BMJ Case Reports 2012; doi:10.1136/bcr.2012.6158
  • Rare disease

Eosinophilic fasciitis

  1. Johannes W G Jacobs1
  1. 1Rheumatology Department, University Medical Center Utrecht, Utrecht, Netherlands
  2. 2Rheumatology Department, Maartenskliniek, Woerden, Netherlands
  3. 3Internal Medicine Department, Zuwe Hofpoort Ziekenhuis, Woerden, Netherlands
  1. Correspondence to Ka Lai Tsoi, kalaitsoi{at}


A 57-year-old woman presented with malaise and heaviness in her extremities. At first there were no clues of an inflammatory disease, but the patient developed slowly progressive oedema of her arms and legs with induration of the skin. Blood tests showed eosinophilia. Additional analysis revealed generalised lymphadenopathy. After excluding an infectious or malignant cause, the clinical diagnosis of eosinophilic fasciitis was made, this was confirmed by the results of a full thickness skin biopsy.


  • Competing interests None.

  • Patient consent Obtained.

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