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    Non-pitting edema is seen in which of the following diseases?
    Question

    Non-pitting edema is seen in which of the following diseases?

    A.

    Filariasis

    B.

    Congestive heart failure

    C.

    Nephrotic syndrome

    D.

    Liver Cirrhosis

    Correct option is A


    Ans. (a) Filariasis
    Explanation:
    Edema is an abnormal accumulation of fluid in the tissues. It is classified into pitting edema and non-pitting edema based on how it responds to pressure.
    Non-Pitting Edema:
    · Definition: When pressure is applied to the swollen area, no indentation remains after releasing the pressure.
    · Cause: Due to lymphatic obstruction, leading to protein-rich fluid accumulation (lymphedema) in the tissues.
    Diseases causing Non-Pitting Edema:
    Filariasis (Lymphatic Filariasis)Correct Answer
    · Cause: Wuchereria bancrofti (most common), Brugia malayi
    · Mechanism:
    · Parasitic infection blocks lymphatic drainage, leading to chronic lymphedema (elephantiasis).
    · The swelling becomes fibrotic and hard, characteristic of non-pitting edema.
    · Common Sites: Legs, scrotum, arms, breasts.
    Why are the other options incorrect?
    1. Congestive Heart Failure (CHF) → (Incorrect Choice)
    · Causes pitting edema due to increased hydrostatic pressure, leading to fluid accumulation in dependent areas (legs, ankles, lungs - pulmonary edema).
    2. Nephrotic Syndrome → (Incorrect Choice)
    · Causes pitting edema due to hypoalbuminemia (loss of albumin in urine), reducing oncotic pressure and leading to fluid leakage into tissues.
    3. Liver Cirrhosis → (Incorrect Choice)
    · Causes pitting edema due to low albumin levels (hypoalbuminemia) and portal hypertension, leading to ascites and peripheral edema.

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