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Forearm compartment syndrome as a result of eosinophilic fasciitis: case report
Bashar Alolabi1, Martin Lesieur1, Brian Smilovici1
1Department of Surgery, Hamilton General Hospital, Hamilton, Ontario, Canada; Department of Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada; Department of Pathology, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.
Abstract:
Eosinophilic fasciitis is an uncommon scleroderma-like connective tissue disease, usually characterized by symmetrical and painful swelling and induration of the skin and thickened fascia infiltrated with lymphocytes and eosinophils. A middle-aged woman with follicular lymphoma being treated with chemotherapy presented with acute onset atraumatic forearm swelling and severe pain. The history, physical examination, and pressure measurements were consistent with compartment syndrome. Intraoperative biopsy of the forearm fascia confirmed eosinophilic fasciitis.