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Case Reports
. 2005 Jun;20(2):180-2.
doi: 10.3904/kjim.2005.20.2.180.

Eosinophilic fasciitis associated with autoimmune thyroiditis

Jin-Wuk Hur  1 , Hye-Soon Lee, Wan-Sik Uhm, Jae-Bum Jun, Sang-Cheol Bae, Chan-Kum Park, Dae-Hyun Yoo
Affiliations
Case Reports

Eosinophilic fasciitis associated with autoimmune thyroiditis

Jin-Wuk Hur et al. Korean J Intern Med. 2005 Jun.

Abstract

Eosinophilic fasciitis (EF) is scleroderma-like disease without Raynaud's phenomenon or visceral involvement. It is characterized by painful swelling of the extremities, accompanied by rapid weight gain, fever and myalgia. The acute state of disease is associated with significant peripheral blood eosinophilia, an elevated erythrocyte sedimentation rate and hypergammaglobulinemia. EF is also frequently associated with hematological abnormalities, including malignant lymphoproliferative diseases, but rarely associated with autoimmune thyroiditis. In the present study we report a case of eosinophilic fasciitis associated with autoimmune thyroiditis.

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Figures

Figure 1
Figure 1
MR of left forearm showing increased signal of extensor carpi ulnaris, extensor digitorum longus, and extensor carpi radialis muscles. There is thickening and edematous changes in fascia around these muscles.
Figure 2
Figure 2
Muscle biopsy showing thickened fibrous fascia with perivascular infiltration of lymphocytes, plasma cells and few eosinophils (H&E, ×400).
See this image and copyright information in PMC

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