[Refractory oedema: think about systemic capillary leak syndrome].
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.
Chiche
L
L
Service de réanimation polyvalente, hôpital Font-pré, 1208, avenue du Colonel-Picot, 83056 Toulon, France. laurentchiche@hotmail.com
Donati
S
S
Granier
I
I
Arnal
J-M
JM
Durand-Gasselin
J
J
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
D012709:Serum Albumin