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Four-limb compartment syndrome associated with the systemic capillary leak syndrome.
[systemic capillary leak syndrome]
Systemic
capillary
leak
syndrome
,
or
the
Clarkson
syndrome
,
is
an
extremely
rare
condition
in
which
increased
capillary
permeability
results
in
a
massive
shift
of
fluid
into
the
extravascular
space
.
This
is
followed
rapidly
by
hypotensive
shock
,
haemoconcentration
,
and
,
potentially
,
substantial
oedema
of
the
limbs
resulting
in
an
acute
compartment
syndrome
.
It
is
important
for
orthopaedic
surgeons
to
be
aware
of
this
syndrome
as
our
medical
colleagues
,
who
initially
care
for
these
patients
,
are
less
familiar
with
the
diagnosis
and
the
need
for
emergency
management
of
the
associated
compartment
syndrome
should
it
develop
.
There
have
been
fewer
than
100
cases
of
this
entity
reported
.
This
case
report
is
the
first
to
describe
the
subsequent
development
of
a
compartment
syndrome
in
all
four
limbs
.
Clinical
vigilance
and
continuous
monitoring
of
intracompartmental
pressure
is
necessary
in
these
patients
in
order
to
help
reduce
limb
-threatening
complications
.
Diseases
Validation
Diseases presenting
"extremely rare condition"
symptom
carcinoma of the gallbladder
pyomyositis
systemic capillary leak syndrome
thoracic outlet syndrome
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