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A case report of systemic capillary leak syndrome (Clarkson's disease).
[systemic capillary leak syndrome]
Systemic
capillary
leak
syndrome
(
SCLS
)
is
a
very
rare
disorder
also
known
as
Clarkson
's
disease
.
The
condition
is
characterized
by
recurrent
episodes
of
severe
capillary
hyperpermeability
resulting
in
severe
hemoconcentration
,
hypoalbuminemia
,
hypovolemia
and
shock
.
We
describe
a
41
-
year
-old
previously
healthy
man
who
was
admitted
to
hospital
on
several
occasions
with
rapidly
developing
hypovolemic
shock
accompanied
by
extreme
hemoconcentration
and
hypoalbuminemia
.
Our
case
is
similar
to
other
reports
describing
patients
with
SCLS
where
the
initial
suspicions
have
been
pointing
towards
septic
shock
.
He
received
a
combination
of
prophylactic
treatment
with
theophylline
,
beta
-agonists
,
immunoglobulins
and
statins
but
eventually
died
after
a
severe
episode
of
SCLS
that
ended
with
recurrent
cardiac
arrest
.
Clinical
autopsy
revealed
pulmonary
edema
and
acute
and
chronical
organic
fluid
overload
.
SCLS
should
be
kept
in
mind
when
treating
patients
suffering
from
attacks
of
severe
idiopathic
edema
and
mimics
recurrent
septic
shock
where
no
pathogen
is
found
.
The
pathogenesis
is
unknown
and
the
attacks
may
be
lethal
.
Diseases
Validation
Diseases presenting
"hypovolemia"
symptom
systemic capillary leak syndrome
This symptom has already been validated