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Finger stiffness or edema as presenting symptoms of eosinophilic fasciitis

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Abstract

To investigate the clinical features and finger symptoms of eosinophilic fasciitis (EF), we reviewed five patients with EF. The chief complaint was pain, edema and/or stiffness of the extremities. The distal extremities were affected in all patients, and there was also proximal involvement in one patient. One patient had asymmetrical symptoms. All four patients with upper limb involvement had limited range of motion of the wrist joints, and three of them complained of finger symptoms. Two of these three patients showed slight non-pitting edema of the hands, and the other one had subcutaneous induration of the forearm. All four patients with lower limb symptoms had limited range of motion of the ankle joints, and two showed edema or induration of the legs. Inflammatory changes in the joints were not detected in any of the patients. Two patients displayed neither objective induration nor edema, and two patients had muscle tenderness. In conclusion, finger symptoms of patients with EF might be caused by fasciitis of the forearms, which leads to dysfunction of the long finger flexors and extensors as well as slight edema of hands. Limited range of motion of wrist and/or ankle joints indicates sensitively distal muscle dysfunction caused by fasciitis.

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References

  1. Shulman LE (1975) Diffuse fasciitis with hypergammaglobulinemia and eosinophilia: a new syndrome? J Rheumatol 11:569–570

    Google Scholar 

  2. Ohno M, Nagaoka S, Onari K et al (2001) Remitting fasciitis without eosinophilia: a new disease entity? A case report. Rheumatology 40:1428–1430

    Article  CAS  PubMed  Google Scholar 

  3. Philpott H, Hissaria P, Warrren L et al (2008) Eosinophilic fasciitis as a paraneoplastic phenomenon associated with metastatic colorectal carcinoma. Australas J Dermatol 49:27–29

    Article  PubMed  Google Scholar 

  4. Hur JW, Lee HS, Uhm WS et al (2005) Eosinophilic fasciitis associated with autoimmune thyroiditis. Korean J Intern Med 20:180–182

    Article  PubMed Central  PubMed  Google Scholar 

  5. Bischoff L, Derk CT (2008) Eosinophilic fasciitis: demographics, disease pattern and response to treatment: report of 12 cases and review of the literature. Int J Dermatol 47:29–35

    Article  PubMed  Google Scholar 

  6. Haddad H, Sundaram S, Magro C, Gergis U (2014) Eosinophilic fasciitis as a paraneoplastic syndrome, a case report and review of the literature. Hematol Oncol Stem Cell Ther 7:90–92

    Article  PubMed  Google Scholar 

  7. Huppke P, Wilken B, Brockmann K, Sattler B, Hanefeld F (2002) Eosinophilic fasciitis leading to painless contractures. Eur J Pediatr 161:528–530

    Article  PubMed  Google Scholar 

  8. Pillen S, van Engelen B, van den Hoogen F, Fiselier T, van der Vossen P, Drost G (2006) Eosinophilic fasciitis in a child mimicking a myopathy. Neuromuscul Disord 16:144–148

    Article  PubMed  Google Scholar 

  9. Desvignes-Engelbert A, Saulière N, Loeuille D, Blum A, Chary-Valckenaere I (2010) From diagnosis to remission: place of MRI in eosinophilic fasciitis. Clin Rheumatol 29:1461–1464

    Article  PubMed  Google Scholar 

  10. Sugimoto T, Nitta N, Kashiwagi A (2007) Usefulness of magnetic resonance imaging in eosinophilic fasciitis. Rheumatol Int 27:791–792

    Article  PubMed  Google Scholar 

  11. Manzini CU, Sebastiani M, Giuggioli D et al (2012) D-penicillamine in the treatment of eosinophilic fasciitis: case reports and review of the literature. Clin Rheumatol 31:183–187

    Article  CAS  PubMed  Google Scholar 

  12. Desvignes-Engelbert A, Saulière N, Loeuille D, Blum A, Chary-Valckenaere I (2010) Polymyalgia revealing eosinophilic fasciitis in a young male: contribution of magnetic resonance imaging. Joint Bone Spine 77:367–368

    Article  PubMed  Google Scholar 

  13. Servy A, Clérici T, Malines C, Le Parc JM, Côté JF (2010) Eosinophilic fasciitis: a rare skin sclerosis. Pathol Res Int. doi:10.4061/2011/716935

    Google Scholar 

  14. Costenbader KH, Kieval RI, Anderson RJ (2001) Eosinophilic fasciitis presenting as pitting edema of the extremities. Am J Med 111:318–320

    Article  CAS  PubMed  Google Scholar 

  15. Okita M, Nakano J, Kataoka H, Sakamoto J, Origuchi T, Yoshimura T (2009) Effects of therapeutic ultrasound on joint mobility and collagen fibril arrangement in the endomysium of immobilized rat soleus muscle. Ultrasound Med Biol 35:237–244

    Article  PubMed  Google Scholar 

  16. Avouac J, Clements PJ, Khanna D, Furst DE, Allanore Y (2012) Articular involvement in symtemic sclerosis. Rheumatology 51:1347–1356

    Article  PubMed  Google Scholar 

  17. Seshadri R, Feldman BM, Ilowite N, Cawkwell G, Pachman LM (2008) The role of aggressive corticosteroid therapy in patients with juvenile dermatomyositis: a propensity score analysis. Arthritis Rheum 59:989–995

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  18. Yang SN, Cho NS, Choi HS, Choi SJ, Yoon ES, Kim DH (2012) Muscular polyarteritis nodosa. J Clin Rheumatol 18:249–252

    Article  PubMed  Google Scholar 

  19. Liou CH, Huang GS, Taylor JA, Juan CJ, Gao HW, Chen CY (2003) Eosinophilic fasciitis in a military recruit: MRI evaluation with clinical correlation. Skelet Radiol 32:52–57

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of General Medicine, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8677, Japan

    Shingo Suzuki, Kazutaka Noda, Yoshiyuki Ohira, Kiyoshi Shikino & Masatomi Ikusaka

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  1. Shingo Suzuki
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  2. Kazutaka Noda
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  3. Yoshiyuki Ohira
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  4. Kiyoshi Shikino
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  5. Masatomi Ikusaka
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Correspondence to Shingo Suzuki.

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Suzuki, S., Noda, K., Ohira, Y. et al. Finger stiffness or edema as presenting symptoms of eosinophilic fasciitis. Rheumatol Int 35, 1769–1772 (2015). https://doi.org/10.1007/s00296-015-3338-6

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  • DOI: https://doi.org/10.1007/s00296-015-3338-6

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