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Anasarca
Generalized Edema

Images

WIKIDATA, Public Domain

Presentation

Intravascular lymphoma (IVL) is a rare extra nodal subtype (usually of B-cell origin) presenting with infiltration of large neoplastic lymphocytes into lumina of blood vessels, leading to vascular occlusion. [ncbi.nlm.nih.gov]

Case presentation We present two female patients, ages 11 years old and 4 years old, who presented to the ED with anasarca and were subsequently diagnosed with JDM. [ped-rheum.biomedcentral.com]

Respiratoric

  • Pleural Effusion

    Some definitions of anasarca focus on the presence of subcutaneous (body wall and/or extremity) edema 1,2,7, while others focus on pleural effusions and ascites 3. [radiopaedia.org]

    Although large pleural effusions are rare in amyloidosis, they are usually exudative and may be due to direct pleural infiltration or amyloid-induced heart, liver, renal or thyroid failure. [jhu.pure.elsevier.com]

    Chest and abdomen CT showed massive bilateral pleural effusions, but no lung infiltrate, pericardial effusion or ascites or lymphadenopathy. [bloodjournal.org]

    There were pleural thickening and encysted pleural effusion on the left, and atelectasis of adjacent lung portions. The right hemithorax showed small pleural effusion and thickening, in addition to a small nonspecific opacity in the right lung base. [scielo.br]

    Chest radiograph at that time revealed bilateral pleural effusions that were both reportedly milky in appearance when drained by thoracenteses. [ncbi.nlm.nih.gov]

Face, Head & Neck

  • Facial Edema

    One week prior to renal biopsy, he had the sudden onset of facial edema and a urine protein/creatinine ratio of 7.8. Image 1. No change by light microscopy. Image 2. Diffuse and complete foot process effacement. [arkanalabs.com]

    Periorbital and facial edema may also be associated. Although localized edema is a common feature of JDM, generalized edema has rarely been reported. Here, we report a 3.5-year-old boy with JDM presenting with generalized edema. [ncbi.nlm.nih.gov]

    The stem definitely mentioned "facial edema making it difficult for the patient to open his eyes in the morning" and "generalized body edema" with trace proteins and >50 RBCs on a UA. [forums.studentdoctor.net]

    She initially noticed bilateral lower extremity edema and right-sided facial swelling that subsequently progressed to include both sides of her face, her abdomen, pelvis, and labia. She also reports a 9-lb (3.54-kg) weight gain. [pedsinreview.aappublications.org]

Workup

A recent workup for cardiac, renal, and liver disease, including two-dimensional echocardiogram, liver and renal function tests, and abdominal ultrasound, was unremarkable. He reported a 15-pack year history of smoking and quit 3 years ago. [ncbi.nlm.nih.gov]

She was admitted for further workup and management. [ped-rheum.biomedcentral.com]

X-Ray

  • Pericardial Effusion

    […] disorder and left Heart failure Chest X Ray · May show evidence of pulmonary edema (bat wing appearance of hilar region) · May show evidence of Pleural and Pericardial effusion (due to hypo-albuminemia) · May show cardiac hypertrophy in chronic heart [tirthankaronline.blogspot.com]

    Lung congestion and pericardial and pleural effusions can cause attenuation in the ECG potentials; additionally, a similar change was recently observed in patients with AN. [ncbi.nlm.nih.gov]

    In the outside hospital ED, she had a Chest X-ray which showed bilateral pleural effusions and a pericardial effusion. [ped-rheum.biomedcentral.com]

    Chest and abdomen CT showed massive bilateral pleural effusions, but no lung infiltrate, pericardial effusion or ascites or lymphadenopathy. [bloodjournal.org]

Pleura

  • Pleural Effusion

    Some definitions of anasarca focus on the presence of subcutaneous (body wall and/or extremity) edema 1,2,7, while others focus on pleural effusions and ascites 3. [radiopaedia.org]

    Although large pleural effusions are rare in amyloidosis, they are usually exudative and may be due to direct pleural infiltration or amyloid-induced heart, liver, renal or thyroid failure. [jhu.pure.elsevier.com]

    Chest and abdomen CT showed massive bilateral pleural effusions, but no lung infiltrate, pericardial effusion or ascites or lymphadenopathy. [bloodjournal.org]

    There were pleural thickening and encysted pleural effusion on the left, and atelectasis of adjacent lung portions. The right hemithorax showed small pleural effusion and thickening, in addition to a small nonspecific opacity in the right lung base. [scielo.br]

    Chest radiograph at that time revealed bilateral pleural effusions that were both reportedly milky in appearance when drained by thoracenteses. [ncbi.nlm.nih.gov]

Treatment

Pre- and post-treatment data were analyzed using matched pairs. [ncbi.nlm.nih.gov]

Home treatments The following home-care tips may also speed the treatment of your anasarca: Keep moving: Exercise can help pump excess fluid back to your heart. [healthline.com]

[…] of Anasarca For your doctor to give you the correct treatment, they must identify the underlying condition and treat it. [webmd.com]

[…] regimen that your doctor outlines for you • If your doctor prescribes any type of medication treatment, you should be certain to follow that treatment • Finally, you should review the treatment section of this guide and follow the steps outlined there [thehealthyapron.com]

Prognosis

Fetal hydrops is a known complication of sacrococcygeal teratoma (SCT) due to arteriovenous shunts within the tumor, which is clinically important and influence patients' prognosis. [ncbi.nlm.nih.gov]

Prognosis Multiple anecdotal remedies exist, yet none are proven or reported in scientific literature. Although survival rates are low, some water puppies do survive provided they receive immediate veterinary treatment. [embracepetinsurance.com]

Armitage JO, Longo DL: Clinical features, treatment, and prognosis of specific lymphoid malignancies; in Fauci A, Braunwald E, Kasper D, Hauser S, Longo D, Jameson J, Loscalzo J (eds): Harrison’s Principles of Internal Medicine, ed 15. [karger.com]

Etiology

Objectives: Identify the etiology of anasarca. Review the presentation of a patient with anasarca. [ncbi.nlm.nih.gov]

Anasarca of an Unusual Etiology. Abstract published at Hospital Medicine 2011, May 10-13, Dallas, Texas. Abstract 292. Journal of Hospital Medicine. 2011; 6 (suppl 2). https://www.shmabstracts.com/abstract/anasarca-of-an-unusual-etiology/. [shmabstracts.com]

EDEMA/ ANASARCA/ ANGIOEDEMA Etiologies The accumulation of fluid in the intercellular space of subcutaneous tissue or in body cavities is referred to as edema. Anasarca refers to a diffuse generalized edema of multiple organ systems. [thebigl.co]

Etiology The causes of anasarca are various 2,6: nephrotic syndrome end-stage renal disease heart failure cirrhosis malnutrition hypothyroidism (myxedema) inferior or superior vena cava obstruction lymphedema due to lymphatic obstruction by tumor or filariasis [radiopaedia.org]

Epidemiology

Epidemiology The epidemiology of anasarca is not studied yet, but it is one of the common complaints among the patients admitted to the hospital. [ncbi.nlm.nih.gov]

Epidemiology, pathophysiology, and treatment of Kaposi sarcoma-associated herpesvirus disease: Kaposi sarcoma, primary effusion lymphoma, and multicentric Castleman disease. Clin Infect Dis 2008 ; 47 : 1209 – 15. 12. [academic.oup.com]

Pathophysiology

Her severe cerebral edema is of considerable pathophysiologic interest: 1) it developed in the setting of marked anasarca and persistent hypernatremia, and 2) although hepatic function was poor, it was not considered sufficiently deranged to induce cerebral [ncbi.nlm.nih.gov]

I'm thinking about the pathophysiology of the condition. The patient retains all this fluid because of underlying chemisty imbalances. Often low protein is at the heart of it. [allnurses.com]

Pathophysiology In the presence of hypoalbuminemia as seen in nephrotic syndrome or other disease entities, anasarca occurs as a result of low osmotic pressure in the capillaries. [healthfixit.com]

Prevention

The American Academy of Pediatrics recommendations for prevention of iron deficiency anemia are reviewed. [ncbi.nlm.nih.gov]

Listed below are the effective treatments/ remedies for the prevention of anasarca that may help to improve and to reduce swelling of the skin significantly. 1. Avoiding salt, water pills, etc. – It prevent skin breakdown 2. [healthosphere.com]

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