| Systemic capillary leak syndrome associated with compartment syndrome and rhabdomyolysis. | |
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MedLine Citation:
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PMID: 16802499 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Systemic capillary leak syndrome (SCLS) is a rare disorder characterized by recurrent spontaneous episodes of hypovolaemic shock due to marked plasma shifts from the intravascular to the extravascular space. This presents as the characteristic triad of hypotension, haemoconcentration and hypoalbuminemia often with an associated monoclonal gammopathy. We describe a patient with SCLS who required aggressive fluid resuscitation and emergency fasciotomies for compartment syndrome with rhabdomyolysis. At presentation the patient was considered to have severe erythrocytosis and was therefore initially referred to a haematologist, which appears to be a frequent sequence of presentation for patients with SCLS. This patient also highlights the importance of muscle compartment pressure monitoring during volume resuscitation in patients with SCLS. |
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Authors:
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R Sanghavi; A Aneman; M Parr; L Dunlop; D Champion |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 34 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-06-28 Completed Date: 2006-09-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
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Languages: eng Pagination: 388-91 Citation Subset: IM |
Affiliation:
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Intensive Care Unit and Haematology Department, Liverpool Hospital, University of New South Wales, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Capillary Leak Syndrome
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complications*,
diagnosis Compartment Syndromes / complications* Humans Kidney Failure, Acute / complications Male Middle Aged Polycythemia / complications Rhabdomyolysis / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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