Idiopathic Cyclic Edema

Sep 16, 2019 admin TIM MẠCH 0

Idiopathic Cyclic Edema

Aka: Idiopathic Cyclic Edema, Idiopathic Edema

II. Associated Conditions

  1. Premenstrual Syndrome

III. Epidemiology

  1. Affects young women most commonly

IV. Pathophysiology

  1. No underlying systemic cause
  2. Related factors
    1. Increased capillary permeability
    2. Renin–Angiotensin-Aldosterone activation

V. Associated conditions

  1. Obesity
  2. Diabetes Mellitus
  3. Hypothyroidism

VI. Signs

  1. No association with Menstrual Cycle
  2. Orthostatic Edema
    1. Water retention while upright
    2. Diuresis while supine
    3. Body weight increases >2 kg with edema

VII. Differential Diagnosis: Estrogen stimulated edema

  1. Increased Estrogen with Sodium and water retention
  2. Cyclic edema related to Menses
    1. Weight gain on edematous days: 1.5 to 2.5 kg
    2. Lower extremity Pitting Edema
  3. Diuresis follows Menses
    1. Orthostasis may occur with diuresis

VIII. Management

  1. Avoid Diuretics (worsens edema)
  2. Restrict salt intake
  3. Consider ACE Inhibitor

IX. References

  1. Brenner and Rector (2000) Kidney, Saunders, p. 845-6

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term “Idiopathic Cyclic Edema.” Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

BÀI LIÊN QUAN