All of the following statements regarding idiopathic edema are true, EXCEPT:
Idiopathic edema is an ill-defined syndrome characterized by intermittent pitting edema secondary to Na and water retention. There is only very little evidence to prove that sodium retension is occuring under the influence of estrogen. Patients present with swelling of legs, hand, rarely face along with abdominal bloating. It occurs almost exclusively in women and is much worse with prolonged standing. Cyclic idiopathic edema is associated with conditions such as lipedemia, chronic venous insufficiency and lympheodema. Ref: Diseases of The Kidney and Urinary Tract By Robe W. Schrier, 8th Edition, Pages 2151-2158 ; Lymphedema Management: The Comprehensive Guide for Practitioners By Joachim Zuther, 2nd Edition, Page 104
It is due to estrogen mediated sodium retention
It is not related to menstrual cycle
It is associated with an increased water retention in upright position
In some cases ACEI is useful