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Related Experiment Videos

Systemic capillary leak syndrome. Case report.

D D Sabbadini1, R Peressutti, A Di Silvestre

  • 1Second Division of Anesthesia Resuscitation and Antalgic Therapy, Santa Maria della Misericordia Hospital, Udine, Italy. dariodavide.sabbadini@poste.it

Minerva Anestesiologica
|February 15, 2003
PubMed
Summary

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Systemic capillary leak syndrome (SCLS) is a rare condition causing shock, fluid shifts, and organ failure. Early diagnosis and treatment with theophylline and terbutaline may improve patient outcomes.

Area of Science:

  • Internal Medicine
  • Critical Care Medicine
  • Rare Diseases

Background:

  • Systemic capillary leak syndrome (SCLS) is a rare disorder characterized by recurrent episodes of hypotension, hemoconcentration, and hypoproteinemia.
  • It involves unexplained episodic capillary hyperpermeability, leading to fluid and protein shifting from the intravascular to the interstitial space.

Observation:

  • A 59-year-old male presented with unexplained shock, hemoconcentration, renal failure, and metabolic acidosis.
  • Initial resuscitation attempts with crystalloids and dopamine were unsuccessful.
  • Diagnostic imaging (CT, TEE, X-ray) and absence of infection/anaphylaxis were noted.

Findings:

  • The patient was resuscitated with aggressive fluid infusion and norepinephrine.
  • Diagnosis was based on prior shock episodes, hemoconcentration, and negative cardiopulmonary findings.

Related Experiment Videos

  • Monoclonal immunoglobulin G, kappa chain, in serum confirmed the SCLS diagnosis.
  • Implications:

    • SCLS must be considered in the differential diagnosis of idiopathic and anaphylactic shock.
    • Prophylactic treatment with theophylline and terbutaline may benefit SCLS patients.
    • This case highlights the diagnostic challenges and potential therapeutic strategies for SCLS.