Unusual presentation of eosinophilic fasciitis: two case reports and a review of the literature.
BACKGROUND
Eosinophilic fasciitis is an uncommon disorder with unknown etiology and a poorly understood pathogenesis. We present the cases of two patients with eosinophilic fasciitis with unusual presentation, and describe the clinical characteristics and laboratory findings related to them.


METHODS
The first case involves a 29-year-old Turkish man admitted with pain, edema and induration of his right-upper and left-lower limbs. Unilateral edema and stiffness with prominent pretibial edema was noted upon physical examination. A high eosinophil count was found on the peripheral smear. The second case involves a 63-year-old Turkish man who had pain, edema, erythema, and itching on his upper and lower extremities, which developed after strenuous physical activity. He had cervical lymphadenopathy and polyarthritis upon physical examination, and rheumatoid factor and antinuclear antibody upon laboratory examination.


CONCLUSIONS
Eosinophilic fasciitis can present with various symptoms. When patients exhibit eosinophilia, arthralgia and myalgia, eosinophilic fasciitis should be considered as a possible diagnosis.
Danis
Ramazan
R
Department of Surgery, Diyarbakir Education and Research Hospital, 21400, Diyarbakir, Turkey. akbulutsami@gmail.com.
Akbulut
Sami
S
Altintas
Abdullah
A
Ozmen
Sehmus
S
Ozmen
Cihan Akgul
CA