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Rehabilitation Practice and Science

Translated Title

非對稱性嗜伊紅性筋膜炎的超音波表現：病例報告

Abstract

Eosinophilic fasciitis is a rare rheumatological disorder, with the clinical presentations of myalgia, symmetrical skin induration, and peripheral eosinophilia. Because of overlapping symptoms with other rheumatological disorders, early diagnosis of eosinophilic fasciitis is difficult. The confirmatory diagnosis relies on full-thickness skin biopsy. Imaging studies are also used for evaluation and diagnosis. Among them, high-resolution sonography has the advantage of high accessibility over other imaging modalities in detecting musculoskeletal disorder, but the sonographic features of eosinophilic fasciitis are rarely reported. This study reported a 24-year-old woman who was diagnosed as eosinophilic fasciitis with rare presentation of asymmetric involvement. She had left wrist/hand contracture and a tightness sensation at the right calf and trunk. Diagnosis was confirmed by a full-thickness skin biopsy 1.5 years after initial symptoms. The ultrasound showed marked thickening of the tendon sheaths of the flexor tendons with reduced echogenecity at the level of metacarpal bones in a transverse view. Thickening of the superficial fascia was also present at the right gastrocnemius. After treatment with prednisolone for 8 months, the wrist and hand contracture improved and the sonographic findings normalized. (Tw J Phys Med Rehabil 2012; 40(2): 91 - 95)

Language

English

First Page

91

Last Page

95

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