Systemic capillary leak syndrome associated with compartment syndrome.
Systemic capillary leak syndrome is characterized by recurrent hypovolemic shock attributable to increased systemic capillary leakage. A 26-year-old woman was admitted because of recurrent episodes of hypovolemic shock. Hemoconcentration, hypoalbuminemia, and monoclonal gammopathy were observed. We diagnosed systemic capillary leak syndrome. Three years later, she again had an attack of systemic capillary leak syndrome complicated with pretibial compartment syndrome. This case emphasizes the importance of muscle compartment pressure monitoring during volume resuscitation in patients with systemic capillary leak syndrome.
Matsumura
Masami
M
Department of Nephrology and Rheumatology, Ishikawa Prefectural Central Hospital, Kanazawa. mmatsu@spacelan.ne.jp
Kakuchi
Yasushi
Y
Hamano
Ryoko
R
Kitajima
Susumu
S
Ueda
Akihito
A
Kawano
Mitsuhiro
M
Yamagishi
Masakazu
M
D000328:Adult; D019559:Capillary Leak Syndrome / Q000150:complications* / Q000175:diagnosis*; D003161:Compartment Syndromes / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans