PT  - JOURNAL ARTICLE
AU  - Timothy Prossor
AU  - Kokul Sriskandarajah
AU  - Frederick W Vonberg
AU  - Melanie Dani
TI  - Lessons of the month 2: Connecting the clues: limb swelling and pain
AID  - 10.7861/clinmed.2019-0293
DP  - 2020 Jan 01
TA  - Clinical Medicine
PG  - 105--106
VI  - 20
IP  - 1
4099  - http://www.rcpjournals.org/content/20/1/105.short
4100  - http://www.rcpjournals.org/content/20/1/105.full
SO  - Clin Med2020 Jan 01; 20
AB  - 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.