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Trastuzumab-Induced Systemic Capillary Leak Syndrome in a Breast Cancer Patient.
[systemic capillary leak syndrome]
Systemic
capillary
leak
syndrome
(
SCLS
)
is
a
rare
health
condition
.
It
is
characterized
by
recurrent
episodes
of
generalized
edema
and
severe
hypotension
along
with
hypoproteinemia
.
The
condition
is
under
recognized
because
of
its
nonspecific
signs
and
symptoms
,
and
high
mortality
rate
.
SCLS
triggered
by
trastuzumab
,
a
target
drug
for
Her
2
-
positive
breast
cancer
patients
,
has
not
been
previously
reported
.
A
59
-
year
-old
Chinese
woman
,
diagnosed
with
breast
cancer
with
accompanying
liver
and
bone
metastasis
,
was
treated
with
3
Â
cycles
of
docetaxel
with
capecitabine
and
a
regimen
of
12
Â
cycles
of
capecitabine
with
trastuzumab
.
The
patient
developed
systemic
capillary
leak
syndrome
during
the
16
th
cycle
of
chemotherapy
.
Post-diagnosis
treatment
regimen
is
also
presented
in
the
current
case
report
.
SCLS
has
been
previously
observed
in
breast
cancer
patients
.
However
,
SCLS
incidence
post-chemotherapeutic
treatment
with
trastuzumab
has
not
been
reported
elsewhere
.
Hence
,
our
report
highlights
the
need
for
rigorous
investigation
of
the
side
effects
of
trastuzumab
usage
and
the
increasing
need
of
insightful
diagnosis
to
manage
any
incidence
of
SCLS
.
The
case
provides
valuable
experience
for
treating
the
uncommon
adverse
effects
of
trastuzumab
in
Her
2
-
positive
breast
cancer
patients
.
Diseases
Validation
Diseases presenting
"systemic capillary leak syndrome during the 16th cycle"
symptom
systemic capillary leak syndrome
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