Eosinophilic fasciitis

Abstract

A detailed evaluation of the clinical and histologic manifestations of eosinophilic fasciitis is described in a 22 yr old woman. Scleroderma-like skin involvement is associated with eosinophilia and hypergammaglobulinemia. Visceral and serologic manifestations of a generalized scleroderma are lacking. Results of a biopsy showed severe thickening of the deep fascia accompanied by an infiltration of lymphocytes and plasma cells. This syndrome must be differentiated from generalized scleroderma because eosinophilic fasciitis has a benign course and may benefit from systemic corticosteroid therapy.