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Review With Report of a Fatal Case Related to Physical Therapy in a Child With Dermatomyositis

Stanford T. Shulman, MD; Burton J. Grossman, MD

Am J Dis Child. 1970;120(5):480-484.

Abstract
A child with dermatomyositis, calcinosis universalis, and osteoporosis died as a result of a physical-therapy-produced fracture and subsequent fat embolism syndrome. The possible etiologic relationship of "collagen diseases" and the fat embolism syndrome is considered, and it is suggested that osteoporosis, and not these diseases per se, is the predisposing factor. It is emphasized that the vigor with which physical therapy is applied must be curtailed in patients with significant osteoporosis.

Author Affiliations
Chicago

From the La Rabida Children's Hospital and Research Center, and the Department of Pediatrics, University of Chicago, Chicago. Dr. Shulman is now with the Department of Pediatrics, University of Florida, Gainesville, Fla.

Footnotes
Received for publication March 9, 1970.

Reprint requests to La Rabida Children's Hospital and Research Center, E 65th St at Lake Michigan, Chicago 60649 (Dr. Grossman).

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