<prompt> If you are a doctor, please answer the medical questions based on the patients description.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 Proteincreatanine ratio is .142What I have to do for betterment.RegardsBiswajit BhowmickKolkata W.B 98311 23793  <response>: 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. 