Therapeutic fasciectomy for eosinophilic fasciitis

Eosinophilic fasciitis is an uncommon and potentially debilitating sclerodermalike connective tissue disorder. A patient is presented for whom medical and pharmacological management had failed to prevent the progression of forearm pain, fibrosis, and flexor contractures. Definitive management with forearm fasciectomy resolved the pain and contractures of the hand. Therapeutic fasciectomy may be a consideration earlier in the course of this disease to ameliorate its debilitating factors. The literature is reviewed.