Musculoskeletal Medicine and PainCase Report

The enigmatic fascia: eosinophilic fasciitis

Jonathan A. Aun, DO; Rachel S. Knox, DO; and Jared E. Roberts, MD
Notes and Affiliations
Notes and Affiliations

Received: November 2, 2020

Accepted: February 23, 2021

Published: March 30, 2021

  • Jonathan A. Aun, DO, 

    Department of Cardiology, Walter Reed National Military Medical Center, Bethesda, MD, USA

  • Rachel S. Knox, DO, 

    Department of Internal Medicine, Keesler Medical Center, Biloxi, MS, USA

  • Jared E. Roberts, MD, 

    Department of Dermatology, Keesler Medical Center, Biloxi, MS, USA

Abstract

This case report highlights the potentially underrecognized subtype of unilateral eosinophilic fasciitis (EF) in a 28 year old man. With fewer than 300 reported encounters to date, EF is a rare disease that eludes clinicians by presenting as a scleroderma like syndrome. As EF remains a clinical diagnosis, biopsy results may be nonspecific, and the disease can easily be misdiagnosed (or missed entirely) if a full thickness biopsy is not reviewed by a dermatopathologist. The authors also emphasize the importance of internationally accepted diagnostic criteria, of which at least two different sets exist.

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