Eosinophilic Fasciitis Associated with Myositis

Bibliographic Details
Title: Eosinophilic Fasciitis Associated with Myositis
Authors: Yuko Adachi, Yoko Mizutani, En Shu, Hiroyuki Kanoh, Tatsuhiko Miyazaki, Mariko Seishima
Source: Case Reports in Dermatology, Vol 7, Iss 1, Pp 79-83 (2015)
Publisher Information: Karger Publishers, 2015.
Publication Year: 2015
Collection: LCC:Dermatology
Subject Terms: Eosinophilic fasciitis, Exercise, Magnetic resonance imaging, Myositis, Dermatology, RL1-803
More Details: Eosinophilic fasciitis is clinically characterized by symmetrical scleroderma-like indurations of the skin with pain. The histological features are fascial inflammation with lymphocytes and eosinophils as well as thickened and fibrotic fascia. Lymphocytic infiltration and degeneration of the underlying muscle are rarely observed. We report a 69-year-old Japanese woman who presented with multiple areas of glossy induration and painful peau d'orange-like lesions on the chest and four extremities. T2-weighted magnetic resonance imaging showed significant hyperintense thickening of the fascia of the lower extremities. Histopathological examination of a biopsy specimen from the induration showed marked fibrinoid degeneration of the fascia and the neighboring muscle with mixed cellular infiltration of lymphocytes and eosinophils. The predominant CD8+ lymphocytic infiltrates were observed by immunohistological study. A diagnosis of eosinophilic fasciitis with myositis was made. Oral administration of prednisolone and discontinuation of exercise significantly improved the lesions and pain.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1662-6567
Relation: http://www.karger.com/Article/FullText/381845; https://doaj.org/toc/1662-6567
DOI: 10.1159/000381845
Access URL: https://doaj.org/article/f99dea7b58154a4283afd7101061ed0e
Accession Number: edsdoj.f99dea7b58154a4283afd7101061ed0e
Database: Directory of Open Access Journals
More Details
ISSN:16626567
DOI:10.1159/000381845
Published in:Case Reports in Dermatology
Language:English