Scleroderma-like syndrome in a child: eosinophilic fasciitis or scleredema adultorum?

A 6-year-old female patient presented with a rapidly progressive scleroderma-like syndrome involving almost the entire integument. Initially clinical patterns and histopathological data of both eosinophilic fasciitis and scleredema adultorum were present. The course of the disease remained unusual for both conditions but finally argued in favour of the diagnosis of eosinophilic fasciitis.

Eosinophilic fasciitis and scleredema adultorum might be subtypes of one disease entity.