Juvenile eosinophilic fasciitis: three case reports with review of the literature

Riccardo Papa1, Paolo Nozza2, Claudio Granata3

  • 1UOC Pediatria II, Reumatologia, Istituto Giannina Gaslini, Genoa, Italy. papariccardo86@gmail.com.

Abstract

Insights

Eosinophilic fasciitis (EF) in children can present unusually, without skin changes but with motility issues and inflammation. Early diagnosis is crucial to prevent severe complications and long-term disability.

Area of Science:

  • Pediatric rheumatology
  • Dermatology
  • Pathology

Background:

  • Eosinophilic fasciitis (EF) is a rare scleroderma-like condition.
  • It is characterized by tissue induration and thickening, often with peripheral eosinophilia.
  • EF is poorly understood in pediatric populations.

Observation:

  • Three pediatric cases of EF with atypical presentations were analyzed.
  • Cases exhibited unusual clinical and histopathological features.
  • Motility impairment, primarily in upper limbs, was a common feature, often without skin abnormalities.

Findings:

  • All patients presented with systemic inflammatory involvement.
  • Two patients experienced acute complications.
  • Despite treatment, two patients had disabling outcomes.

Implications:

  • Pediatric eosinophilic fasciitis can manifest atypically.
  • Early recognition of unusual clinical and histopathological signs is vital.
  • Prompt diagnosis and intervention may prevent severe complications and long-term disability in children.

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