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Etiology 

Causes of Anasarca

Heart Failure 

heart is unable to pump blood effectively→ backup of blood in the veins→ fluid to leak from blood vessels into surrounding tissues

Kidney Disease 

Glomerulus loses their ability to filter waste properly → protein (albumin) leak into the urine → hypoalbuminemia → Osmotic pressure decreases → fluid retention and swelling.  

Liver Disease

advanced liver scarring that impairs liver function and blood flow, causing

  • Portal hypertension → fluid buildup in the abdomen (ascites).

  • Reduced production of albumin→ further contributing to fluid leakage into tissues, leading to anasarca. 

Steroid Hormones/Antihypertensive medications

cause fluid retention as a side effect by promoting sodium and water retention in the kidneys.

Malnutrition/GI Disease

malabsorption of nutrients→ hypoalbuminemia → decrease in osmotic pressure in the blood vessels → fluid leak into surrounding tissues

Inflammatory Disease/Infection:

inflammatory responses → increase capillary permeability→ fluid to leak into tissues

Lymphatic system issues

Lymphatic system helps drain excess fluid from tissues. When there is a lymphatic obstruction, fluid accumulates in the tissues

Hypothyroidism

Metabolism slows down, and the kidneys may retain more sodium and water.  

Allergic reactions

inflammatory mediators such as histamine → fluid leakage from blood vessels 

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