PT  - JOURNAL ARTICLE
AU  - Ana Primitivo
AU  - Nathalie Madeira
AU  - Dolores Lopez
AU  - Diana Afonso
TI  - Eosinophilic fasciitis (Shulman disease) with clinical, imaging and pathological correlation
AID  - 10.1136/bcr-2021-246151
DP  - 2021 Dec 01
TA  - BMJ Case Reports
PG  - e246151
VI  - 14
IP  - 12
4099  - http://casereports.bmj.com/content/14/12/e246151.short
4100  - http://casereports.bmj.com/content/14/12/e246151.full
SO  - BMJ Case Reports2021 Dec 01; 14
AB  - Eosinophilic fasciitis (EF) is a rare subacute fibrosing disorder of unknown aetiology, characterised by thickening of the muscular fascia and subcutaneous tissue, leading to swelling of limbs and trunk and sparing fingers and toes. Eosinophilic infiltration and degranulation may prompt tissue damage and consequent fibrosis due to the accumulation of collagen and extracellular matrix proteins. MRI is the best imaging modality for diagnosis, depicting fascial thickening and enhancement. MRI may also have a significant role in excluding alternative diagnosis and guiding the skin–muscle biopsy.We report a case of EF with clinical and pathological correlation, highlighting the diagnostic value of MRI for early diagnosis and further treatment.