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Sudden, Extensive Induration of Arms, Abdomen, and Legs

Sudden, Extensive Induration of Arms, Abdomen, and Legs Abstract REPORT OF A CASE A 37-year-old white man presented with a 3-month history of ''tightness'' of his extremities and trunk. Five months before, edema suddenly developed over his entire body; a complete workup at that time was unrevealing. As the edema resolved, the patient noted progressively increasing induration of his arms, legs, and trunk. He complained of tenderness in his lower extremities and difficulty with flexion, but he had no evidence of arthritis. He denied dysphagia and symptoms of Raynaud's phenomenon. He had no history of preceding strenuous exercise, trauma, levotryptophan ingestion, illness, or fever. The patient had not taken References 1. Shulman LE. Diffuse fasciitis with hypergammaglobulinaemia eosinophilia in a new syndrome? J Rheumatol. 1974;1:46. 2. Doyle JA, Ginsburg WW. Eosinophilic fasciitis . Med Clin North Am. 1989;73: 1157-1166. 3. Madison PJ. Mixed connective tissue disease, overlap syndromes, and eosinophilic fasciitis . Ann Rheum Dis. 1991;50:887-893.Crossref 4. Golitz LE. Fasciitis with eosinophilia . Int J Dermatol. 1980;19:552-555.Crossref 5. Doyle JA. Eosinophilic fasciitis . Cutis. 1984;34:259-261. 6. Serratrice G, Pellissier JF, Roux H, et al. Fasciitis, perimyositis, myositis, polymyositis, and eosinophilia . Muscle Nerve. 1990;13:385-395.Crossref 7. Lever W, Schaumburg-Lever G. Histopathology of the Skin . 7th ed. Philadelphia, Pa: JB Lippincott; 1990:516-517. 8. Simon DB, Ringel SP, Sufit RL. Clinical spectrum of fascial inflammation . Muscle Nerve. 1982;5:525-537.Crossref 9. Gordon GV. Eosinophilic fasciitis . Cutis. 1981;28:268-273. 10. Naschitz JE, Yeshurun D, Zuckerman E, et al. The fasciitis-panniculitis syndrome . Semin Arthritis Rheum. 1992;21:211-220.Crossref 11. Fleischmajer R, Jacotot AB, Shore S, et al. Scleroderma, eosinophilia, and diffuse fasciitis . Arch Dermatol. 1978;114:1320-1325.Crossref 12. Cramer SF, Kent L, Abramowsky C, et al. Eosinophilic fasciitis . Arch Pathol Lab Med. 1982;106:85-91. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Sudden, Extensive Induration of Arms, Abdomen, and Legs

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1995.01690230113021
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 37-year-old white man presented with a 3-month history of ''tightness'' of his extremities and trunk. Five months before, edema suddenly developed over his entire body; a complete workup at that time was unrevealing. As the edema resolved, the patient noted progressively increasing induration of his arms, legs, and trunk. He complained of tenderness in his lower extremities and difficulty with flexion, but he had no evidence of arthritis. He denied dysphagia and symptoms of Raynaud's phenomenon. He had no history of preceding strenuous exercise, trauma, levotryptophan ingestion, illness, or fever. The patient had not taken References 1. Shulman LE. Diffuse fasciitis with hypergammaglobulinaemia eosinophilia in a new syndrome? J Rheumatol. 1974;1:46. 2. Doyle JA, Ginsburg WW. Eosinophilic fasciitis . Med Clin North Am. 1989;73: 1157-1166. 3. Madison PJ. Mixed connective tissue disease, overlap syndromes, and eosinophilic fasciitis . Ann Rheum Dis. 1991;50:887-893.Crossref 4. Golitz LE. Fasciitis with eosinophilia . Int J Dermatol. 1980;19:552-555.Crossref 5. Doyle JA. Eosinophilic fasciitis . Cutis. 1984;34:259-261. 6. Serratrice G, Pellissier JF, Roux H, et al. Fasciitis, perimyositis, myositis, polymyositis, and eosinophilia . Muscle Nerve. 1990;13:385-395.Crossref 7. Lever W, Schaumburg-Lever G. Histopathology of the Skin . 7th ed. Philadelphia, Pa: JB Lippincott; 1990:516-517. 8. Simon DB, Ringel SP, Sufit RL. Clinical spectrum of fascial inflammation . Muscle Nerve. 1982;5:525-537.Crossref 9. Gordon GV. Eosinophilic fasciitis . Cutis. 1981;28:268-273. 10. Naschitz JE, Yeshurun D, Zuckerman E, et al. The fasciitis-panniculitis syndrome . Semin Arthritis Rheum. 1992;21:211-220.Crossref 11. Fleischmajer R, Jacotot AB, Shore S, et al. Scleroderma, eosinophilia, and diffuse fasciitis . Arch Dermatol. 1978;114:1320-1325.Crossref 12. Cramer SF, Kent L, Abramowsky C, et al. Eosinophilic fasciitis . Arch Pathol Lab Med. 1982;106:85-91.

Journal

Archives of DermatologyAmerican Medical Association

Published: Nov 1, 1995

References

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