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eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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3/2013
vol. 51
 
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abstract:
Case report

Eosinophilic fasciitis in a 5-year-old boy

Anna Gruenpeter
,
Iwona Lachór-Motyka
,
Daiva Gorczyca
,
Andrzej Siwiec

Reumatologia 2013; 51, 3: 225-228
Online publish date: 2013/06/26
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Eosinophilic fasciitis is a rare disease in childhood. We report the case of a 5-year-old boy who was admitted to our hospital with a 2-month history of generalised skin sclerosis, induration, erythema, peau d’orange,

groove sign, and painless joint contractures of multiple joints, which was preceded by a week of high fever. Laboratory tests revealed a peripheral eosinophilia. A full-thickness biopsy of skin-muscle and fascia confirmed the diagnosis of eosinophilic fasciitis. The patient received prednisolone, methotrexate, chloroquine, and

rehabilitation. Five months later the following were observed: better general health, reduction of skin and subcutaneous hardening,and better mobility of joints. In conclusion, eosinophilic fasciitis ought to be taken into differential diagnosis of generalised scleroderma with joint contractures in children. Combination therapy allows for improvement of efficiency.
keywords:

eosinophilic fasciitis, children, contractures







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