A case of eosinophilic fasciitis

Yoko Fuyuno, Hiromichi Takeshita, Yoichi Moroi, Emiko Sato, Masutaka Furue

研究成果: ジャーナルへの寄稿記事

抄録

We encountered a case of eosinophilic fasciitis in a patient who subsequently was successfully treated with systemic steroid therapy. A 29-year-old man had played futsal frequently since March 2010. He had noted progressive swelling of his upper and lower limbs since August 2010, and visited us in September 2010. On physical examination, his lower extremities were markedly swollen with joint stiffness, and the skin was hard. He showed neither Raynaud's phenomenon nor a specific pattern in capillary microscopy. Laboratory results showed increased blood eosinophils and serum aldolase. Short T1 inversion recovery magnetic resonance image showed fascial enhancement consistent with active inflammation. Histological examination of a biopsy taken from the left lower limb revealed dermal fibrosis and interlobular fibrous septum of subcutis with mild infiltration of lymphocytes and eosinophils. The clinical and pathological findings were consistent with those of eosinophilic fasciitis. He was started on prednisolone (20mg daily), and the edematous changes and skin induration of the lower extremities gradually improved, and are now completely recovered and show no symptoms. It is generally believed that fascial fibrosis is basically irreversible once it is completed, and some patients are left with flexion contractures and suffer from carpal and tarsal tunnel syndrome. Thus, it is desirable to begin treatment as soon as possible. In our patient, we suggest that early diagnosis and intervention were the key to successful treatment.

元の言語英語
ページ(範囲)211-214
ページ数4
ジャーナルNishinihon Journal of Dermatology
75
発行部数3
DOI
出版物ステータス出版済み - 8 29 2013

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Lower Extremity
Eosinophils
Skin
Fibrosis
Tarsal Tunnel Syndrome
Raynaud Disease
Fructose-Bisphosphate Aldolase
Carpal Tunnel Syndrome
Contracture
Prednisolone
Physical Examination
Early Diagnosis
Microscopy
Magnetic Resonance Spectroscopy
Therapeutics
Joints
Steroids
Lymphocytes
Inflammation
Biopsy

All Science Journal Classification (ASJC) codes

  • Dermatology

これを引用

A case of eosinophilic fasciitis. / Fuyuno, Yoko; Takeshita, Hiromichi; Moroi, Yoichi; Sato, Emiko; Furue, Masutaka.

:: Nishinihon Journal of Dermatology, 巻 75, 番号 3, 29.08.2013, p. 211-214.

研究成果: ジャーナルへの寄稿記事

Fuyuno, Y, Takeshita, H, Moroi, Y, Sato, E & Furue, M 2013, 'A case of eosinophilic fasciitis', Nishinihon Journal of Dermatology, 巻. 75, 番号 3, pp. 211-214. https://doi.org/10.2336/nishinihonhifu.75.211
Fuyuno, Yoko ; Takeshita, Hiromichi ; Moroi, Yoichi ; Sato, Emiko ; Furue, Masutaka. / A case of eosinophilic fasciitis. :: Nishinihon Journal of Dermatology. 2013 ; 巻 75, 番号 3. pp. 211-214.
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