Capillary leak syndrome: Difference between revisions

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'''''Synonyms and Keywords:''''' Systemic Capillary Leak Syndrome, SCLS
'''For patient information, click [[Capillary leak syndrome (patient information)|here]]'''


==Overview==
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [https://www.wikidoc.org/index.php/User:Hassan_M M. Hassan, M.B.B.S]
Capillary Leak Syndrome is a rare [[medical condition]] where the number and size of the [[pore]]s in the [[capillaries]] are increased which leads to a leakage of [[fluid]] from the [[blood]] to the [[interstitial fluid]], resulting in dangerously low [[blood pressure]] ([[hypotension]]), [[edema]] and multiple [[Organ (anatomy)|organ]] failure due to limited [[perfusion]].
{{Capillary leak syndrome}}


==Historical Perspective==
'''''Synonyms and Keywords:''''' Systemic capillary leak syndrome; SCLS; Clarkson's disease.
The [[syndrome]] was first described by Clarkson in 1960.


==Diagnosis==
==[[Capillary leak syndrome overview|Overview]]==
===Symptoms===
Generalized swelling may be present.


===Physical Examination===
==[[Capillary leak syndrome historical perspective|Historical Perspective]]==
====Vitals====
==[[Capillary leak syndrome pathophysiology|Pathophysiology]]==
* Low blood pressure ([[hypotension]])
==[[Capillary leak syndrome causes|Causes]]==
====Skin====
Generalized [[edema]] or [[anasarca]]


===Laboratory Studies===
==[[Capillary leak syndrome differential diagnosis|Differentiating Capillary leak syndrome from other Diseases]]==
* Hemoconcentration
==[[Capillary leak syndrome epidemiology and demographics|Epidemiology and Demographics]]==
* [[Hypoalbuminemia]] without [[albuminuria]]


==Natural hisotry==
==[[Capillary leak syndrome risk factors|Risk Factors]]==
The episode usually consists of two phases


1. The capillary leak phase (1-4 days)
==[[Capillary leak syndrome natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
The initial phase is the capillary leak phase, lasting from 1 to 4 days. Clinical features are [[abdominal pain]], [[nausea]], generalized edema and [[hypotension]] that may result in cardiopulmonary collapse. [[Acute renal failure]] is due to [[acute tubular necrosis]] consequent to [[hypovolemia]] and [[rhabdomyolysis]].


2. Recruitment of the interstitial fluid
==Diagnosis==
The second phase results in the recruitment of the initially extravasated fluid. Intravascular overload with [[polyuria]] and [[pulmonary edema]] often occur. Edema may be more severe due to massive fluid supply in the initial phase. It's necessary to monitor the patient in order to switch to depletion treatment with [[diuretics]] or [[hemofiltration]].
 
[[Capillary leak syndrome history and symptoms|History and Symptoms]] | [[Capillary leak syndrome physical examination|Physical Examination]] | [[Capillary leak syndrome laboratory findings|Laboratory Findings]] | [[Capillary leak syndrome other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
A few [[prophylactic]] treatments have been tried with variable results, principally [[terbutaline]] and [[theophylline]].
==Prognosis==
Mortality is reported in 21% of the 57 cases described. However, better management of this condition has recently led to lower mortality.
==References==
* Dorlands Medical Dictionary 30th Ed.
* [http://www.cancer.gov/Templates/db_alpha.aspx?CdrID=426421 Cancer.gov]
* [http://ndt.oxfordjournals.org/cgi/content/full/17/3/492 Case report in Oxford Journals]
* [http://www.orpha.net/static/GB/capillary_leak_syndrome.html Orphanet (2003)]


[[Capillary leak syndrome medical therapy|Medical Therapy]] | [[Capillary leak syndrome prevention|Prevention]] | [[Capillary leak syndrome cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Capillary leak syndrome future or investigational therapies|Future or Investigational Therapies]]


{{SIB}}
==Case Studies==
[[Capillary leak syndrome case study one|Case #1]]


[[Category:Syndromes]]
[[Category:Syndromes]]
[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Disease]]


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Latest revision as of 18:09, 16 November 2022


For patient information, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: M. Hassan, M.B.B.S

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Synonyms and Keywords: Systemic capillary leak syndrome; SCLS; Clarkson's disease.

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Capillary leak syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1