Hypoproteinemia - 低タンパク血症 -

1) Increased protein losing
・blood loss
・protein losing nephropathy : glomerulonephritis, amyloidosis
・protein losing enteropathy : small intestinal mucosal disease, lymphangiectasis
・protein losing dermatropathy : burns, generalized exudative skin disease
・plasma loss : peritonitis, preuritis, vasculitis

2) Decreased protein synthesis or / and increased protein catabolism
・Hepatic insufficiency
・Malabsorption or maldigestion : intestinal mucosal disease, exocrine pancreatic insufficiency
・Cachectic states : chronic disease, neoplasia, malnutrition, starvation

3) Hemodilution
・Excess administration of intravenous fluid
・Edematous disorder : Congestive heart failure, cirrhosis, Nephrotic syndrome
・Excess ADH secretion : SIADH