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DOI: 10.1055/a-1781-6589
Wichtige Differentialdiagnosen des Beinödems – ein kurzer Praxisleitfaden
Important Differential Diagnosis of Leg Edema – a Short Practical Guideline
Zusammenfassung
Das differenzialdiagnostische Spektrum der Beinödeme ist vielfältig und umfasst sowohl phlebologische, entzündliche, traumatologische, medikamentöse und andere systemische und regionale Ursachen und Erkrankungen.
Um die Ursachen für Beinödeme bestmöglich abzuklären, sind eine ausführliche Anamnese und klinische Untersuchung entscheidend. Die Lokalisation der Beinschwellung, Beginn und Dauer der Beschwerden, Schmerzsymptomatik, Allgemeinsymptome, Vorerkrankungen und bestehende Hautveränderungen können wichtige Hinweise auf mögliche zugrunde liegende Ursachen liefern. Nach Eingrenzung der möglichen Differenzialdiagnosen können gezielte apparative und laborchemische Untersuchungen ergänzend angeschlossen werden, um die Diagnose zu sichern und die richtige Therapie einzuleiten.
Abstract
There is a broad variety of differential diagnosis of leg edema including phlebological, inflammatory, traumatological, drug induced and other systemic and regional causes and conditions. To clarify the most likely cause of leg edema detailed medical history and clinical examination are crucial. Localization of the edema, onset, duration and quality of the symptoms, general medical condition, medical history as well as skin findings can be key to the etiology of leg edema. Additionally instrumental and laboratory examinations can be added to secure the diagnosis and start the correct treatment.
Schlüsselwörter
Beinödem - tiefe Beinvenenthrombose - chronisch venöse Insuffizienz (CVI) - Lymphödem - LipödemPublication History
Article published online:
28 April 2022
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