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패혈쇼크의 임상 양상으로 발현된 전신 모세혈관누출 증후군 1예

A Case of Systemic Capillary Leak Syndrome Presenting as Septic Shock

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초록

Systemic capillary leak syndrome is a rare disease characterized by life-threatening attacks of reversible plasma extravasationand vascular collapse accompanied by hypotension, hemoconcentration, and hypoalbuminemia. A 36-year-old woman was admittedto this hospital with a fever, along with symptoms consistent with an upper respiratory tract infection and hypotension. Initiallaboratory tests revealed several abnormal findings, including an elevated leukocyte count and hematocrit, hypoalbuminemia, andacute renal failure. Here, we report a case of successful treatment of systemic capillary leak syndrome, which can be difficult to distinguishfrom septic shock.

Abstract

Systemic capillary leak syndrome is a rare disease characterized by life-threatening attacks of reversible plasma extravasationand vascular collapse accompanied by hypotension, hemoconcentration, and hypoalbuminemia. A 36-year-old woman was admittedto this hospital with a fever, along with symptoms consistent with an upper respiratory tract infection and hypotension. Initiallaboratory tests revealed several abnormal findings, including an elevated leukocyte count and hematocrit, hypoalbuminemia, andacute renal failure. Here, we report a case of successful treatment of systemic capillary leak syndrome, which can be difficult to distinguishfrom septic shock.

참고문헌 (10)

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  4. Young Seok Lee, "Two Cases of Systemic Capillary Leak Syndrome that were Treated with Pentastarch", The Korean Journal of Internal Medicine, 22(2), pp.130~132 (2007), 대한내과학회
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  6. Marx G, "Resuscitation from septic shock with capillary leakage: hydroxyethyl starch (130 kd), but not Ringer’s solution maintains plasma volume and systemic oxygenation", Shock, 21, pp.336~341 (2004)
  7. Kapoor P, "Idiopathic systemic capillary leak syndrome (Clarkson’s disease): the Mayo clinic experience", Mayo Clin Proc, 85, pp.905~912 (2010)
  8. Gousseff M, "The systemic capillary leak syndrome: a case series of 28 patients from a European registry", Ann Intern Med, 154, pp.464~471 (2011)
  9. Xie Z, "Vascular endothelial hyperpermeability induces the clinical symptoms of Clarkson disease (the systemic capillary leak syndrome)", Blood, 119, pp.4321~4332 (2012)
  10. Assaly R, "Initial evidence of endothelial cell apoptosis as a mechanism of systemic capillary leak syndrome", Chest, 120, pp.1301~1308 (2001)

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