Eosinophilic fasciitis presenting as inflammatory polyarthritis

Eosinophilic fasciitis is an uncommon disorder characterized by peripheral blood eosinophilia, hypergammaglobulinemia, and scleroderma-like inflammation of skin and fascia. Joint contractures occur but typically without synovitis and effusion. Our patient presented with symmetric polyarthritis and s...

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Veröffentlicht in:	Pediatrics (Evanston) 1986-09, Vol.78 (3), p.512-514
Hauptverfasser:	Olson, N Y, Lindsley, C B, Kepes, J J
Format:	Artikel
Sprache:	eng
Schlagworte:	Arthritis - diagnosis Arthritis - pathology Child Diagnosis, Differential Eosinophilia - diagnosis Eosinophilia - drug therapy Eosinophilia - pathology Fasciitis - diagnosis Fasciitis - drug therapy Fasciitis - pathology Female Humans Sclerosis
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description	Eosinophilic fasciitis is an uncommon disorder characterized by peripheral blood eosinophilia, hypergammaglobulinemia, and scleroderma-like inflammation of skin and fascia. Joint contractures occur but typically without synovitis and effusion. Our patient presented with symmetric polyarthritis and subsequently characteristic features of eosinophilic fasciitis developed. It is important to consider this disorder in patients presenting with arthritis as well as those presenting with skin changes because prior treatment with corticosteroids can alter biopsy findings, leading to diagnostic confusion, and possible adverse effects on the long-term treatment regimen.
doi_str_mv	10.1542/peds.78.3.512
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Joint contractures occur but typically without synovitis and effusion. Our patient presented with symmetric polyarthritis and subsequently characteristic features of eosinophilic fasciitis developed. 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It is important to consider this disorder in patients presenting with arthritis as well as those presenting with skin changes because prior treatment with corticosteroids can alter biopsy findings, leading to diagnostic confusion, and possible adverse effects on the long-term treatment regimen.</description><subject>Arthritis - diagnosis</subject><subject>Arthritis - pathology</subject><subject>Child</subject><subject>Diagnosis, Differential</subject><subject>Eosinophilia - diagnosis</subject><subject>Eosinophilia - drug therapy</subject><subject>Eosinophilia - pathology</subject><subject>Fasciitis - diagnosis</subject><subject>Fasciitis - drug therapy</subject><subject>Fasciitis - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Sclerosis</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90DtPwzAUhmELgUopjIxImdgSfOU4E0JVuUiVWGC2HMemRrnhkw7596RqxXSWR590XkJuGS2Ykvxh8DUWoAtRKMbPyJLRUueSgzonS0oFyyWl6pJcIf5QSqUCviALAVI_lmxJnjY9xq4fdrGJLgsWXYxjxGxIHn03xu47s5jFLjS2be3Ypykb-mayadylA7wmF8E26G9Od0W-Xjaf67d8-_H6vn7e5o5rPeZS2LosfQk1B-qp8EpBkIE7YSWrA9RQVX6mSpTCgtO04kIxFixoprwOYkXuj7tD6n_3HkfTRnS-aWzn-z0aAMpg_nyG-RG61CMmH8yQYmvTZBg1h2DmEMyANsLMwWZ_dxreV62v__WpkPgD8GZoJg</recordid><startdate>19860901</startdate><enddate>19860901</enddate><creator>Olson, N Y</creator><creator>Lindsley, C B</creator><creator>Kepes, J J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19860901</creationdate><title>Eosinophilic fasciitis presenting as inflammatory polyarthritis</title><author>Olson, N Y ; Lindsley, C B ; Kepes, J J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c288t-43ad99e97d270e03e557f4f2c3a41df7d7bbec285393a7c80b23511fa7815e8f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Arthritis - diagnosis</topic><topic>Arthritis - pathology</topic><topic>Child</topic><topic>Diagnosis, Differential</topic><topic>Eosinophilia - diagnosis</topic><topic>Eosinophilia - drug therapy</topic><topic>Eosinophilia - pathology</topic><topic>Fasciitis - diagnosis</topic><topic>Fasciitis - drug therapy</topic><topic>Fasciitis - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Sclerosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olson, N Y</creatorcontrib><creatorcontrib>Lindsley, C B</creatorcontrib><creatorcontrib>Kepes, J J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olson, N Y</au><au>Lindsley, C B</au><au>Kepes, J J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eosinophilic fasciitis presenting as inflammatory polyarthritis</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1986-09-01</date><risdate>1986</risdate><volume>78</volume><issue>3</issue><spage>512</spage><epage>514</epage><pages>512-514</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>Eosinophilic fasciitis is an uncommon disorder characterized by peripheral blood eosinophilia, hypergammaglobulinemia, and scleroderma-like inflammation of skin and fascia. 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source	MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects	Arthritis - diagnosis Arthritis - pathology Child Diagnosis, Differential Eosinophilia - diagnosis Eosinophilia - drug therapy Eosinophilia - pathology Fasciitis - diagnosis Fasciitis - drug therapy Fasciitis - pathology Female Humans Sclerosis
title	Eosinophilic fasciitis presenting as inflammatory polyarthritis
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