Delayed Diagnosis of Eosinophilic Fasciitis: A case report and review of the literature

• Main Authors: Elif Aydin, Yasemin Turan, Canan Yildirim, Canten Tataroğlu, Emre Çullu, Omer Faruk Sendur
• Format: Article
• Language: English
• Published: Sociedade Portuguesa de Reumatologia 2015-04-01
• Series: Acta Reumatológica Portuguesa
• Subjects: case report; delayed diagnosis; eosinophilic fasciitis; peripheral eosinophilia
• Online Access: http://www.actareumatologica.com/files/article/963_delayed_diagnosis_of_eosinophilic_fasciitis_a_case_report_and_review_of_the_literature_file.pdf

Eosinophilic fasciitis is an uncommon entity characterized by edema, skin thickening and hyperpigmentation of extremities. Laboratory findings are variable and may include hypergammaglobulemia, peripheral eosinophilia and elevated acute phase reactants. A full-thickness skin/fascia/muscle biopsy is the gold standart for diagnosis. Since EF is an uncommon disorder and the clinic presentation mimics scleroderma, it takes a long time to make definitive diagnosis. We present a case diagnosed two years after its onset and responded well to the treatment. We also include herein the results of our literature survey regarding delayed diagnosis of Eosinophilic Fasciitis.