英: blue edema syndrome

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1. 成人の浮腫の臨床症状と診断clinical manifestations and evaluation of edema in adults [show details]
… fluid, the treatment of refractory edema, and the approach to edema in children, are discussed separately. The pathophysiology and etiology of edema formation are discussed in detail elsewhere , but …
2. 小児における浮腫の病態生理および病因pathophysiology and etiology of edema in children [show details]
… Edema is a clinical condition characterized by an increase in interstitial fluid volume and tissue swelling that can either be localized or generalized. Severe generalized edema is known as anasarca. …
3. ネフローゼ症候群成人における浮腫の病態生理学および治療pathophysiology and treatment of edema in adults with the nephrotic syndrome [show details]
… pathogenesis of edema. As examples: Patients with cirrhosis are frequently hypoalbuminemic but typically present with ascites (due to postsinusoidal obstruction), not prominent peripheral edema. Edema is common …
4. 成人の浮腫の治療に関する原則general principles of the treatment of edema in adults [show details]
… clinical features and diagnosis of the generalized edematous states, and the treatment of refractory edema are discussed separately. Treatment of edema consists of reversal of the underlying disorder (if …
5. 重症蛋白尿およびネフローゼ症候群の概要overview of heavy proteinuria and the nephrotic syndrome [show details]
…awakening in the morning and pedal edema are common. Edema is often accompanied by serous effusions when it becomes generalized and massive (anasarca). Less well appreciated manifestations of the nephrotic …

「浮腫」

英: edema
関: 水腫、angioedema、全身性浮腫

分類

	圧痕性浮腫		非圧痕性浮腫
	pitting edema		nonpitting edema
病態	水のみが間質に貯留圧痕を残す		水分＋血漿由来物質の蓄積(ムコ多糖、蛋白質）・炎症細胞の浸潤圧痕を残さない
疾患	fast edema	slow edema	甲状腺機能低下症局所性炎症(蜂窩織炎、虫さされ) 強皮症
	低アルブミン血症	心不全腎不全

低アルブミン血症はfast edema　と覚えておく

浮腫の原因

IMD.518

全身性

心性浮腫

うっ血性心不全

腎性浮腫

肝性浮腫

内分泌性浮腫
栄養失調性浮腫・栄養障害性浮腫
薬剤性浮腫
起立性浮腫
特発性浮腫

局所性

内科診断リファレンス p.4

循環血漿量の増加：心不全、腎疾患(急性腎炎、腎不全)、薬剤(ミノキシジル、NSAID、ピオグリタゾン、フルドロコルチゾン、エストロゲン、甘草)、refeeding edema
低アルブミン血症：ネフローゼ症候群、蛋白漏出性胃腸症、肝疾患、低栄養
血管透過性亢進：熱傷、外傷、炎症・敗血症、アレルギー反応(血管性浮腫など)、好酸球増多、糖尿病、IL-2治療、ビタミンB1欠乏。血管内増殖因子(systemic capillary leak syndrome, POEMS症候群, Castleman病などの血管疾患、卵巣過剰刺激症候群)
リンパ管閉塞：リンパ節切除、癌のリンパ管浸潤
間質膠質浸透圧増加：甲状腺機能低下症
静脈還流不全：深部静脈血栓症、IVC閉塞、SVC症候群、静脈弁不全
その他：カルシウム拮抗薬(細動脈抵抗の低下)、特発性浮腫(血管透過性亢進＋循環血漿量増加)