title: [Refractory oedema: think about systemic capillary leak syndrome].
abstract: Systemic Capillary Leak Syndrome (SCLS) is a rare and recently discovered disease. The diagnosis must be evoked in front of an hypovolaemic shock associated with a refractory anasarca. We report an observation of SCLS and then discuss the diagnostic and therapeutic difficulties. SCLS is diagnosed when a patient meet a compatible clinical situation with an hypoalbuminemia in spite of relative hemoconcentration. Evidence of a monoclonal gammapathy constitute an additional clue.
authors.affiliation: Service de réanimation polyvalente, hôpital Font-pré, 1208, avenue du Colonel-Picot, 83056 Toulon, France. laurentchiche@hotmail.com
authors.forename: L
authors.initials: L
authors.lastname: Chiche
authors.forename: S
authors.initials: S
authors.lastname: Donati
authors.forename: I
authors.initials: I
authors.lastname: Granier
authors.forename: J-M
authors.initials: JM
authors.lastname: Arnal
authors.forename: J
authors.initials: J
authors.lastname: Durand-Gasselin
mesh_terms: D000368:Aged; D019559:Capillary Leak Syndrome / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D006334:Heart Function Tests; D006801:Humans; D008297:Male; D010265:Paraproteinemias / Q000150:complications; D011654:Pulmonary Edema / Q000175:diagnosis* / Q000628:therapy; D012709:Serum Albumin / Q000378:metabolism; D012769:Shock / Q000503:physiopathology
chemical_list: D012709:Serum Albumin