A clinical case of edematous syndrome: diagnostic search and treatment tactics of a complex patient in compliance with the internarial and domestic recommendations

Edematous syndrome is quite common in modern clinical practice. Swelling one of the most complaints that cause patient to consult a doctor and often become first manifestation many diseases. Fluid makes up approximately 3/5 human body weight, 70% which located cells, about 30% extracellular. There constant exchange electrolytes other substances involved metabolism between cell extracellular fluid. Subcutaneous connective tissue under normal conditions contains minimal amount Edema fluid formed from blood plasma, pathological influence various factors unable retain water vascular bed, accumulates excessive amounts tissues. Often, refers with main complaint — appearance edema, correct interpretation origin edema important at this stage, because they are marker reflects severity and/or decompensation disease. Therefore, detailed comprehensive differential diagnosis edematous allows choosing optimal tactics patient’s treatment.
 The authors present case diagnostic search treatment for based on global national recommendations. Patient V., 1983 year birth, May 8th, 2023, visited nephrologist L. T. Mala National Therapy Institute. She believed kidney disease caused swelling her face lower limbs. However, considering long history intestinal dysfunction, protein loss was revised as gastroenterological pathology. referred gastroenterologist. An extensive conducted, allowed not only establish diagnosis, but also administer an effective therapy.