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Cause analysis of diabetic nephropathy edema(2)

2017-02-02 16:40

3, diabetic peripheral neuropathy diabetic peripheral edema in the lower  extremities, and posture, activity related. This is because the plant nerve (mainly sympathetic) damage, caused  by peripheral vascular dilatation and congestion, lower extremity venous congestion and edema; in addition, nerve nutrition disorders caused by local capillary permeability increase, will lead to lower extremity edema.Edema due to diabetic neuropathy, mostly with acral numbness and pain, sock like loss and other symptoms, can be distinguished. 
4, diabetic patients with lower extremity vascular disease when patients with lower extremity   venous lesions (such as deep venous thrombosis, venous insufficiency), leading to venous obstruction caused by  portal hypertension, lower extremity edema can occur, but often showed unilateral edema. 
5, diabetic foot 
infection of patients with injury of foot skin infection, inflammation can also cause edema, such patients are often accompanied by local skin temperature, skin redness, pain and other acute inflammatory manifestations. 
6, diabetes with severe malnutrition in some patients with diabetes, as a result of long-term dieting, heat and protein intake is not enough, leading to low blood pressure and malnutrition edema. 
7, some hypoglycemic drugs 
and antihypertensive drugs can cause water sodium retention, resulting in lower extremity edema. The former such as insulin, two thiazolidinediones (such as rosiglitazone, pioglitazone); the latter such as calcium antagonists (such as nifedipine, amlodipine). The common feature is edema occurred in the drug,shortly after discontinuationof disappearance. 

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