%0 Journal Article %T Lethal fat embolism complicating Sotos syndrome %A John D Gilbert %A Roger W Byard %J Medicine, Science and the Law %@ 2042-1818 %D 2018 %R 10.1177/0025802418758210 %X Sotos syndrome is a rare congenital syndrome caused by deletions or mutations in the NSD1 gene (chromosome 5q35) which results in overgrowth. A wide range of manifestations may result in unexpected and/or early death, including congenital cardiac malformations and tumours, epilepsy, intra-tumoural haemorrhage or embolism and bleeding diatheses. A case of lethal pulmonary fat embolism complicating revision of a left total hip replacement following spontaneous fracture is reported in a 39-year-old man with Sotos syndrome. This case demonstrates that orthopaedic problems later in life may be added to potential causes of premature death in this syndrome %K Sotos syndrome %K sudden death %K hip dislocation %K fat embolism %K spontaneous fracture %K NSD1 gene %U https://journals.sagepub.com/doi/full/10.1177/0025802418758210