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Fat embolization is common after long bone fractures. Presentations range from asymptomatic to the potentially fatal fat embolism syndrome (FES), a clinical triad of respiratory distress, neurologic changes, and a petechial rash.1 FES is not a well-recognized complication in Duchenne muscular dystrophy (DMD). We report 8 patients with DMD with FES after low-energy trauma, and discuss presenting features unique to this patient population.
Footnotes
Supplemental data at www.neurology.org
Author contributions: Dr. Medeiros: acquisition of data, analysis and interpretation, writing draft manuscript. Dr. Berhand: acquisition of data, analysis and interpretation. Wendy King: acquisition of data, critical revision of the manuscript for important intellectual content. Dr. Sanders: study concept and design, critical revision of the manuscript for important intellectual content. Dr. Kissel: study concept and design, critical revision of the manuscript for important intellectual content. Dr. Ciafaloni: study concept and design, critical revision of the manuscript for important intellectual content, study supervision.
Study funding: No targeted funding reported.
Disclosure: M. Medeiros, C. Behrend, and W. King report no disclosures. J. Sanders owns some stock in Abbot Labs, GE, Hospira, and Biomedical Enterprises, Inc. J. Kissel received drugs from Abbott Pharmaceuticals for a clinical trial in SMA, is a paid consultant for Alexion Pharmaceuticals and Cytokinetics, and is funded by NIH grant U10 NS77382-2 for NeuroNEXT. E. Ciafaloni is a paid consultant for the CDC. Go to Neurology.org for full disclosures.
- Received July 2, 2012.
- Accepted November 29, 2012.
- © 2013 American Academy of Neurology
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