Anasarca: Difference between revisions
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ICD9 = {{ICD9|782.3}} | | ICD9 = {{ICD9|782.3}} | | ||
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{{SI}} | {{SI}} | ||
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*[[Burns]] | *[[Burns]] | ||
*[[Calcium channel blockers]] | *[[Calcium channel blockers]] | ||
*Capillary leak | *Capillary leak syndrome | ||
*[[Cardiac tamponade ]] | *[[Cardiac tamponade ]] | ||
*[[Chronic kidney disease]] | *[[Chronic kidney disease]] | ||
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**[[Primary biliary cirrhosis]] | **[[Primary biliary cirrhosis]] | ||
**[[Primary sclerosing cholangitis]] | **[[Primary sclerosing cholangitis]] | ||
**Nonalcoholic fatty liver disease | **Nonalcoholic [[fatty liver disease]] | ||
**[[Wilson's disease]] | **[[Wilson's disease]] | ||
*[[Hereditary angioedema]] | *[[Hereditary angioedema]] | ||
*[[Hypertrophic cardiomyopathy]] | *[[Hypertrophic cardiomyopathy]] | ||
*[[Hypoalbuminemia]] | *[[Hypoalbuminemia]] | ||
* | *[[Hypoproteinemia]] | ||
*[[Hypothyroidism]] | *[[Hypothyroidism]] | ||
*Idiopathic [[edema]] | *Idiopathic [[edema]] | ||
*Increased capillary permeability | *Increased capillary permeability | ||
*Increased interstitial oncotic pressure | *Increased interstitial oncotic pressure | ||
*Interleukin-2 therapy | *[[Interleukin-2]] therapy | ||
*[[Kwashiorkor]] | *[[Kwashiorkor]] | ||
*Lymphatic obstruction | *Lymphatic obstruction | ||
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*[[Minoxidil]] | *[[Minoxidil]] | ||
*[[Nephrotic syndrome]] | *[[Nephrotic syndrome]] | ||
*Nodal enlargement due to malignancy | *Nodal enlargement due to [[malignancy]] | ||
*Nonsteroidal antiinflammatory | *[[Nonsteroidal antiinflammatory drug]]s | ||
*[[Ovarian hyperstimulation syndrome]] | *[[Ovarian hyperstimulation syndrome]] | ||
*[[POEMS syndrome]] | *[[POEMS syndrome]] | ||
*[[Portal thrombosis]] | *[[Portal thrombosis]] | ||
* | *Post[[mastectomy]] | ||
*[[Pramipexole]] | *[[Pramipexole]] | ||
*[[Pregnancy ]] | *[[Pregnancy]] | ||
*Protein loss | *Protein loss | ||
*[[Protein-losing enteropathy]] | *[[Protein-losing enteropathy]] | ||
*Reduced albumin synthesis | *Reduced [[albumin]] synthesis | ||
*Refeeding edema | *[[Refeeding]] edema | ||
*[[Restrictive cardiomyopathy]] | *[[Restrictive cardiomyopathy]] | ||
*Severe inflammation or | *Severe inflammation or [[sepsis]] | ||
*Sodium overload | *Sodium overload | ||
*[[Thiazolidinediones]] | *[[Thiazolidinediones]] | ||
*[[Trauma]] | *[[Trauma]] | ||
*Tricuspid | *[[Tricuspid stenosis]] | ||
*[[Tropical sprue]] | *[[Tropical sprue]] | ||
*Venous obstruction | *Venous obstruction |
Revision as of 21:16, 15 January 2009
Anasarca | |
ICD-10 | R60.1 |
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ICD-9 | 782.3 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Anasarca (or "extreme generalized edema") is a medical symptom characterized by widespread swelling of the skin due to effusion of fluid into the extracellular space.
A good mnemonic for anasarka is: Anasarka is like a parka, all over.
It is usually caused by either congestive cardiac failure, liver failure (cirrhosis of the liver) or renal failure/disease.
It can also be created from the administration of exogenous intravenous fluid.
Certain plant-derived anticancer chemotherapeutic agents, such as docetaxel, cause anasarca through a poorly understood capillary leak syndrome.
This symptom is also called leucophlegmatia.
Complete Differential Diagnosis of the Causes of Anasarca:
(In alphabetical order)
- Acute renal failure
- Allergic reactions
- Angioedema
- Burns
- Calcium channel blockers
- Capillary leak syndrome
- Cardiac tamponade
- Chronic kidney disease
- Constrictive pericarditis
- Cor pulmonale
- Diazoxide
- 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
- 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
- Nodal enlargement due to malignancy
- Nonsteroidal antiinflammatory drugs
- Ovarian hyperstimulation syndrome
- POEMS syndrome
- Portal thrombosis
- Postmastectomy
- Pramipexole
- Pregnancy
- Protein loss
- Protein-losing enteropathy
- Reduced albumin synthesis
- Refeeding edema
- Restrictive cardiomyopathy
- Severe inflammation or sepsis
- Sodium overload
- Thiazolidinediones
- Trauma
- Tricuspid stenosis
- Tropical sprue
- Venous obstruction
- Water overload
- Yellow nail syndrome
Complete Differential Diagnosis of the Causes of Anasarca:
(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 |
Ear Nose Throat | No underlying causes |
Endocrine | No underlying causes |
Environmental | No underlying causes |
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 | No underlying causes |
Infectious Disease | Tropical sprue |
Musculoskeletal / Ortho | No underlying causes |
Neurologic | No underlying causes |
Nutritional / Metabolic | Hypoalbuminemia, Hypoproteinaemia, 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 | No underlying causes |
Psychiatric | No underlying causes |
Pulmonary | No underlying causes |
Renal / Electrolyte | No underlying causes |
Rheum / Immune / Allergy | Haemolytic disease of the newborn, Autoimmune hepatitis |
Sexual | No underlying causes |
Trauma | Trauma |
Urologic | No underlying causes |
Miscellaneous | No underlying causes |
Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs
Template:WH Template:WS Johnfanisrour 20:17, 15 January 2009 (UTC)John Fani SrourJohnfanisrour 20:17, 15 January 2009 (UTC)