**14. Skin**

The characteristic petechial rash has been reported to be in present in about 50% to 60% of patients with FES. Upper anterior torso, axillae, neck, upper arm, conjunctivae and oral mucosa are usual sites. The rash is NOT due to thrombocytopenia but from fat emboli obstructing capillaries and causing capillary damage and subsequent hemorrhages. The petechial rash may be the only physical sign.
