Eosinophilic fasciitis. Case report and review of the literature

Robert (Rob) Bennett, A. Herron, L. Keogh

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Eosinophilic fasciitis is a recently described rheumatic disease, some 20 cases having been reported in abstract form. Previous descriptions have stressed the localized nature of skin involvement, the absence of visceral changes or Raynaud's phenomenon, an association with hypergammaglobulinemia and eosinophilia, and a good response to corticosteroid therapy. The most conspicuous feature of this entity has been a massive thickening of the subcutaneous fascia, when an adequate (skin down to muscle) biopsy was performed. The skin biopsy in the case presented showed this thickening together with collagenous hypertrophy and an intense infiltration of lymphocytes and plasma cells. Cellular infiltration was most prominent in a perivascular distribution; eosinophils were not a prominent feature. Immunofluoresent studies, with fluorescein conjugated anti IgG, IgM, IgA, and C3 showed only a nonspecific staining of collagen bundles and a scattered cytoplasmic staining for IgG (assumed to be in plasma cells). Another case is reported conforming to the general features, with the exception that Raynaud's phenomenon was a prominent symptom. A critical review of the literature suggests tht eosinophilic fasciitis should tentatively be regarded as a variant of scleroderma.

Original languageEnglish (US)
Pages (from-to)354-359
Number of pages6
JournalAnnals of the Rheumatic Diseases
Volume36
Issue number4
StatePublished - 1977
Externally publishedYes

Fingerprint

Skin
Raynaud Disease
Biopsy
Plasma Cells
Infiltration
Staining and Labeling
Hypergammaglobulinemia
Plasmas
Lymphocytes
Fascia
Eosinophilia
Rheumatic Diseases
Fluorescein
Eosinophils
Immunoglobulin A
Hypertrophy
Immunoglobulin M
Muscle
Adrenal Cortex Hormones
Collagen

ASJC Scopus subject areas

  • Immunology
  • Rheumatology

Cite this

Bennett, R. R., Herron, A., & Keogh, L. (1977). Eosinophilic fasciitis. Case report and review of the literature. Annals of the Rheumatic Diseases, 36(4), 354-359.

Eosinophilic fasciitis. Case report and review of the literature. / Bennett, Robert (Rob); Herron, A.; Keogh, L.

In: Annals of the Rheumatic Diseases, Vol. 36, No. 4, 1977, p. 354-359.

Research output: Contribution to journalArticle

Bennett, RR, Herron, A & Keogh, L 1977, 'Eosinophilic fasciitis. Case report and review of the literature', Annals of the Rheumatic Diseases, vol. 36, no. 4, pp. 354-359.
Bennett, Robert (Rob) ; Herron, A. ; Keogh, L. / Eosinophilic fasciitis. Case report and review of the literature. In: Annals of the Rheumatic Diseases. 1977 ; Vol. 36, No. 4. pp. 354-359.
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