Capillary leak syndrome with tamponade
A creatine kinase level of 60,000 units (U)/L (reference range 0–250 U/L) was attributed to severe muscle oedema and a resultant widespread compartment syndrome. Cases associated with both autoimmune diseases and drugs such as oxaliplatin have been described.2 The median age of patients diagnosed wi...
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Published in | Anaesthesia and intensive care Vol. 47; no. 3; pp. 305 - 306 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
London, England
SAGE Publications
01.05.2019
Sage Publications Ltd |
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Abstract | A creatine kinase level of 60,000 units (U)/L (reference range 0–250 U/L) was attributed to severe muscle oedema and a resultant widespread compartment syndrome. Cases associated with both autoimmune diseases and drugs such as oxaliplatin have been described.2 The median age of patients diagnosed with CLS in one series was 55 years.1 CLS presents as recurrent episodes of shock and anasarca. The syndrome is characterised by three different stages; a flu-like prodrome, transient leakage of fluid and proteins at a capillary level, and finally resolution.1 The second stage is characterised by hypotension and oedema, and can mimic septic shock.3 Angioedema and anaphylaxis, which have plasma leakage as part of their pathophysiology, should also be considered in the differential diagnosis.4 Although CLS is a clinical diagnosis, a paraprotein may be present between attacks.1 Initial investigations will reveal intravascular hypovolaemia, haemoconcentration and hypoalbuminaemia.4,5 Proteinuria is absent.1 Fluid can accumulate in any organ or potential space, causing a range of complications: respiratory failure (from pulmonary oedema or pleural effusions), shock (from hypovolaemia or cardiac tamponade), mesenteric ischaemia (from severe oedema of the gut and hepatic congestion) and, as in this case, compartment syndrome and rhabdomyolysis (from muscle oedema).1 In the acute phase, IVIg is recommended to decrease mortality.6 The use of plasmapheresis has been described.1 Judicious fluid therapy in the early resuscitation period is important. |
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AbstractList | A creatine kinase level of 60,000 units (U)/L (reference range 0–250 U/L) was attributed to severe muscle oedema and a resultant widespread compartment syndrome. Cases associated with both autoimmune diseases and drugs such as oxaliplatin have been described.2 The median age of patients diagnosed with CLS in one series was 55 years.1 CLS presents as recurrent episodes of shock and anasarca. The syndrome is characterised by three different stages; a flu-like prodrome, transient leakage of fluid and proteins at a capillary level, and finally resolution.1 The second stage is characterised by hypotension and oedema, and can mimic septic shock.3 Angioedema and anaphylaxis, which have plasma leakage as part of their pathophysiology, should also be considered in the differential diagnosis.4 Although CLS is a clinical diagnosis, a paraprotein may be present between attacks.1 Initial investigations will reveal intravascular hypovolaemia, haemoconcentration and hypoalbuminaemia.4,5 Proteinuria is absent.1 Fluid can accumulate in any organ or potential space, causing a range of complications: respiratory failure (from pulmonary oedema or pleural effusions), shock (from hypovolaemia or cardiac tamponade), mesenteric ischaemia (from severe oedema of the gut and hepatic congestion) and, as in this case, compartment syndrome and rhabdomyolysis (from muscle oedema).1 In the acute phase, IVIg is recommended to decrease mortality.6 The use of plasmapheresis has been described.1 Judicious fluid therapy in the early resuscitation period is important. |
Author | Frederick J Lee Gerard V Moynihan Matt R Zoeller Patrick CK Teo |
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References | Pineton de Chambrun, Luyt, Beloncle 2017; 45 Druey, Parikh 2017; 140 Pineton de Chambrun, Gousseff, Mauhin 2017; 130 Hirosaki, Hayashidani, Ouchi 2015; 9 Kapoor, Greipp, Schaefer 2010; 85 Anderson, Peterson 2016; 22 bibr1-0310057X19845380 bibr4-0310057X19845380 bibr3-0310057X19845380 bibr2-0310057X19845380 bibr5-0310057X19845380 bibr6-0310057X19845380 |
References_xml | – volume: 140 start-page: 663 year: 2017 end-page: 670 article-title: Idiopathic systemic capillary leak syndrome (Clarkson disease). publication-title: J Allergy Clin Immunol contributor: fullname: Parikh – volume: 85 start-page: 905 year: 2010 end-page: 912 article-title: Idiopathic systemic capillary leak syndrome (Clarkson's disease): The Mayo clinic experience. publication-title: Mayo Clin Proc contributor: fullname: Schaefer – volume: 130 year: 2017 article-title: . Intravenous immunoglobulins improve survival in monoclonal gammopathy-associated systemic capillary-leak syndrome. publication-title: Am J Med contributor: fullname: Mauhin – volume: 22 start-page: 725 year: 2016 end-page: 728 article-title: Systemic capillary leak syndrome in a patient receiving adjuvant oxaliplatin for locally advanced colon cancer. publication-title: J Oncol Pharm Pract contributor: fullname: Peterson – volume: 45 start-page: 1216 year: 2017 end-page: 1223 article-title: The clinical picture of severe systemic capillary-leak syndrome episodes requiring ICU admission. publication-title: Crit Care Med contributor: fullname: Beloncle – volume: 9 start-page: 90 year: 2015 article-title: A fatal case of acute progression of generalized edema and simultaneous flash pulmonary edema in a patient with idiopathic systemic capillary leak syndrome: A case report. publication-title: J Med Case Rep contributor: fullname: Ouchi – ident: bibr4-0310057X19845380 doi: 10.1016/j.jaci.2016.10.042 – ident: bibr2-0310057X19845380 doi: 10.1177/1078155215591388 – ident: bibr6-0310057X19845380 doi: 10.1016/j.amjmed.2017.05.023 – ident: bibr5-0310057X19845380 doi: 10.1097/CCM.0000000000002496 – ident: bibr3-0310057X19845380 doi: 10.1186/s13256-015-0544-5 – ident: bibr1-0310057X19845380 doi: 10.4065/mcp.2010.0159 |
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Title | Capillary leak syndrome with tamponade |
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