Evidence map›Paper›PMID 29936591›Full record

SynthesisEuropean journal of pediatrics2018

Idiopathic systemic capillary leak syndrome (Clarkson syndrome) in childhood: systematic literature review.

Marie-Ange Bozzini, Gregorio P Milani, Mario G Bianchetti, Emilio F Fossali, Sebastiano A G Lava

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Systemic capillary leak syndrome.Nature reviews. Disease primers · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. A Rare Case of Idiopathic Systemic Capillary Leak Syndrome.Journal of community hospital internal medicine perspectives · 2022
    Article
  11. Extensive leukoencephalopathy associated with idiopathic capillary leak syndrome: report of a case with neuropathology.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  12. Article
  13. [Neonatal capillary leak syndrome].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Beyond the Syndrome: Extensive Congenital Abnormalities in an Infant With Trisomy 21.Clinical pathology (Thousand Oaks, Ventura County, Calif.)
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Marie-Ange BozziniUniversità della Svizzera Italiana, Lugano, Switzerland.
Gregorio P MilaniPediatric Unit, Foundation IRCCS Ca' Granda, Ospedale Maggiore Policlinico and Clinical Sciences and Community Health, Università degli Studi di Milano, via della Commenda 9, 20122, Milan, Italy. milani.gregoriop@gmail.com.ORCID http://orcid.org/0000-0003-3829-4254
Mario G BianchettiUniversità della Svizzera Italiana, Lugano, Switzerland.
Emilio F FossaliPediatric Emergency Department, Foundation IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Sebastiano A G LavaDepartment of Pediatrics, University Children's Hospital of Bern, Inselspital, Bern, Switzerland.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITOspedale San Giovanni Bellinzona · CHUniversità della Svizzera italiana · CHUniversity Hospital of Bern · CHUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approximately 500 cases of idiopathic systemic capillary leak syndrome (Clarkson syndrome) have been reported worldwide. This life-threatening condition is characterized by episodes of increase in vascular permeability with loss of fluid into the interstitium and presents with acute onset of edema, signs of tissue hypoperfusion, hemoconcentration, and low blood protein level. It has been diagnosed mainly in middle-aged adults with a monoclonal gammopathy. We performed a systematic review of the literature on Clarkson syndrome in subjects ≤ 18 years of age. We identified 24 reports, published since 1989, providing data on 32 otherwise healthy subjects, who experienced 67 well-documented episodes of Clarkson syndrome. The condition affected more frequently girls (21, 66%) than boys, presented throughout childhood, and was preceded by a mostly viral illness in 75% of cases. A monoclonal gammopathy was never reported. Uncompensated circulatory shock, muscle compartment syndrome, acute kidney injury, pulmonary edema, and either pleural or pericardial effusion were, in decreasing order of frequency, the most common complications. Four patients died.Conclusion: Clarkson syndrome develops not only in adulthood but also in childhood. In this age group, this condition is not linked to a monoclonal gammopathy. What is Known: • Clarkson syndrome is a rare condition that has been diagnosed mainly in middle-aged adults and is mostly linked to a monoclonal gammopathy. What is New: • In subjects ≤ 18 years of age, Clarkson syndrome is not linked to a monoclonal gammopathy.

Indexed as

AdolescentCapillary Leak SyndromeChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleRisk FactorsAcute kidney injuryCapillary leak syndromeCapillary permeabilityCompartment syndrome

Identifiers

PMID29936591
OpenAlexW2811183102

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.