January 1985

Eosinophilic Fasciitis: A Distinct Entity?

Author Affiliations

Division of Pediatric Rheumatology Children's Hospital Medical Center Elland and Bethesda avenues Cincinnati, OH 45229
Division of Pediatric Rheumatology Departments of Pediatrics and Medicine University of Cincinnati College of Medicine Cincinnati, OH 45229

Am J Dis Child. 1985;139(1):8. doi:10.1001/archpedi.1985.02140030010001

Sir.—Patrone and Kredich1 reported a case of eosinophilic fasciitis in a child in the April issue of the AJDC. They indicated that the "clinical features, laboratory changes, and rapid, consistent response to steroids" suggest that eosinophilic fasciitis represents a distinct disease rather than a variant of localized scleroderma. Our experience suggests that further consideration should be given to a possible pathogenic relationship between the two diseases. We have recently seen a young girl with linear scleroderma, morphea, and eosinophilic fasciitis who was seen by us at age 11 years with multiple lesions of morphea over her back and linear scleroderma in her lower right extremity, all of which had developed during the previous four to five months. The patient also had evidence of synovitis and early flexion contractures of the elbows and of the proximal interphalangeal joints of the fingers. Mild limitation of motion was also detected in

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