Related Experiment Video
Updated: May 2, 2026
06:59
Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
732
Ischaemic fasciitis: a very rare entity with unusual presentation
Jyotsna Wader1, Neha Gajbi2, Sujata Kumbhar3
1Associate Professor, Department of Pathology, Krishna Institute of Medical Sciences , Karad, Maharashtra, India .
Journal of Clinical and Diagnostic Research : JCDR
|February 20, 2014
Summary
This case report details ischaemic fasciitis, a rare condition, in a 55-year-old female without prior debilitation. Microscopic findings confirmed this pseudo-sarcomatous proliferation, challenging initial diagnostic assumptions.
Area of Science:
- Pathology
- Dermatology
- Surgical Oncology
Background:
- Ischaemic fasciitis is a rare pseudo-sarcomatous proliferation.
- It typically affects elderly or debilitated patients, often over bony protuberances.
- This case presents an unusual occurrence in a non-debilitated individual.
Purpose of the Study:
- To report a rare case of ischaemic fasciitis.
- To highlight the diagnostic challenges and microscopic features of this condition.
- To emphasize its atypical presentation in a younger, non-debilitated patient.
Main Methods:
- Case presentation of a 55-year-old female with a gluteal swelling.
- Clinical evaluation including physical examination and operative findings.
- Histopathological analysis to determine the nature of the lesion.
Main Results:
- A 5x5 cm tender, indurated swelling was noted.
- Operative findings suggested a calcified lesion due to hardness.
- Microscopic examination revealed characteristic features of ischaemic fasciitis, including necrosis, fibroblastic proliferation, and inflammatory cells.
Conclusions:
- Ischaemic fasciitis can occur in non-debilitated patients, challenging typical presentations.
- Histopathology is crucial for diagnosing this rare reactive process.
- Recognition of this entity is important despite its rarity.
Related Concept Videos
01:25Endocarditis II: Clinical Features of Infective Endocarditis
929
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
929
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
764
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
764
01:30Aneurysm I: Introduction
650
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
650
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
01:25Endocarditis I: Introduction
873
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
873
01:17Chronic Bowel Disorders: Introduction
900
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
900