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Eosinophilic fasciitis complicated with peripheral polyneuropathy

M Moriguchi1, C Terai, S Kuroki

  • 1Institute of Rheumatology, Tokyo Women's Medical College.

Internal Medicine (Tokyo, Japan)
|June 18, 1998
PubMed
Summary

Eosinophilic fasciitis (EF) rarely causes peripheral polyneuropathy. This case highlights EF presenting with neuropathy and swelling, which improved with steroids, though nerve symptoms persisted.

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Area of Science:

  • Rheumatology and Neurology
  • Rare autoimmune connective tissue diseases

Background:

  • Eosinophilic fasciitis (EF) is a rare inflammatory condition affecting the fascia.
  • Peripheral polyneuropathy is an uncommon complication of EF, with only two prior cases documented.
  • This study presents a unique case of EF with associated peripheral polyneuropathy.

Observation:

  • A 40-year-old woman developed extremity swelling post-exercise and bilateral foot paresthesia.
  • Clinical presentation, peripheral eosinophilia, and fascial histology confirmed EF diagnosis.
  • Nerve conduction studies indicated sensory disturbance consistent with mononeuritis multiplex.

Findings:

  • The patient exhibited symptoms of both eosinophilic fasciitis and peripheral polyneuropathy.
  • Treatment with prednisolone rapidly resolved swelling and tenderness.

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  • Neuropathy symptoms persisted for six months despite initial treatment response.

    • Implications:

    • This case expands the understanding of rare EF complications, specifically its association with peripheral polyneuropathy.
    • Highlights the importance of considering EF in patients presenting with unexplained neuropathy and fasciitis-like symptoms.
    • Suggests that while EF-related neuropathy may improve, it can have a prolonged course requiring extended management.