Medical history (history of illness) represents an important component in the diagnosis of Schönlein-Henoch purpura.
Family history
- What is the general health status of the relatives?
- Are there any diseases in your family that are common?
- Are there any hereditary diseases in your family?
Current medical history/systemic history (somatic and psychological complaints).
- Have you noticed any skin changes in your child?
- Pinhead-sized hemorrhages (skin or mucous membranes)? preferred region: extensor side of legs and buttocks.
- Are joints inflamed? preferred joints: knee and ankle joint.
- Does your child have discomfort in the gastrointestinal tract?
- Vomiting?
- Colicky abdominal pain?
- Blood in the stool?
- Have you noticed blood in your child’s urine?
- Does it feel floppy, sick?
- Does your child have a fever? If so, for how long? What is the temperature?
- Has he or she had an infection recently?
Self history including medication history.
- Pre-existing conditions (infectious diseases)
- Operations
- Radiotherapy
- Vaccination status
- Allergies
Medication history
- Analgesics (painkillers)
- Nonsteroidal anti-inflammatory drugs (anti-inflammatory drugs; e.g., ibuprofen, acetylsalicylic acid, diclofenac, indometacin).
- Antibiotics (e.g. sulfonamides).