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Systemic Capillary Leak Syndrome Associated with Compartment Syndrome

2007; The Japanese Society of Internal Medicine; Volume: 46; Issue: 18 Linguagem: Inglês

10.2169/internalmedicine.46.0254

1349-7235

Masami Matsumura, Yasushi Kakuchi, Ryoko Hamano, Susumu Kitajima, Akihito Ueda, Mitsuhiro Kawano, Masakazu Yamagishi,

Electrolyte and hormonal disorders

Systemic capillary leak syndrome is characterized by recurrent hypovolemic shock attributable to increased systemic capillary leakage. A 26-year-old woman was admitted because of recurrent episodes of hypovolemic shock. Hemoconcentration, hypoalbuminemia, and monoclonal gammopathy were observed. We diagnosed systemic capillary leak syndrome. Three years later, she again had an attack of systemic capillary leak syndrome complicated with pretibial compartment syndrome. This case emphasizes the importance of muscle compartment pressure monitoring during volume resuscitation in patients with systemic capillary leak syndrome.