Anasarca in a 35 year old man- A diagnostic dilemma

Main Article Content

Okafor UH*
Okorie GO
Ede S

Abstract

Anasarca is generalized swelling of the body following accumulation of fluid in the extracellular compartments. It may result from multiple aetiology mainly of renal, hepatic or cardiovascular origin.


The aim of this case report is to highlight the challenges encountered in making diagnosis in a patient with anarsaca.


We report a case of a 34 year old transporter who presented with anasarca. He had clinical features and risk factors suggestive of renal, hepatic and cardiovascular disease. However investigations ruled out renal, hepatic or cardiovascular diseases as the aetiology of the anarsaca. The anarsarca was also noted to be unresponsive to diuretics. The diagnosis of the disease causing the anarsaca was therefore a dilemma.

Article Details

UH, O., GO, O., & S, E. (2019). Anasarca in a 35 year old man- A diagnostic dilemma. Archives of Case Reports, 3(1), 014–016. https://doi.org/10.29328/journal.acr.1001014
Case Reports

Copyright (c) 2019 Okafor UH, et al.

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de Pietro M. What is anasarca?. Medical News Today. https://www.medicalnewstoday.com/articles/320906.php. last Accessed June 2, 2019

Klanderman RB, Bosboom JJ, Migdady Y, Veelo DP, Geerts BF, et al. Transfusion-associated circulatory overload-a systematic review of diagnostic biomarkers. Transfusion. 2019; 59: 795-805. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30488959

Sica DA. Calcium Channel Blocker Related Peripheral Edema: Can It Be Resolved? J Clin Hypertens. 2003; 5: 291-295. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12939574

Chapter1: Definition and classification of CKD. Kidiney Int suppl 2013; 3: 19 - 62.

Dixit R, Gupta R, Dave L, Prasad N, Sharma S. Clinical profile of patients having pulmonary tuberculosis and renal amyloidosis. Lung India. 2009; 26: 41-5. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20440393

Mandal SK, Sil K, Ganguly J, Chatterjee K, Chatterjee S, et al. Two cases of nephrotic syndrome with different etiologies. Ann Trop Med Public Health. 2013; 6: 105-8.

Dayal D, Ashim Das, Pilanrsi KR. Anarsaca as the initial Manifestation of Tuberculosis Pericarditis in a child. Journ Paed Inf Dis. 2017; 26: 2019.

Bansal M, Pathak K, Pathak S. Chronic pulmonary tuberculosis and anasarca: a classic revisited. BMJ Case reports 2009; 26: 2019. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21829420

Airaghi l, MontoriD, Santambrogio L, Miadonna A, Tedeschi A. Chronic systemic capillary leak syndrome. Report of a case and review of the literature. Journ int med. 2001; 247: 2019. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10886496