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The Journal of the Royal Society for the Promotion of Health
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Oedema in childhood

A.K.C. Leung

The University of Calgary, Paediatric Consultant, Alberta Children's Hospital, 1820 Richmond Road SW, Calgary, Alberta T2T 5C7, Canada

W.L.M. Robson

Brown University, Providence, Rhode Island, USA, Memorial Hospital of Rhode Island, USA

Oedema is a common childhood problem with important public health implications. It is an abnormal accumulation of fluid in the interstitial space which might result from a decrease in intravascular oncotic pressure, an increase in intravascular hydrostatic pres sure, an increase in capillary permeability or impaired lymphatic drainage. Renal sodium retention is an important factor in gener alised oedema. This article reviews the pathophysiology and aetiology of oedema in children and suggests an approach to evalu ation, diagnosis and management of the problem.

Key Words: Diuretic • oedema • sodium • Starling forces • water

The Journal of the Royal Society for the Promotion of Health, Vol. 120, No. 4, 212-219 (2000)
DOI: 10.1177/146642400012000407


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