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Lessons of the month 2: Connecting the clues: limb swelling and pain.
Clin Med (Lond). 2020 01; 20(1):105-106.CM

Abstract

A 28-year-old man presented with a sudden onset of left leg pain and swelling. There was no history of preceding trauma. Initial blood tests were unremarkable, ultrasound imaging showed extensive subcutaneous oedema. He then developed similar symptoms in his right leg, followed by both arms, and finally his forehead. A fluctuating peripheral eosinophilia subsequently developed. Biopsies of the arm and forehead showed an evolving panniculitis. The clinical features, peripheral eosinophilia, imaging and histology were consistent with a diagnosis of eosinophilic fasciitis. The patient received a course of steroids with complete resolution of his symptoms. Eosinophilic fasciitis is an uncommon condition but one that may be encountered by acute physicians. Early recognition and treatment is important to prevent complications.

Authors+Show Affiliations

London North West University Healthcare NHS Trust, London, UK.London North West University Healthcare NHS Trust, London, UK.Imperial College London, London, UK.Imperial College Healthcare NHS Trust, London, UK melanie.dani@nhs.net.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31941742

Citation

Prossor, Timothy, et al. "Lessons of the Month 2: Connecting the Clues: Limb Swelling and Pain." Clinical Medicine (London, England), vol. 20, no. 1, 2020, pp. 105-106.
Prossor T, Sriskandarajah K, Vonberg FW, et al. Lessons of the month 2: Connecting the clues: limb swelling and pain. Clin Med (Lond). 2020;20(1):105-106.
Prossor, T., Sriskandarajah, K., Vonberg, F. W., & Dani, M. (2020). Lessons of the month 2: Connecting the clues: limb swelling and pain. Clinical Medicine (London, England), 20(1), 105-106. https://doi.org/10.7861/clinmed.2019-0293
Prossor T, et al. Lessons of the Month 2: Connecting the Clues: Limb Swelling and Pain. Clin Med (Lond). 2020;20(1):105-106. PubMed PMID: 31941742.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lessons of the month 2: Connecting the clues: limb swelling and pain. AU - Prossor,Timothy, AU - Sriskandarajah,Kokul, AU - Vonberg,Frederick W, AU - Dani,Melanie, PY - 2020/1/17/entrez PY - 2020/1/17/pubmed PY - 2020/1/17/medline KW - Eosinophilic fasciitis KW - eosinophilia KW - swelling SP - 105 EP - 106 JF - Clinical medicine (London, England) JO - Clin Med (Lond) VL - 20 IS - 1 N2 - A 28-year-old man presented with a sudden onset of left leg pain and swelling. There was no history of preceding trauma. Initial blood tests were unremarkable, ultrasound imaging showed extensive subcutaneous oedema. He then developed similar symptoms in his right leg, followed by both arms, and finally his forehead. A fluctuating peripheral eosinophilia subsequently developed. Biopsies of the arm and forehead showed an evolving panniculitis. The clinical features, peripheral eosinophilia, imaging and histology were consistent with a diagnosis of eosinophilic fasciitis. The patient received a course of steroids with complete resolution of his symptoms. Eosinophilic fasciitis is an uncommon condition but one that may be encountered by acute physicians. Early recognition and treatment is important to prevent complications. SN - 1473-4893 UR - https://www.unboundmedicine.com/medline/citation/31941742/Lessons_of_the_month_2:_Connecting_the_clues:_limb_swelling_and_pain L2 - https://www.rcpjournals.org/lookup/pmid/31941742 DB - PRIME DP - Unbound Medicine ER -
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