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Purpura is an immune-mediated condition and develops because of an abnormal reaction of the immune system.The abnormal immune system activity can cause blood vessels inflammation.When the tiny blood vessels in kidneys become inflamed,it can cause purpura nephritis.How to know if kidney damage occurs in purpura?
Up to half of people with purpura have kidney involvement. Kidney damage usually develops within one month after the rash starts.However,in some cases, kidney inflammation develops up to six months afterwards.If early treatment can be adopted,the kidney damage can be reversed. If not, Chronic Nephritis can develop.It is important for the patients to detect if they have kidney damage early enough.Some tests and examinations can help the patients.
Kidney damage tests in purpura
Urine dipstick test
In the test,a special testing strip can be dipped into a sample of urine to look for signs of any kidney involvement.It can take several months after the appearance of the rash for the kidneys to be affected.Therefore,the urine tests are usually repeated monthly for up to six months.
If signs and symptoms of severe kidney involvement occur, this test can tell how the kidneys are working and kidney damage degree.It can guide the doctor to find an appropriate treatment.
Kidney damage symptoms
If kidney damage occurs in purpura,the patients often experience the following symptoms.
Blood or protein in urine, or both
The glomeruli can filter wastes from blood, but preserve substances that body need in body.However,when glomeruli are inflamed, red blood cells or proteins may leak into urine. In mild cases, blood and protein in urine only can be detected with tests. However, in serious cases, the urine can become foamy or cola-colored.
High blood pressure
High blood pressure is a sign of serious kidney damage in purpura. It is mainly due to high building up of fluids in body. Meanwhile, swelling may occur due to retention of fluid.
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