Anasarka

Classification according to ICD-10
R60.1	Anasarka
ICD-10 online (WHO version 2019)

Child with massive edema (anasarca) due to malaria-related renal failure

An anasarka ( gr. Hydrōps ana sarka , above the muscles) is a non-inflammatory edema of the subcutaneous tissue .

The fluid is usually stored in soft tissues , for example in the back or on the flanks . Such edema often occurs in patients with right heart failure or who have increased fluid intake with reduced urine output ( oliguria ) or lack of urine output ( anuria ). It can also be observed in the event of a protein deficiency.

There is hypervolaemia within the blood vessels . This increases the hydrostatic pressure in the vessel; however, the oncotic pressure opposing the hydrostatic pressure is not. The result is increased filtration pressure. There is a transfer of fluid from the vessel into the surrounding tissue. The result is the above-mentioned edema.

Edema occurs not only in the soft tissues, but also especially in right heart failure in the stomach and the subsequent digestive organs, so that the absorption of drugs is disturbed; these must then be given parenterally .

literature

• Wolfgang Gerok (Hrsg.): The internal medicine: reference work for the specialist. Schattauer Verlag, 2007. ISBN 9783794522224 . P. 1520f.
• Ulrich Herpertz: Edema and Lymph Drainage: Diagnosis and Therapy of Edema Diseases. Schattauer Verlag, 2010. ISBN 9783794527038 . P. 74
• Eberhard Merz: Obstetrics: textbook and atlas in two volumes. Volume 2. Thieme, 2001. ISBN 9783131576422 . P. 359
• Günther Bringezu, Otto Schreiner: Textbook of decongestive therapy: Basics, description and evaluation of the procedures, treatment concepts for practice. Springer-Verlag, 2014. ISBN 9783642549229 . P. 58

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !

Individual evidence

1. ↑ Günther Bringezu, Otto Schreiner: Textbook of decongestion therapy: Basics, description and evaluation of the procedures, treatment concepts for practice. Springer-Verlag, 2014. ISBN 9783642549229 . P. 58
2. ↑ ^{a b} Thomas Meinertz: Edema. In: Wolfgang Gerok (Hrsg.): The internal medicine: reference work for the specialist. Schattauer Verlag, 2007. ISBN 9783794522224 . P. 1520f.
3. ↑ Ulrich Herpertz: Edema and Lymph Drainage: Diagnosis and Therapy of Edema Diseases. Schattauer Verlag, 2010. ISBN 9783794527038 . P. 74