Recurrent Eosinophilic Fasciitis: The First Case Report

Gai Ge,1,2 Fei Su,1,2 Hui Chen,1,2 Bin Hu,1,2 Jinbo Chen1,2 1Department of Dermatology, Traditional Chinese and Western Medicine Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China; 2Department of Dermatology, Wuhan No. 1 Hospital, Wuhan, People’s Republic of ChinaCorrespondence: Jinbo Chen, Department of Dermatology, Traditional Chinese and Western Medicine Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People’s Republic of China, Tel +86 18827363048, Email [email protected]: Eosinophilic fasciitis (EF) is a rare sclerodermic form disease characterized by upper and lower limb edema. Here, we present a rare recurrent EF. A 57-year-old man presented to dermatology outpatient with skin induration on his both limbs. A diagnose of EF was made 12 years ago. According to swelling induration, eosinophilia > 0.5 × 109/l, hyperintense fascia on MRI T2-weighted images, and fascial thickening with accumulation of lymphocytes and macrophages with eosinophilic infiltration, he was diagnosed as EF. Patient was successfully treated with oral prednisone and methotrexate (MTX). To our knowledge, this is the first report of recurrent EF during the last twenty years. We report this case to analyze the reasons for recurrent EF and review-related literature to further provide experience for the diagnosis and treatment of recurrent EF.Keywords: eosinophilic fasciitis, sclerodermiform disease, hyperintense fascia, eosinophilia