, Volume 27, Issue 8, pp 791-792
Date: 09 Jan 2007

Usefulness of magnetic resonance imaging in eosinophilic fasciitis

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Dear Editor,

Eosinophilic fasciitis is a rare scleroderma-like disorder of unknown etiology characterized by symmetrical painful swelling and skin induration of the extremities accompanied by peripheral eosinophilia [1]. The diagnosis of this disease is challenging when the patient shows atypical clinical and laboratory manifestations.

A 35-year-old Japanese man was referred because of progressive stiffness of his right fingers and myalgia of his extremities. He had initially noticed a painful swelling in the right forearm 3 months previously. One month prior to his visit, he had noted limited joint motion in the right fingers and wrist and also noted severe myalgia in the upper and lower extremities. He had no history of Raynaud’s phenomenon. Physical examination showed induration of the skin and subcutaneous tissues from the right wrist to the forearm, flexion contractures of the right fingers, and marked tenderness of his left forearm and bilateral calves, but there was no apparent mu ...