Limited to a particular organ or vascular bed; easily distinguished from generalized edema. Unilateral extremity edema is usually due to venous or lymphatic obstruction (e.g., deep venous thrombosis, tumor obstruction, primary lymphedema). Stasis edema of a paralyzed lower extremity also may occur. Allergic reactions (angioedema) and superior vena caval obstruction are causes of localized facial edema. Bilateral lower-extremity edema may have localized causes, e.g., inferior vena caval obstruction, compression due to ascites, and abdominal mass. Ascites (fluid in peritoneal cavity) and hydrothorax (in pleural space) also may present as isolated localized edema, due to inflammation or neoplasm.
Section 3. Common Patient Presentations