{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T01:57:42Z","timestamp":1769738262831,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Fat embolism syndrome (FES) is a rare but potentially fatal complication of trauma or orthopaedic surgery, which presents predominantly with pulmonary symptoms. The rapid worsening respiratory failure in a previously normal orthopaedic surgery or trauma patients usually get evaluated for pulmonary embolism, fat\u2010embolism\u2010related acute respiratory distress or transfusion related acute lung injury. Orthopaedic surgeons and clinicians need to be aware of related entity termed \u2018<jats:bold>F<\/jats:bold>at <jats:bold>E<\/jats:bold>mbolism related <jats:bold>D<\/jats:bold>iffuse <jats:bold>A<\/jats:bold>lveolar <jats:bold>H<\/jats:bold>aemorrhage\u2019 (FEDAH). The clinical presentation in an orthopaedic surgery of trauma patient with FEDAH are haemoptysis, worsening type 1 respiratory failure and oxygen requirement, drop in haemoglobin levels with chest x\u2010ray\/computed tomography suggestive of Diffuse alveolar haemorrhage (DAH). Early bronchoscopy and bronchoalveolar lavage (BAL) confirmation of DAH, presence of BAL haemosiderophages and lipid\u2010laden macrophages are the pointers in the early diagnosis of FEDAH. It needs a high clinical suspicion and interdepartmental collaborative measures. Timely referral from orthopaedic surgeons, early bronchoscopy and treatment with steroids is key in diagnosis and management.<\/jats:p>","DOI":"10.1002\/rcr2.1214","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T11:16:33Z","timestamp":1694171793000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Fat emboli\u2014Related diffuse alveolar haemorrhage (FEDAH) an acronym to remember\u2014Case series"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9183-1250","authenticated-orcid":false,"given":"Benjamin Earnest","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Pulmonary Medicine Christian Medical College and Hospital  Vellore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2062-0376","authenticated-orcid":false,"given":"Avinash A.","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Christian Medical College and Hospital  Vellore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prince","family":"James","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Christian Medical College and Hospital  Vellore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barney","family":"Isaac","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Christian Medical College and Hospital  Vellore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richa","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Christian Medical College and Hospital  Vellore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand","family":"Ashok","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics,unit\u20102 Christian Medical College and hospital  Vellore India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e3182126d3b"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-2084"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.56B3.408"},{"issue":"4","key":"e_1_2_8_5_1","first-page":"435","article-title":"Fat embolism syndrome. A 10\u2010year review","volume":"132","author":"Bulger EM","year":"1997","journal-title":"Arch Surg Chic Ill 1960"},{"issue":"3","key":"e_1_2_8_6_1","first-page":"276","article-title":"Fat embolism","volume":"1","author":"Glover P","year":"1999","journal-title":"Crit Care Resusc J Australas Acad Crit Care Med"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-5231(21)00949-7"},{"issue":"1","key":"e_1_2_8_8_1","first-page":"52","article-title":"Dermatologic features of the fat embolism syndrome","volume":"38","author":"Kaplan RP","year":"1986","journal-title":"Cutis"},{"issue":"9","key":"e_1_2_8_9_1","first-page":"507","article-title":"Fat embolism syndrome","volume":"31","author":"Parisi DM","year":"2002","journal-title":"Am J Orthop Belle Mead NJ"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1042\/CS20070011"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.83859"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkm027"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6195.902"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.110.5.1305"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-10-00432"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-2113.110427"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3126\/jaim.v9i1.29170"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.17085\/apm.2018.13.1.77"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pulmoe.2018.06.007"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1024907917745664"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.1214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T14:43:14Z","timestamp":1695825794000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.1214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,8]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/rcr2.1214"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.1214","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,8]]},"assertion":[{"value":"2023-05-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e01214"}}