Difference between revisions of "Capillary leak syndrome with pulmonary edema"

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(Created page with "''Robin ED, Carey LC, Grenvik A, Glauser F, and Gaudio R (1972) Capillary leak syndrome with pulmonary edema. Arch Intern Med 130:1 66–71.'' '''[https://jamanetwork.com/jou...")
 
 
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''Robin ED, Carey LC, Grenvik A, Glauser F, and Gaudio R (1972) Capillary leak syndrome with pulmonary edema. Arch Intern Med 130:1 66–71.''
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'''[https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/579667 Link to Article]'''
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'''Abstract:''' In two patients with a diffuse abnormality of capillary permeability possibly related to circulating endotoxin, loss of plasma into the tissues (capillary leak syndrome) produced hypovolemic shock, generalized edema, hemoconcentration, and florid pulmonary edema. Pulmonary edema fluid (PEF) was collected and its chemical composition compared to plasma. A number of solutes including the various plasma proteins were in near chemical equilibrium between plasma and PEF. Intravenous administration of dextran 70 (molecular weight 70,000) and dextran (molecular weight 500,000) (in one patient), led to accumulation of these compounds in PEF at a rate consistent with abnormally high pulmonary capillary permeability. These cases document the development of pulmonary edema secondary to increased pulmonary capillary permeability. Possibly, a number of pulmonary diseases (collectively called adult respiratory distress syndrome) result from increased pulmonary capillary permeability, increased alveolar epithelial permeability, or abnormalities of pulmonary interstitial solute removal.
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Robin ED, Carey LC, Grenvik A, Glauser F, and Gaudio R (1972) Capillary leak syndrome with pulmonary edema. Arch Intern Med 130:1 66–71.
  
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https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/579667
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In two patients with a diffuse abnormality of capillary permeability possibly related to circulating endotoxin, loss of plasma into the tissues (capillary leak syndrome) produced hypovolemic shock, generalized edema, hemoconcentration, and florid pulmonary edema. Pulmonary edema fluid (PEF) was collected and its chemical composition compared to plasma. A number of solutes including the various plasma proteins were in near chemical equilibrium between plasma and PEF. Intravenous administration of dextran 70 (molecular weight 70,000) and dextran (molecular weight 500,000) (in one patient), led to accumulation of these compounds in PEF at a rate consistent with abnormally high pulmonary capillary permeability. These cases document the development of pulmonary edema secondary to increased pulmonary capillary permeability. Possibly, a number of pulmonary diseases (collectively called adult respiratory distress syndrome) result from increased pulmonary capillary permeability, increased alveolar epithelial permeability, or abnormalities of pulmonary interstitial solute removal.
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*Report of 2 cases of pulmonary edema and hypovolemic shock thought to be due to abnormality of capillary permeability (respiratory distress syndrome).
 
*Report of 2 cases of pulmonary edema and hypovolemic shock thought to be due to abnormality of capillary permeability (respiratory distress syndrome).
  
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Latest revision as of 13:13, 17 June 2019


Robin ED, Carey LC, Grenvik A, Glauser F, and Gaudio R (1972) Capillary leak syndrome with pulmonary edema. Arch Intern Med 130:1 66–71.

Link to Article

Abstract: In two patients with a diffuse abnormality of capillary permeability possibly related to circulating endotoxin, loss of plasma into the tissues (capillary leak syndrome) produced hypovolemic shock, generalized edema, hemoconcentration, and florid pulmonary edema. Pulmonary edema fluid (PEF) was collected and its chemical composition compared to plasma. A number of solutes including the various plasma proteins were in near chemical equilibrium between plasma and PEF. Intravenous administration of dextran 70 (molecular weight 70,000) and dextran (molecular weight 500,000) (in one patient), led to accumulation of these compounds in PEF at a rate consistent with abnormally high pulmonary capillary permeability. These cases document the development of pulmonary edema secondary to increased pulmonary capillary permeability. Possibly, a number of pulmonary diseases (collectively called adult respiratory distress syndrome) result from increased pulmonary capillary permeability, increased alveolar epithelial permeability, or abnormalities of pulmonary interstitial solute removal.

Keywords:

Context

  • Report of 2 cases of pulmonary edema and hypovolemic shock thought to be due to abnormality of capillary permeability (respiratory distress syndrome).

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