Conversation: The conversation between human and AI assistant.
[|Human|] Sir, My 14 years old son is suffering from HSP. Now his urine protein is + with 6-10 RBC and 2-4 pus cell. some time he feals knee pain. He is taking maxipa & enam-5. It is running for 6 months. Rutin urin test report shows some time normal and some time protein+ or ++. Now his Protein/creatanine ratio is .142What I have to do for betterment.RegardsBiswajit BhowmickKolkata (W.B) 98311 23793
[|AI|]  hi HSP is Enoch scholar purpura. In this disease there is inflammation in kidney and skin leading to loss of protein and red blood cells in urine. This is a self limiting disease in most patients within 3-4months. In case of your son since the disease is already running for 6 months, in my opinion we should review the diagnosis. If I was your sons treating doctor I will consider doing ANA,C3 and C4 blood tests and also will consider kidney biopsy for definitive diagnosis. I will advise you to see a nephrologist and discuss these issues hope my opinion will benefit your son. I wish him good health!!!thanks Chat Doctor.