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Compartment syndrome in all four extremities: a rare case associated with systemic capillary leak syndrome.
[systemic capillary leak syndrome]
While
isolated
limb
injuries
often
lead
to
suspicion
for
and
treatment
of
compartment
syndrome
,
multi-
limb
compartment
syndrome
induced
by
a
systemic
disease
is
a
rare
entity
,
in
which
lack
of
immediate
diagnosis
can
have
catastrophic
consequences
to
the
patient
.
We
present
a
patient
with
idiopathic
systemic
capillary
leak
syndrome
(
SCLS
)
resulting
in
compartment
syndrome
in
all
four
extremities
.
Treatment
required
bilateral
hand
,
forearm
,
calf
,
and
thigh
fasciotomies
.
Presenting
symptoms
included
pain
in
all
four
extremities
,
malaise
,
and
confusion
.
Laboratory
data
included
polycythemia
,
hypoalbuminemia
,
leukocytosis
,
and
elevated
creatinine
,
but
not
a
monoclonal
spike
on
serum
electrophoresis
as
is
common
in
SCLS
.
Thus
,
when
faced
with
clinical
evidence
of
multiple
extremity
compartment
syndrome
,
the
surgeon
should
consider
systemic
disorders
,
such
as
SCLS
,
and
aggressively
treat
the
compartment
syndrome
as
well
as
the
underlying
disease
.
Diseases
Validation
Diseases presenting
"isolated limb injuries often lead to suspicion"
symptom
systemic capillary leak syndrome
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