Forearm compartment syndrome as a result of eosinophilic fasciitis: case report.
Eosinophilic fasciitis is an uncommon scleroderma-like connective tissue disease, usually characterized by symmetrical and painful swelling and induration of the skin and thickened fascia infiltrated with lymphocytes and eosinophils. A middle-aged woman with follicular lymphoma being treated with chemotherapy presented with acute onset atraumatic forearm swelling and severe pain. The history, physical examination, and pressure measurements were consistent with compartment syndrome. Intraoperative biopsy of the forearm fascia confirmed eosinophilic fasciitis.
Department of Surgery, Hamilton General Hospital, Hamilton, Ontario, Canada; Department of Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada; Department of Pathology, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Electronic address: balolabi@gmail.com.
Bashar
B
Alolabi
Department of Surgery, Hamilton General Hospital, Hamilton, Ontario, Canada; Department of Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada; Department of Pathology, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.
Martin
M
Lesieur
Department of Surgery, Hamilton General Hospital, Hamilton, Ontario, Canada; Department of Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada; Department of Pathology, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.
Brian
B
Smilovici
Department of Surgery, Hamilton General Hospital, Hamilton, Ontario, Canada; Department of Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada; Department of Pathology, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.
Kevin
K
Koo
Department of Surgery, Hamilton General Hospital, Hamilton, Ontario, Canada; Department of Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada; Department of Pathology, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.
Reem
R
El Bahtimi
Department of Surgery, Hamilton General Hospital, Hamilton, Ontario, Canada; Department of Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada; Department of Pathology, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.
Richard J
RJ
Jenkinson
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D015897:Comorbidity; D003161:Compartment Syndromes / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D019299:Decompression, Surgical; D004802:Eosinophilia / Q000150:complications* / Q000188:drug therapy / Q000453:epidemiology / Q000473:pathology; D005205:Fascia / Q000473:pathology; D005208:Fasciitis / Q000150:complications* / Q000188:drug therapy / Q000453:epidemiology / Q000473:pathology; D005260:Female; D005542:Forearm; D006801:Humans; D008224:Lymphoma, Follicular / Q000453:epidemiology; D008875:Middle Aged; D011241:Prednisone / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D011241:Prednisone
Compartment syndrome; eosinophilic fasciitis; eosinophils; fasciitis; forearm