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[Recurrent unexplained lipothymia: do not forget the capillary leak syndrome].
[systemic capillary leak syndrome]
Systemic
capillary
leak
syndrome
(
SCLS
)
is
a
rare
disorder
characterized
by
recurrent
spontaneous
episodes
of
hypovolaemic
shock
due
to
marked
plasma
shifts
from
the
intravascular
to
the
extravascular
space
.
It
presents
as
the
characteristic
triad
of
hypotension
,
haemoconcentration
and
hypoalbuminemia
.
We
describe
a
patient
with
SCLS
with
recurrent
lipothymia
who
presented
first
with
delayed
oedema
that
was
thought
to
be
due
to
orlistat
treatment
.
On
the
second
episode
the
patient
was
seen
with
a
pulmonary
hypertension
when
plasma
came
back
into
vessels
.
On
the
third
time
the
characteristic
triad
led
to
the
diagnosis
of
SCLS
.
SCLS
should
be
considered
in
the
differential
diagnosis
of
recurrent
hypovolemic
shock
without
identifiable
cause
.
Nevertheless
,
symptoms
may
be
restricted
to
sole
lipothymia
or
transient
oedema
or
delayed
hypoalbuminemia
rendering
the
diagnosis
difficult
.
Diseases
Validation
Diseases presenting
"marked plasma shifts from the intravascular to the extravascular space"
symptom
systemic capillary leak syndrome
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