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[Syndrome of increased idiopathic capillary permeability (Clarkson's syndrome)].
[systemic capillary leak syndrome]
Idiopathic
systemic
capillary
leak
syndrome
(
Clarkson
's
disease
)
is
characterized
by
recurring
attacks
or
increased
capillary
permeability
,
resulting
in
severe
hypovolemic
shock
due
to
plasma
extravasation
from
the
intravascular
compartment
.
Additional
laboratory
features
include
association
with
a
monoclonal
gammopathy
,
extreme
hemoconcentration
and
hypoalbuminemia
.
The
underlying
cause
is
not
known
and
there
have
been
fewer
than
40
cases
reported
.
It
affects
people
aged
30
-
40
years
and
has
a
high
mortality
,
with
only
six
of
25
patients
surviving
for
more
than
5
years
.
Marked
thirst
is
noted
early
in
the
attack
and
profound
muscle
weakness
,
anorexia
;
nausea
,
and
vomiting
are
present
in
all
patients
,
especially
so
during
the
course
of
an
attack
.
Generally
,
oedema
appeared
several
hours
or
days
before
the
onset
of
shock
.
The
total
duration
of
illness
varied
from
six
months
to
seven
years
.
An
unknown
trigger
causes
a
temporary
increase
in
the
macromolecular
permeability
in
the
capillary
bed
of
skeletal
muscle
and
connective
tissue
.
The
syndrome
of
rhabdomyolysis
includes
myalgia
,
swelling
and
weakness
of
the
involved
muscle
groups
,
pigmenturia
,
and
leakage
of
myoglobin
and
CK
into
the
serum
.
Different
treatments
have
been
tried
,
including
plasmapheresis
,
steroids
,
epoprostenol
,
salbutamol
and
Gingko
biloba
extract
with
success
in
some
cases
.
Treatment
with
corticosteroids
should
be
considered
for
prevention
of
attacks
in
the
systemic
capillary
leak
syndrome
.
Diseases
Validation
Diseases presenting
"muscle weakness"
symptom
alexander disease
canavan disease
coats disease
cohen syndrome
cystinuria
familial mediterranean fever
focal myositis
inclusion body myositis
neuralgic amyotrophy
pyomyositis
severe combined immunodeficiency
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
von hippel-lindau disease
This symptom has already been validated