Eosinophilic fasciitisEosinophilic fasciitis is a scleroderma-like syndrome of unknown cause characterized by inflammation followed later by sclerosis of the dermis, subcutis, and deep fascia. A marked eosinophilia is found in the early stage of disease and subsequently decreases. Eosinophilic fasciitis affects adults and often occurs after strenuous physical activity. Patients do not have Raynaud's phenomenon or internal organ involvement. Symptoms of Eosinophilic fasciitisSeveral abnormalities have been associated with eosinophilic fasciitis and include aplastic anemia, myelodysplastic syndrome, and thrombocytopenia. Treatment of Eosinophilic fasciitisSpontaneous improvement and occasionally complete remission may occur after 2 to 5 years of disease. Some patients have persistent disease, while others are left with flexion contractures. Administration of glucocorticoids may provide symptomatic improvement and will decrease the eosinophilia. Improvement has been reported with the use of the H2 blocker cimetidine. |
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