Servei de Pediatria. Althaia

Sant Joan de les Abadesses, Spain

Servei de Pediatria. Althaia

Sant Joan de les Abadesses, Spain
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Dorca-Vila J.,Servei de Pediatria. Althaia | Colomer J.,University of Barcelona | Sellares E.,Consorci Hospitalari Of Vic | Ortez C.,University of Barcelona | And 2 more authors.
Pediatria Catalana | Year: 2016

Introduction. Duchenne muscular dystrophy is the most common muscular dystrophy in the pediatric population. Patients with Du-chenne dystrophy have poor bone mineralization, and fractures are frequent. Fat embolism syndrome is one of the possible complications; it commonly presents subclinically and in the absence of high level of suspicion, the diagnosis is difficult. Clinical observation. We present two patients aged 12 and 15 years with Duchenne dystrophy who presented with acute onset of respiratory distress hours after a fall. In both cases the X-rays showed femur fractures and were diagnosed as having a fat embolism syndrome. Comments. Fat embolism is the obstruction of a vessel due to fat emboli, which occurs as result of a long bone fracture. Long bones are rich in trioleines, which in the setting of a fracture can easily reach the blood stream and cause micro infarctions and hemorrhages. Between 15% and 44% of children with Duchenne dystrophy suffer from bone fractures, which in some cases could lead to the development of fat embolism syndrome. Since it usually presents subclinically, fat embolism syndrome needs to be considered in patients with Duchenne dystrophy presenting with acute respiratory or neurological symptoms after a trauma with a fracture.

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