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Idiopathic capillary leak syndrome complicated by massive rhabdomyolysis.
[systemic capillary leak syndrome]
Idiopathic
systemic
capillary
leak
syndrome
(
Clarkson
's
disease
)
is
characterized
by
recurring
attacks
of
increased
capillary
permeability
,
resulting
in
severe
hypovolemic
shock
due
to
plasma
extravasation
.
Additional
laboratory
features
include
association
with
a
monoclonal
gammopathy
,
extreme
hemoconcentration
,
and
hypoalbuminemia
.
Rare
manifestations
of
this
syndrome
are
renal
damage
and
rhabdomyolysis
due
to
increased
compartment
pressure
and
ischemic
myonecrosis
.
We
present
the
findings
in
two
patients
with
capillary
leak
syndrome
complicated
by
severe
rhabdomyolysis
,
in
one
case
leading
to
acute
renal
failure
.
We
review
therapeutic
aspects
of
this
rare
syndrome
and
emphasize
the
importance
of
early
diagnosis
and
of
prompt
and
aggressive
fluid
replacement
.
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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