Idiopathic Capillary Leak Syndrome Complicated by Massive Rhabdomyolysis
Idiopathic systemic capillary leak syndrome (Clarkson's disease) is characterized by recurring attacks of increased capillary permeability, resulting in severe hypovolemic shock due to plasma extravasation. Additional laboratory features include association with a monoclonal gammopathy, extreme...
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| Veröffentlicht in: | Chest 1993-07, Vol.104 (1), p.123-126 |
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| container_title | Chest |
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| creator | Dolberg-Stolik, Orit C. Putterman, Chaim Rubinow, Alan Rivkind, Avraham I. Sprung, Charles L. |
| description | Idiopathic systemic capillary leak syndrome (Clarkson's disease) is characterized by recurring attacks of increased capillary permeability, resulting in severe hypovolemic shock due to plasma extravasation. Additional laboratory features include association with a monoclonal gammopathy, extreme hemoconcentration, and hypoalbuminemia. Rare manifestations of this syndrome are renal damage and rhabdomyolysis due to increased compartment pressure and ischemic myonecrosis. We present the findings in two patients with capillary leak syndrome complicated by severe rhabdomyolysis, in one case leading to acute renal failure. We review therapeutic aspects of this rare syndrome and emphasize the importance of early diagnosis and of prompt and aggressive fluid replacement. |
| doi_str_mv | 10.1378/chest.104.1.123 |
| format | Article |
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Additional laboratory features include association with a monoclonal gammopathy, extreme hemoconcentration, and hypoalbuminemia. Rare manifestations of this syndrome are renal damage and rhabdomyolysis due to increased compartment pressure and ischemic myonecrosis. We present the findings in two patients with capillary leak syndrome complicated by severe rhabdomyolysis, in one case leading to acute renal failure. We review therapeutic aspects of this rare syndrome and emphasize the importance of early diagnosis and of prompt and aggressive fluid replacement.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.104.1.123</identifier><identifier>PMID: 8325053</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Acute Kidney Injury - etiology ; Adolescent ; Adult ; Biological and medical sciences ; Blood and lymphatic vessels ; Capillary Permeability - physiology ; Cardiology. Vascular system ; Compartment Syndromes - etiology ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Edema - complications ; Humans ; Male ; Medical sciences ; Plasma ; Rhabdomyolysis - etiology ; Shock - etiology ; Shock - physiopathology ; Syndrome</subject><ispartof>Chest, 1993-07, Vol.104 (1), p.123-126</ispartof><rights>1993 The American College of Chest Physicians</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-d8a7452608253e390ce1100028df89e4b8886f41b863735816161daf5257fc1d3</citedby><cites>FETCH-LOGICAL-c477t-d8a7452608253e390ce1100028df89e4b8886f41b863735816161daf5257fc1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4848629$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8325053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dolberg-Stolik, Orit C.</creatorcontrib><creatorcontrib>Putterman, Chaim</creatorcontrib><creatorcontrib>Rubinow, Alan</creatorcontrib><creatorcontrib>Rivkind, Avraham I.</creatorcontrib><creatorcontrib>Sprung, Charles L.</creatorcontrib><title>Idiopathic Capillary Leak Syndrome Complicated by Massive Rhabdomyolysis</title><title>Chest</title><addtitle>Chest</addtitle><description>Idiopathic systemic capillary leak syndrome (Clarkson's disease) is characterized by recurring attacks of increased capillary permeability, resulting in severe hypovolemic shock due to plasma extravasation. Additional laboratory features include association with a monoclonal gammopathy, extreme hemoconcentration, and hypoalbuminemia. Rare manifestations of this syndrome are renal damage and rhabdomyolysis due to increased compartment pressure and ischemic myonecrosis. We present the findings in two patients with capillary leak syndrome complicated by severe rhabdomyolysis, in one case leading to acute renal failure. We review therapeutic aspects of this rare syndrome and emphasize the importance of early diagnosis and of prompt and aggressive fluid replacement.</description><subject>Acute Kidney Injury - etiology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Capillary Permeability - physiology</subject><subject>Cardiology. Vascular system</subject><subject>Compartment Syndromes - etiology</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Edema - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Plasma</subject><subject>Rhabdomyolysis - etiology</subject><subject>Shock - etiology</subject><subject>Shock - physiopathology</subject><subject>Syndrome</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UEtr3DAQFqUl2aY991TwoeTmjZ62fAxLmwQ2FJL0LGRpXCuVLUfyJvjfR-0uSy5FBzHM95oPoS8Erwmr5YXpIc1rgvmarAll79CKNIyUTHD2Hq0wJrRkVUNP0ceUHnGeSVOdoBPJqMCCrdD1jXVh0nPvTLHRk_Nex6XYgv5T3C-jjWGAYhOGyTujZ7BFuxS3OiX3DMVdr1sbhiX4Jbn0CX3otE_w-fCfoV8_vj9srsvtz6ubzeW2NLyu59JKXXNBKyypYMAabICQnItK28kGeCulrDpOWlmxmglJqvys7gQVdWeIZWfofK87xfC0y8erwSUDOfcIYZdULSRtGK0z8GIPNDGkFKFTU3RDvk4RrP52p_51lyeuiMrdZcbXg_SuHcAe8Yey8v7bYa-T0b6LejQuHWFcclll76Nx7373Ly6CSoP2PouyveVj2MVR-7fGzZ4BubhnB1El42A0YDPbzMoG99_QrxDXmy8</recordid><startdate>19930701</startdate><enddate>19930701</enddate><creator>Dolberg-Stolik, Orit C.</creator><creator>Putterman, Chaim</creator><creator>Rubinow, Alan</creator><creator>Rivkind, Avraham I.</creator><creator>Sprung, Charles L.</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930701</creationdate><title>Idiopathic Capillary Leak Syndrome Complicated by Massive Rhabdomyolysis</title><author>Dolberg-Stolik, Orit C. ; Putterman, Chaim ; Rubinow, Alan ; Rivkind, Avraham I. ; Sprung, Charles L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-d8a7452608253e390ce1100028df89e4b8886f41b863735816161daf5257fc1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Acute Kidney Injury - etiology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Capillary Permeability - physiology</topic><topic>Cardiology. Vascular system</topic><topic>Compartment Syndromes - etiology</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Edema - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Plasma</topic><topic>Rhabdomyolysis - etiology</topic><topic>Shock - etiology</topic><topic>Shock - physiopathology</topic><topic>Syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dolberg-Stolik, Orit C.</creatorcontrib><creatorcontrib>Putterman, Chaim</creatorcontrib><creatorcontrib>Rubinow, Alan</creatorcontrib><creatorcontrib>Rivkind, Avraham I.</creatorcontrib><creatorcontrib>Sprung, Charles L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dolberg-Stolik, Orit C.</au><au>Putterman, Chaim</au><au>Rubinow, Alan</au><au>Rivkind, Avraham I.</au><au>Sprung, Charles L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Idiopathic Capillary Leak Syndrome Complicated by Massive Rhabdomyolysis</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1993-07-01</date><risdate>1993</risdate><volume>104</volume><issue>1</issue><spage>123</spage><epage>126</epage><pages>123-126</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>Idiopathic systemic capillary leak syndrome (Clarkson's disease) is characterized by recurring attacks of increased capillary permeability, resulting in severe hypovolemic shock due to plasma extravasation. Additional laboratory features include association with a monoclonal gammopathy, extreme hemoconcentration, and hypoalbuminemia. Rare manifestations of this syndrome are renal damage and rhabdomyolysis due to increased compartment pressure and ischemic myonecrosis. We present the findings in two patients with capillary leak syndrome complicated by severe rhabdomyolysis, in one case leading to acute renal failure. We review therapeutic aspects of this rare syndrome and emphasize the importance of early diagnosis and of prompt and aggressive fluid replacement.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>8325053</pmid><doi>10.1378/chest.104.1.123</doi><tpages>4</tpages></addata></record> |
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| subjects | Acute Kidney Injury - etiology Adolescent Adult Biological and medical sciences Blood and lymphatic vessels Capillary Permeability - physiology Cardiology. Vascular system Compartment Syndromes - etiology Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Edema - complications Humans Male Medical sciences Plasma Rhabdomyolysis - etiology Shock - etiology Shock - physiopathology Syndrome |
| title | Idiopathic Capillary Leak Syndrome Complicated by Massive Rhabdomyolysis |
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