J. Marc Vedrinne, MD; Christian Guillaume, MD; M. Claire Gagnieu, MD
To the Editors: We read with interest the recent article by Chastre and colleagues (1) on the rapid diagnosis of the fat embolism syndrome in patients with trauma. The fat embolism syndrome is difficult to diagnose clinically, and the identification of fat droplets within cells recovered by bronchoalveolar lavage has been purported to provide a sensitive and specific means for rapid diagnosis. Since January 1990, we used and evaluated a similar technique. After cytocentrifugation on bronchoalveolar lavage recovery, we stained alveolar macrophages with red oil, a specific stain for neutral fat. The percentage of alveolar macrophages containing intracellular fat droplets
Vedrinne JM, Guillaume C, Gagnieu MC. Diagnosis of Fat Emboli. Ann Intern Med. ;114:339. doi: 10.7326/0003-4819-114-4-339_1
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Published: Ann Intern Med. 1991;114(4):339.
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