Anasarca causes: Difference between revisions

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== Overview ==
==Overview==
Common causes of anasarca include cardiovascular events, drug-induced side effects, gastroenterologic events, genetic factors, metabolic conditions, and ob/gyn conditions, such as pregnancy.


== Causes ==
==Common Causes==
 
*[[Calcium channel blockers]]
(In alphabetical order)
*[[Dilated cardiomyopathy]]
 
*[[Docetaxel]]
* [[Acute renal failure]], especially oliguric renal failure with fluid retention
*[[Eclampsia]]
* [[Allergic reactions]], only systemic severe allergic reactions with associated capillary leak
*[[Fludrocortisone]]
* [[Angioedema]], rarely, when it is severe and generalized
*[[Haemolytic disease of the newborn]]
* [[Burns]] (generalized severe burns can result in [[Hypoalbuminemia]] and capillary leak)
*[[Heart failure]]
* [[Calcium channel blockers]] usually cause localized edma and not anasarca
*[[Kwashiorkor]]
* [[Capillary leak syndrome]]
*[[Malabsorption syndrome]]
* [[Cardiac tamponade ]] resulting in heart failure and generalized edema
*[[Minoxidil]]
* [[Chronic kidney disease]] (advanced stages with fluid retention)
*[[Nephrotic syndrome]]
* [[Constrictive pericarditis]] with associated heart failure
*[[Ovarian hyperstimulation syndrome]]
* [[Cor pulmonale]] resulting in right heart failure
*[[POEMS syndrome]]
* [[Diazoxide]] usually cause localized edma and not anasarca
*[[Pramipexole]]
* Corticosteriods
*[[Pregnancy]]
* [[Dilated cardiomyopathy]]
*[[Sodium]] overload
* [[Docetaxel]] usually cause localized edma and not anasarca
*[[Water overload]]
* [[Eclampsia]] (severe eclampsia)
*[[Yellow nail syndrome]]
* [[Effusive-constrictive pericarditis]] with associated heart failure
* [[Estrogens]]
* [[Fludrocortisone]]
* [[Glomerulonephritis]]
* [[Haemolytic disease of the newborn]]
* [[Heart failure]]
* Hepatic [[cirrhosis]]
** [[Alcoholic liver disease]]
** [[Alpha-1-antitrypsin deficiency]]
** [[Autoimmune hepatitis]]
** Chronic [[hepatitis B]]
** Chronic [[hepatitis C]]
** Hepatic venous obstruction
** [[Hereditary hemochromatosis]]
** [[Primary biliary cirrhosis]]
** [[Primary sclerosing cholangitis]]
** [[Non-alcoholic fatty liver disease|Nonalcoholic fatty liver disease]]
** [[Wilson's disease]]
* [[Hereditary angioedema]] in severe cases
* [[Hypertrophic cardiomyopathy]]
* [[Hypoalbuminemia]]
* [[Hypoproteinemia]]
* [[Hypothyroidism]] (advanced untreated hypothyroidism)
* Idiopathic [[edema]]
* [[Increased capillary permeability]]
* Increased interstitial oncotic pressure
* [[Interleukin-2]] therapy
* [[Kwashiorkor]]
* Lymphatic obstruction usually cause localized limb [[edema]] unless very proximal
* [[Malnutrition]]
* [[Malignant ascites]] is usually associated with lower extremities edema
* [[Minoxidil]] usually causes localized edema to the lower extremities
* [[Nephrotic syndrome]]
* [[Nonsteroidal antiinflammatory drug]] causes localized edma
* [[Ovarian hyperstimulation syndrome]]
* [[POEMS syndrome]]
* [[Portal thrombosis]] causes lower extremities edema
* [[Pramipexole]]
* [[Pregnancy]]
* Protein loss
* [[Protein-losing enteropathy]]
* Reduced [[albumin]] synthesis
* [[Refeeding]] edema
* [[Restrictive cardiomyopathy]]
* Severe inflammation or [[sepsis]]
* Sodium overload
* [[Thiazolidinediones]]
* [[Trauma]] (severe trauma)
* [[Tricuspid stenosis]]
* [[Tropical sprue]]
* Venous obstruction usually causes localized edema in the limb
* [[Water overload]]
* [[Yellow nail syndrome]]
 
== Complete Differential Diagnosis of the Causes of Anasarca: ==
 
(By organ system)


==Causes by Organ System==
{| style="width:75%; height:100px" border="1"
{| style="width:75%; height:100px" border="1"
| style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
| style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
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<br>
==Causes in Alphabetical Order==
 
{{columns-list|
<br>
* [[Acute renal failure]]
 
* [[Allergic reactions]]
* [[Angioedema]]
* [[Burns]]
* [[Calcium channel blockers]]
* [[Capillary leak syndrome]]
* [[Cardiac tamponade ]]
* [[Chronic kidney disease]]
* [[Constrictive pericarditis]]
* [[Cor pulmonale]]
* [[Diazoxide]]
* Corticosteriods
* [[Dilated cardiomyopathy]]
* [[Docetaxel]]
* [[Eclampsia]]
* [[Effusive-constrictive pericarditis]]
* [[Estrogens]]
* [[Fludrocortisone]]
* [[Glomerulonephritis]]
* [[Haemolytic disease of the newborn]]
* [[Heart failure]]
* Hepatic [[cirrhosis]]
** [[Alcoholic liver disease]]
** [[Alpha-1-antitrypsin deficiency]]
** [[Autoimmune hepatitis]]
** Chronic [[hepatitis B]]
** Chronic [[hepatitis C]]
** Hepatic venous obstruction
** [[Hereditary hemochromatosis]]
** [[Primary biliary cirrhosis]]
** [[Primary sclerosing cholangitis]]
** [[Non-alcoholic fatty liver disease|Nonalcoholic fatty liver disease]]
** [[Wilson's disease]]
* [[Hereditary angioedema]]
* [[Hypertrophic cardiomyopathy]]
* [[Hypoalbuminemia]]
* [[Hypoproteinemia]]
* [[Hypothyroidism]]
* Idiopathic [[edema]]
* [[Increased capillary permeability]]
* Increased interstitial oncotic pressure
* [[Interleukin-2]] therapy
* [[Kwashiorkor]]
* Lymphatic obstruction
* [[Malnutrition]]
* [[Malignant ascites]]
* [[Minoxidil]]
* [[Nephrotic syndrome]]
* [[Nonsteroidal antiinflammatory drug]]
* [[Ovarian hyperstimulation syndrome]]
* [[POEMS syndrome]]
* [[Portal thrombosis]]
* [[Pramipexole]]
* [[Pregnancy]]
* Protein loss
* [[Protein-losing enteropathy]]
* Reduced [[albumin]]
* [[Refeeding]]
* [[Restrictive cardiomyopathy]]
* [[Rifaximin]]
* Severe inflammation or [[sepsis]]
* Sodium overload
* [[Thiazolidinediones]]
* [[Trauma]] (severe trauma)
* [[Tricuspid stenosis]]
* [[Tropical sprue]]
* Venous obstruction
* [[Water overload]]
* [[Yellow nail syndrome]]
}}
== References ==
== References ==
{{reflist|2}}
{{reflist|2}}


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Latest revision as of 20:12, 10 January 2020

Anasarca Microchapters

Home

Patient Information

Overview

Classification

Causes

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Common causes of anasarca include cardiovascular events, drug-induced side effects, gastroenterologic events, genetic factors, metabolic conditions, and ob/gyn conditions, such as pregnancy.

Common Causes

Causes by Organ System

Cardiovascular Cardiac tamponade , Constrictive pericarditis, Cor pulmonale, Dilated cardiomyopathy, Effusive-constrictive pericarditis, Heart failure, Hypertrophic cardiomyopathy,Restrictive cardiomyopathy, Tricuspid stenosis
Chemical / poisoning No underlying causes
Dermatologic No underlying causes
Drug Side Effect Calcium channel blockers, Diazoxide, Docetaxel, Estrogens

Fludrocortisone, Interleukin-2 therapy, Minoxidil, Nonsteroidal antiinflammatory drugs, Corticosteriods

Ear Nose Throat No underlying causes
Endocrine Corticosteriods
Environmental Water intoxication
Gastroenterologic Alcoholic liver disease , Autoimmune hepatitis, Chronic hepatitis B, Chronic hepatitis C,Hepatic cirrhosis, Hepatic venous obstruction, Hereditary hemochromatosis, Portal thrombosis, Primary biliary cirrhosis, Primary sclerosing cholangitis, Wilson's disease
Genetic Angioedema, Alpha-1-antitrypsin deficiency, Hereditary angioedema

Hereditary hemochromatosis, Hypertrophic cardiomyopathy, Wilson's disease, Yellow nail syndrome

Hematologic No underlying causes
Iatrogenic Water intoxication, excess intravenous fluids
Infectious Disease Tropical sprue
Musculoskeletal / Ortho No underlying causes
Neurologic No underlying causes
Nutritional / Metabolic Hypoalbuminemia, Hypoproteinemia, Kwashiorkor, Malnutrition

Protein loss, Protein-losing enteropathy, Reduced albumin synthesis, Refeeding edema, Sodium overload, Tropical sprue, Water overload

Obstetric/Gynecologic Eclampsia, Estrogens, Haemolytic disease of the newborn, Ovarian hyperstimulation syndrome,Pregnancy
Oncologic Malignant ascites
Opthalmologic No underlying causes
Overdose / Toxicity Water intoxication
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal / Electrolyte Nephrotic syndrome
Rheum / Immune / Allergy Haemolytic disease of the newborn, Autoimmune hepatitis
Sexual No underlying causes
Trauma Trauma
Urologic No underlying causes
Miscellaneous No underlying causes

Causes in Alphabetical Order

References

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