medigraphic.com
ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2012, Number 3

<< Back Next >>

Cir Plast 2012; 22 (3)

Early fasciotomy in the eosinophilic fasciitis-panniculitis. A case report

Rodríguez REC

Language: Spanish
References: 10
Page: 152-157
PDF size: 341.64 Kb.


ABSTRACT

Eosinophilic fasciitis-panniculitis is a rare connective tissue disorder characterized clinically by swelling, hardening and thickening of the fascia, hypodermis and skin. Histologically a thickening of the fascia with chronic inflammatory eosinophils infiltration is observed with pain and symptoms of peripheral neuropathic affectation. The disease is classified in the spectrum morphea/systemic sclerosis, and develops slowly and has a poor response to treatment with corticoids. The objective of this study is to demonstrate the immediate clinical improvement of compressive intracompartmental and neuropathologic symptoms on the upper limb with the use of early fasciotomy.


REFERENCES

  1. Naschitz JE, Boss JH, Misselevich I et al. The fasciitis-panniculitis syndrome: clinical and pathologic features. Medicine 1996; 75: 6-16.

  2. Kato T, Nakajima A, Soejima M, Nagai R, Yago T, Tanohara K et al. Therapeutic efficacy of intravenous cyclophosphamide concomitant with moderate -to high- dose prednisolone in two patients with fasciitis panniculitis syndrome. Mod Rheumatol 2008; 18: 193-199.

  3. Shulman LE. Diffuse fasciitis with hypergammaglobulinemia and eosinophilia: a new syndrome? J Rheumatol 1984; 11(5): 569-70.

  4. Smith LC, Cox NH. Dapsone treatment for eosinophylic fasciitis. JAMA Dermatol 2008; 144: 845-847.

  5. Khanna D, Agrawa H, Clements PJ. Infliximab may be effective in the treatment of steroid resistant eosinophilic fasciitis: Report of tree cases. Rheumatology 2010; 49: 1184-1188.

  6. Weber HO, Schaller M, Metzler G et al. Eosinophilic fasciitis and combined UVA-1-retinoid corticosteroid treatment: Two cases report. Acta Dermatol Venereol 2008; 88(3): 304-306.

  7. Danis R, Akbulut S, Altintas A, Ozmen S, Ozmen CA. Unusual presentations of eosinophilic: Two cases reports and a review of the literature. J Med Case Rep 2010; 4: 46.

  8. Bichsoft L, Derk CT. Eosinophilic fasciitis: demographics disease pattern and response to treatment: report of 12 cases and review of the literature. Int J Dermatol 2008; 47: 29-35.

  9. Romano C, Rubegni P, De Aloe G et al. Extracorporeal photochemoterapy in the treatment of eosinophilic fasciitis. J Eur Acad Dermatol Venereol 2003; 17: 10-13.

  10. Bukiej A, Dropinski J, Dyduch G, Szczeklik A. Eosinophilic fasciitis successfully treated with cyclosporine. Clin Rheumatol 2005; 24: 634-636.




2020     |     www.medigraphic.com