Depression led pitting edema- A case report

Title : Depression led pitting edema- A case report

Abstract:

Background: Pitting edema is the clinical manifestation generally presented due to long stand, vasodilatation, or cardio-hepato-renal disease or in rare hypothyroidism, but in atypical case  demonstrates depression with progressive stress also shows indication of mild pitting edema.

Case presentation: A 42 years divorced male is under anxiety and depression  medication since 10 years complained of weight gain of 10kg in last 30 days duration, less concentrate in his work and always feel sleepiness also with diminished memory, more specific before 60 days of these symptoms he unexpectedly suffered family tragedy.

Test and lab. investigation: He performed all the test that possibly could lead to diagnosis of foot edema such  as echocardiography, ECG, serum  Creatine,  24 hours urine creatine clearance, total protein, albumin,  the report of all his  test were normal  except  high 24 hours  creatine clearance  therefore no any medication were prescribed, However  after  counselling  and motivation to change on his life style  all his symptoms slowly disappeared  in 90  days duration.

Conclusion; This case is rarest presentation of depression led progressive pitting edema that get managed after appropriate counselling along with changes in his life style.

Key words: Pitting edema, Stress, Depression

Biography:

Niraj Khatri Sapkota has completed his PhD in Molecular Physiology applications to pharmacology at the age of 32 years from Zhejiang University, China, one of the Thomson Reuters and Elsevier best ranked university of the world; he is now working as an Associate Profess or in the Department of Physiology in Chitwan Medical College affiliated to Tribhuvan University, Nepal, on the part of Ayurveda he is actively doing research in affiliation with Asmita Ayurvedic Concern or Clinic. He is an active researcher and academician of his country, Nepal. He has published more than 50 papers both original and review papers as a single author or with collaboration in reputed international journals and is serving as a reviewer, advisory and editorial board member and Editor of more than 30 international reputed journals.