Polymyalgia revealing eosinophilic fasciitis in a young male: Contribution of magnetic resonance imaging

Desvignes-Engelbert, Alexandra; Saulière, Norbert; Lœuille, Damien; Blum, Alain; Chary‐Valckenaere, Isabelle

doi:10.1016/j.jbspin.2010.04.008

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…7 Following injection of a gadolinium-based contrast agent, thickened fasciae appear with markedly enhanced signal intensity, thereby helping in diagnosis and establishing the biopsy site. 10,11 Baumann et al 9 also projected MRI as a tool for prognostic purposes, but there is a lack of randomized controlled prospective studies and established guidelines.…”

Section: Ta B L E 1 Patient Characteristicsmentioning

confidence: 99%

Musculoskeletal ultrasound as a diagnostic tool for eosinophilic fasciitis and correlation with magnetic resonance imaging findings

et al. 2021

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Section: Ta B L E 1 Patient Characteristicsmentioning

confidence: 99%

Musculoskeletal ultrasound as a diagnostic tool for eosinophilic fasciitis and correlation with magnetic resonance imaging findings

et al. 2021

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“…The biopsy of the skin or muscle tissue is essential, although, actually Magnetic Resonance Imaging (MRI) of soft tissues has played a major role in assisting the diagnosis of this disease, not only for monitoring the disease, but also to assess the most appropriate place for biopsy [8,9]. MRI of the lower limbs in T1 and T2 weighted with gadolinium injection may show diffuse thickening of the inflammatory nature of the muscle fascia, as well as the preservation of hypersignal of the muscles in the absence of myositis [10][11][12]. The patient in our clinical case was not submitted to this diagnostic exam because it wasn't available in utility time compared with the biopsy.…”

Section: Discussionmentioning

confidence: 99%

Iron Lady: A Case of Eosinophilic Fasciitis

Valadares

2011

J Med Cases

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Eosinophilic Fasciitis is a rare rheumatologic disease usually characterized by erythema and limbs' pain, cutaneous induration and peripheral eosinophilia. However, it is important to consider Eosinophilic Fasciitis in differential diagnosis of others sclerodermalike syndromes. The authors present a case of a 52-year-old woman who presented to our hospital with a four months evolution of limb and trunk diffuse symmetrical cutaneous induration, thickening of the skin without joint involvement and no history of Raynaud's phenomenon. On physical examination, she had a grade 3 skin thickening in the involved segments. Laboratory studies revealed no peripheral eosinophilia. The biopsy showed fibrotic involvement of muscle and fascia, with a few inflammatory infiltrations of lymphocytes. She started prednisolone 1 mg/kg/day, with partial regression of cutaneous injuries. As Eosinophilic Fasciitis is so rare, its recognition can be difficult, especially when the patient is observed at a late stage where the peripheral eosinophilia and inflammatory infiltration in the histology are usually no longer present. A clinical history and a detailed physical examination, especially with the presence of orange peel skin, are the fundamental clues for the diagnosis.

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“…Les myalgies sont précoces, parfois sévères et invalidantes [88] . Elles prédominent aux bras et aux mollets .…”

Section: Manifestations Musculosquelettiquesunclassified

Maladies systémiques et vascularites

Mouly¹,

Hachulla²,

Lefèbvre³

et al. 2013

Imagerie Musculosquelettique : Pathologies Générales

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Polymyalgia revealing eosinophilic fasciitis in a young male: Contribution of magnetic resonance imaging

Cited by 7 publications

References 9 publications

Musculoskeletal ultrasound as a diagnostic tool for eosinophilic fasciitis and correlation with magnetic resonance imaging findings

Musculoskeletal ultrasound as a diagnostic tool for eosinophilic fasciitis and correlation with magnetic resonance imaging findings

Iron Lady: A Case of Eosinophilic Fasciitis

Maladies systémiques et vascularites

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