Fat embolism syndrome with pulmonary hemorrhage of unknown origin.
10.4046/trd.2000.48.3.383
- Author:
Hae Chul JUNG
1
;
Ki Hwan JUNG
;
Byung Gyu KIM
;
Kyung Kyu KIM
;
Sang Youb LEE
;
Sang Myun PARK
;
Sin Hyung LEE
;
Cheol SIN
;
Jae Youn CHO
;
Jae Jeong SHIM
;
Kwang Ho IN
;
Han Gyum KIM
;
Se Hwa YOO
;
Kyung Ho KANG
Author Information
1. Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
lung;
embolism;
fat embolism
- MeSH:
Adult;
Biopsy;
Connective Tissue Diseases;
Cough;
Diabetes Mellitus;
Dyspnea;
Embolism;
Embolism, Fat*;
Female;
Fractures, Bone;
Hemorrhage*;
Humans;
Korea;
Liver Diseases, Alcoholic;
Lung;
Pancreatitis;
Purpura;
Risk Factors;
Sputum;
Thoracic Wall;
Thorax;
Tolnaftate
- From:Tuberculosis and Respiratory Diseases
2000;48(3):383-387
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fat embolism syndrome is a rare but serious complication occurring most of the time in patients with long bone fractures. And it occasionally occurs when patient had underlying disease. For example, pancreatitis, diabetes mellitus, alcoholic liver disease and connective tissue disease can be risk factors. The 44-year old woman visited to the Korea university hospital because of sudden dry cough, blood tinged sputum, and exertional dyspnea. We found petechiae on her anterior chest wall. Chest X-ray and CT showed patchy opacities and multifocal ground-glass opacities in both lung fields. Open lung biopsy demonstrated diffuse pulmonary hemorrhage and intravascular macrovesicular fat bubbles. After conservative management, her symptoms and radiologic findings were significantly improved. We report a case of fat embolism syndrome without any known risk factors.
