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[A rare cause of muscle pain and elevated creatine kinase level--the paroxysmal non-hereditary angioedema].
[systemic capillary leak syndrome]
Systemic
capillary
leak
syndrome
is
a
rare
idiopathic
disorder
characterized
by
recurrent
episodes
of
hypotension
and
hemoconcentration
due
to
sudden
transient
extravasation
of
up
to
70
%
of
plasma
.
Less
than
40
cases
have
appeared
in
the
literature
.
Mortality
rates
5
years
after
diagnosis
have
been
reported
to
be
up
to
75
%
.
Clinical
findings
are
generalized
edema
and
intravasal
fluid
deficiency
.
Laboratory
features
include
hypoalbuminemia
and
extreme
hemoconcentration
.
A
common
finding
is
a
monoclonal
gammopathy
.
Rare
manifestation
of
this
syndrome
is
rhabdomyolysis
due
to
increased
compartment
pressure
and
ischemic
myonecrosis
.
Early
diagnosis
and
exclusion
of
other
clinical
disorders
like
rheumatic
myopathies
and
myositis
are
critical
concerning
prognosis
and
therapy
.
We
describe
a
46
-
year
-old
woman
with
rhabdomyolysis
and
systemic
capillary
leak
syndrome
whose
condition
is
stable
for
a
total
of
30
months
under
a
prophylactic
regimen
with
oral
terbutaline
plus
theophylline
.
A
brief
survey
of
the
literature
is
given
.
Diseases
Validation
Diseases presenting
"early diagnosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
locked-in syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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