Oelkers W, Rawer C, Wiederholt M, Schöneshöfer M, Palicki H
Klin Wochenschr. 1977 May 15;55(10):495-502. doi: 10.1007/BF01489008.
The clinical picture and the course of idiopathic edema is described after evaluating catamnestic questionnaires on 39 patients. It appears that the syndrome often occurs in other female family members, especially in mothers of propositi and that two thirds of patients have also suffered from symptoms of allergy. In contrast to observations of other groups, diabetes mellitus and slight hypoalbuminemia were found only in a few patients. Secondary hyperaldosteronism was almost exclusively observed in patients who had been taking diuretics during the last few days before the measurements were done. The plasma concentrations of 6 other adrenal steroidal hormones were measured in 33 patients. Only in few of them, mostly patients who had taken diuretics, increased level of 11-deoxycorticosterone, 18-OH-11-deoxycorticosterone and corticosterone were observed. Idiopathic edema does not seem to be a disease entity, but some prediposing factor related to the female reproductive system is likely to exist. Results of systematic psychosomatic studies in our patients will be reported later on.
在对39例患者的病史调查问卷进行评估后,描述了特发性水肿的临床表现和病程。结果显示,该综合征常发生于其他女性家庭成员中,尤其是先证者的母亲,并且三分之二的患者也有过敏症状。与其他组的观察结果不同,仅在少数患者中发现糖尿病和轻度低白蛋白血症。继发性醛固酮增多症几乎仅在测量前最后几天服用利尿剂的患者中观察到。对33例患者测量了其他6种肾上腺甾体激素的血浆浓度。仅在少数患者中,主要是服用利尿剂的患者,观察到11-脱氧皮质酮、18-羟基-11-脱氧皮质酮和皮质酮水平升高。特发性水肿似乎不是一种疾病实体,但可能存在一些与女性生殖系统相关的易感因素。我们患者的系统心身研究结果将在稍后报告。