Systemic capillary leak syndrome: two cases report

被引:5
作者
Sahnoun, I [1 ]
Harmouche, H [1 ]
Aouni, M [1 ]
Mezalek, ZT [1 ]
Adnaoui, M [1 ]
Mohattane, H [1 ]
Maaouni, A [1 ]
机构
[1] Hop Ibn Sina, Serv Med Interne, Rabat, Morocco
来源
REVUE DE MEDECINE INTERNE | 2005年 / 26卷 / 05期
关键词
severe hypovolemic chock; systemic capillary leak syndrome; capillary hyperpermeability; Clarkson syndrome; rhabdomyolysis;
D O I
10.1016/j.revmed.2004.12.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction. - Systemic capillary leak syndrome (SHCI) is a rare disease with poor prognosis, characterized by recurrent episodes of generalized edema and hypotension. Exegesis. - Two patients a 41 and 34-year-old woman were admitted with a generalized edema and several episode of shock. One patient had muscular edema with compartment syndrome imposing the aponevrotomia of discharge in emergency. The association of elevated hematocrit, decreased albumin serum concentration confirmed the diagnosis of SHCI. Administration of intravenous fluids improved the clinical and biological symptomatology. Conclusion. - These two new observations are comparable to the published cases. We didn't find dysalobulinemia whose existence is frequented. The treatment of shock requires macromolecules solutions. The preventive treatment remains empiric. (c) 2005 Elsevier SAS. Tons droits reserves.
引用
收藏
页码:409 / 414
页数:6
相关论文
共 27 条
[1]   Chronic systemic capillary leak syndrome. Report of a case and review of the literature [J].
Airaghi, L ;
Montori, D ;
Santambrogio, L ;
Miadonna, A ;
Tedeschi, A .
JOURNAL OF INTERNAL MEDICINE, 2000, 247 (06) :731-735
[2]   Systemic capillary leak syndrome:: Report on 13 patients with special focus on course and treatment [J].
Amoura, Z ;
Papo, T ;
Ninet, J ;
Hatron, PY ;
Guillaumie, J ;
Piette, AM ;
Blétry, O ;
Dequiedt, P ;
Talasczka, A ;
Rondeau, E ;
Dutel, JL ;
Wechsler, B ;
Piette, JC .
AMERICAN JOURNAL OF MEDICINE, 1997, 103 (06) :514-519
[3]  
Amoura Z, 1997, STV, V9, P179
[4]  
Andrès E, 2000, PRESSE MED, V29, P1279
[5]   Initial evidence of endothelial cell apoptosis as a mechanism of systemic capillary leak syndrome [J].
Assaly, R ;
Olson, D ;
Hammersley, J ;
Fan, PS ;
Liu, J ;
Shapiro, JI ;
Kahaleh, MB .
CHEST, 2001, 120 (04) :1301-1308
[6]   SYSTEMIC CAPILLARY LEAK SYNDROME AND MONOCLONAL IGG GAMMOPATHY - STUDIES IN A 6TH PATIENT AND A REVIEW OF LITERATURE [J].
ATKINSON, JP ;
WALDMANN, TA ;
STEIN, SF ;
GELFAND, JA ;
MACDONALD, WJ ;
HECK, LW ;
COHEN, EL ;
KAPLAN, AP ;
FRANK, MM .
MEDICINE, 1977, 56 (03) :225-239
[7]   Evidence for a structural motif in toxins and interleukin-2 that may be responsible for binding to endothelial cells and initiating vascular leak syndrome [J].
Baluna, R ;
Rizo, J ;
Gordon, BE ;
Ghetie, V ;
Vitetta, ES .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1999, 96 (07) :3957-3962
[8]  
Bénédit M, 2000, ANN FR ANESTH, V19, P761
[9]   Encephalopathy due to capillary leak syndrome [J].
Bertorini, TE ;
Gelfand, MS ;
OBrien, TF .
SOUTHERN MEDICAL JOURNAL, 1997, 90 (10) :1060-1062
[10]   CAPILLARY LEAK SYNDROME - ONE MORE CASE [J].
BRECHIGNAC, X ;
COPPERE, B ;
PINEDE, L ;
NINET, J ;
RAGUE, SD ;
DUHAUT, P ;
PASQUIER, J .
REVUE DE MEDECINE INTERNE, 1995, 16 (03) :227-228