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cachexia

  (kə-kĕk'sē-ə) pronunciation
n.

Weight loss, wasting of muscle, loss of appetite, and general debility that can occur during a chronic disease.

[Late Latin, from Greek kakhexiā : kako-, caco- + hexis, condition (from ekhein, to have).]


 
 

The severe wasting syndrome that accompanies such diseases as cancer, infection, or parasitic infestation. The causes of cachexia are only partially understood. However, it is clear that most cachexia is caused by diminished consumption of nutrients rather than by a hypermetabolic state.

Anorexia, the proximal cause of this problem, is thought to be related to the expression of endogenous factors collectively termed cytokines, some of which have now been identified. For example, tumor necrosis factor, a protein (also known as cachectin), when administered to animals for a long period of time, causes a syndrome of cachexia indistinguishable from that produced by chronic disease. It is likely that other cytokines are also involved, and that together these agents cause wasting of such severity that it may lead to death in a wide variety of diseases. See also Anorexia nervosa; Cytokinesis.

The cytokines that cause cachexia are produced mainly by cells of the immune system, especially macrophages. Synthesis is triggered by contact with molecules produced by microbial pathogens or tumor cells. Rational strategies for alleviation of cachexia include eradicating the underlying infection or tumor, blocking cytokine synthesis with agents that specifically interrupt the requisite signaling pathways, or inhibiting cytokine activity with specific antibodies or other antagonists. Oral or intravenous administration of nutrients is likely to be effective if the process has not advanced to a point at which utilization of nutrients is impaired. See also Oncology.


 

The condition of extreme emaciation and wasting seen in patients with advanced diseases such as cancer and AIDS. Due partly to an inadequate intake of food and mainly the effects of the disease in increasing metabolic rate (hypermetabolism) and the breakdown of tissue protein.

 
(kəkek′sē-ə)
n

Weakness, loss of weight, atrophy, and emaciation caused by severe or chronic disease.

 

A profound and marked state of constitutional disorder; general ill health and malnutrition. See also emaciation.

  • cardiac c. — severe wasting that occurs in association with chronic cardiac insufficiency. The result of anorexia, malabsorption and poor tissue perfusion with cellular anoxia.
  • pituitary c. — that due to diminution or absence of pituitary function. Manifested by progressive loss of body weight associated with muscle atrophy due to lack of protein anabolism in the absence of growth hormone.
 
Wikipedia: cachexia
Name of Symptom/Sign:
Cachexia
Classifications and external resources
ICD-10 R64
ICD-9 799.4

Cachexia (pronounced IPA: /kəˈkɛksiə/) is loss of weight, muscle atrophy, fatigue, weakness and significant loss of appetite in someone who is not actively trying to lose weight. It can be a sign of various underlying disorders; when a patient presents with cachexia, a doctor will generally consider the possibility of cancer, certain infectious diseases (e.g. tuberculosis, AIDS) and some autoimmune disorders. Cachexia physically weakens patients to a state of immobility stemming from loss of appetite, asthenia, and anemia, and response to standard treatment is usually poor.

Disease settings

Cachexia is often seen in end-stage cancer, and in that context is called "cancer cachexia". It was also prevalent in AIDS patients before the advent of triple-therapy for that condition; now it is seen less frequently in those countries where such treatment is available. In those patients who have Congestive Heart Failure, there is also a cachectic syndrome. Also, a cachexia co-morbidity is seen in patients that have any of the range of illnesses classified as "COPD" (Chronic obstructive pulmonary disease), particularly emphysema.

In each of these settings there is full-body wasting, which hits the skeletal muscle especially hard, resulting in muscle atrophy.

Mechanism

The exact mechanism in which these diseases cause cachexia is poorly understood, but there is probably a role for inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α) -which is also nicknamed cachexin for this reason-, Interferon gamma (IFNɣ), and Interleukin 6 (IL-6), as well as the tumor secreted proteolysis inducing factor (PIF).

Related malnutrition syndromes are kwashiorkor and marasmus, although these do not always have an underlying causative illness; they are most often symptomatic of severe malnutrition.

Those suffering from the eating disorder anorexia nervosa appear to have high plasma levels of ghrelin. Ghrelin levels are also high in patients who have cancer-induced cachexia (Garcia et al 2005).

See also

External links


 
 

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Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2007. Published by Houghton Mifflin Company. All rights reserved.  Read more
Sci-Tech Encyclopedia. McGraw-Hill Encyclopedia of Science and Technology. Copyright © 2005 by The McGraw-Hill Companies, Inc. All rights reserved.  Read more
Food and Nutrition. A Dictionary of Food and Nutrition. Copyright © 1995, 2003, 2005 by A. E. Bender and D. A. Bender. All rights reserved.  Read more
Dental Dictionary. Mosby's Dental Dictionary. Copyright © 2004 by Elsevier, Inc. All rights reserved.  Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Cachexia" Read more

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