood work and my WBC was through the roof and this was before they even got to examine my legs.
As the morning went on I got progressively worse I had 104 fever and was sent to dermatologist who biopsies one of the welts on my legs and it came back positive for HSP. Over the next few months I was in and out of seeing specialist, hospitals because my fever would not come down to anything below 102 daily for two months and the dots multiplied. There were trials of all diff kinds of meds I tried but my levels didn't change as well as the dots wouldn't go away. Finally my rheumatologist who is a God send tweeked my meds to where I have been stable
I had a history of anaphylactic reactions to coconut and was on prednisone previous to all this happened I had 9 reactions in 6 months which was said to be the cause of this happening. Once the HSP was controlled with Cell Cept medication I had formed fibromyalgia I wasn't able to walk the pain was insane and the fatigue so the doctor added Wellbutrin which attacks the nerve endings as well as gabapentin for pain and flexeril for muscle relaxer. As long as I take my meds I'm usually good but the more stress on my body the break outs come out and hurt. Currently I relapsed because I had a bad accident at work a 300lb unhinged door fell on my spine and I had to learn how to walk and regain my strength. This added stressor has not been good
I have noticed that when I am good and take my meds no stress I am able to function my normal routine working as a surgical tech 8-10 hr days on feet go to the gym and travel keeping my stress level down helps. I've also added tumeric into diet helps with inflamation lot of fresh fruit.
It's hard to explain to people who don't have this because we are young and normally this form of vasculitis happens in children and most won't get what it feels like and how there are good and bad days so it's hard to plan ahead to do things and it's harder to have to cancel them!
maya61418 ZBee
Posted
I am in Steroids till next appointment with dermatologist thats on 9th of May.
Ranwithscissors ZBee
Posted
Hello all,
My doctor recently told me he is testing me for HSP. Unfortunately, I have to wait for my results until June as he is away on holidays.
I've had purpura for about 11 years, but I did not recognize it as such. Embarrassingly, the purpura is located on the inside of the vaginal labia. I first noticed it after the birth of my first child, and as they ran along the veins, I assumed they were varicose veins. My doctor now tells me they are not. They have never caused me trouble.
Now, however, I've been struck with arthritis. For almost a year, I have had swelling and pain in my hands, feet, elbows, knees, hips and shoulders. I have had a positive ANA (1:8 speckled pattern) so they had looked into Rheumatoid Arthritis, but it doesn't appear to be that. At my recent PAP, my doctor said the purpura and arthritis may be linked.
I do not have any abdominal pain, but moderate fatigue, diarrhea for months on end with little break, and fevers that stay for a month and then give a month's break. I often feel flu like symptoms too.
Has anyone else had genital purpura? Purpura with no pain? I occasionally get a small number of light red spots (petachaie?) on my feet and ankles, upper arms and elbows. My main problems are the arthritis, fatigue and diarrhea. Does this sound familiar to anyone else?
debhha ZBee
Posted
Hi, My daughter is 20 and was diagnosed this year with HSP.
She doesn't get the terrible rash as much as bruising.
I'm also looking for info on HSP and sun poisoning. she has hardly ever burned in the sun but now is burning after just a few minutes in the sun (with sunscreen).
JuliannaS ZBee
Posted
Thanks,
Julianna
joie425 JuliannaS
Posted
Hi Julianna, my name's Joanna, and I'm 19 years old. I first got the purpura during the first week of January this year; similar to your experience, at this point (almost five months now) I still get mini flare ups triggered by different things like walking a lot, cold weather, tight clothes etc, but nothing compared to the initial period. I'm also in the bruise like scarring phase, but I can tell you that I have personally noticed certain areas of very minimal scarring where no more red/purple spots are anymore. They're extremely faint, unnoticeable, & very close to the healthy skin color. I'm hoping that with more time, even that slight discoloration will fade completely (but if not it's actually not bad at all). I have a feeling that I'm nearing the end of this period's flare ups (I say this period because I've heard the purpura can be recurring years later) because they are slowly becoming less and less that appear each time. Some of my friends even ask me when I wear shorts and a t shirt if it went away because they aren't noticeable from far away. The main thing with the purpura that I've noticed is that the 4-6 weeks that doctors talk about seems more accurate in regards to a first initial stage. I would say that during the first 6 weeks I was definitely covered in BRIGHT red spots all over my arms,legs, and feet; however, that is not the end. They slowly diminish and fade in color. Doctors don't really tell you that. It's different for everyone, but a lot of people see it go away almost completely (and without any flare ups) for periods of time before the same sort of cycle reoccurs (sometimes years and years later, other times just months later). Hope I could give you some sort of relatable experience that is helpful! If you have any questions about all the other stuff (like kidneys
( ) on top of the purpura, feel free to ask!
JuliannaS joie425
Posted
Thank you so much for your response! I have also noticed them scarring brown spots to be slowly getting lighter. I do have a tiny flare up of red spots when I drink alcohol, but it usually clears up in a few days. How's everything with you now?