Idiopathic or cyclical edema, also called periodic edema or “swelling,” occurs almost exclusively in adult women. It is characterized by excessive diurnal weight gain with development of peripheral edema when the patient is in the upright position.205,206 It is more common in obese women and occurs in the absence of demonstrable cardiac, hepatic, or renal disease or abnormalities in serum protein levels. Idiopathic edema is often associated with headache, increased irritability, and depression and appears to occur more frequently just before menses. Because idiopathic edema is a diagnosis that was made much more commonly previously, it is possible that this disorder is a part of the syndrome comprising premenstrual tension (see Chap. 99). This possibility is made more likely by the observation that patients with significant periodic edema often have severe psychologic disturbances.

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

Aug 29, 2016 | Posted by in ENDOCRINOLOGY | Comments Off on IDIOPATHIC OR CYCLIC EDEMA

Full access? Get Clinical Tree

Get Clinical Tree app for offline access