Skip to main content
Top
Published in: Rheumatology International 3/2018

01-03-2018 | Case Based Review

Eosinophilic fasciitis during pregnancy: case report and review of literature

Authors: Maria Ester Simeira Fonseca, Maria Victória Quaresma, Ana Paula Luppino-Assad, Henrique Carriço da Silva, Danieli Castro O. Andrade, Percival D. Sampaio-Barros

Published in: Rheumatology International | Issue 3/2018

Login to get access

Abstract

The authors describe the case of a 23-year-old woman who was referred to the rheumatologist due to symmetrical and progressive stiffness, induration, and swelling of arms and thighs at the 12th week of her first gestation. The characteristic clinical aspect of ‘peau d’orange’, associated to the histopathologic results of the deep biopsy of the skin confirmed the diagnosis of eosinophilic fasciitis. Treatment with oral prednisone, at an initial dose of 1 mg/kg/day, was effective and rapidly tapered to 10 mg/day till the birth of a healthy newborn. A literature review showed only one previous description of pregnancy and eosinophilic fasciitis.
Literature
1.
go back to reference Shulman LE (1974) Diffuse fasciitis with hypergammaglobulinemia and eosinophilia: a new syndrome? (abstr). J Rheumatol 1(Suppl):46 Shulman LE (1974) Diffuse fasciitis with hypergammaglobulinemia and eosinophilia: a new syndrome? (abstr). J Rheumatol 1(Suppl):46
2.
go back to reference Rodnan GP, DiBartolomeo AG, Medsger TA Jr, Barnes EL Jr (1975) Eosinophilic fasciitis: Report of 7 cases of a newly recognized scleroderma-like syndrome (abstr). Arthritis Rheum 18:122–423CrossRef Rodnan GP, DiBartolomeo AG, Medsger TA Jr, Barnes EL Jr (1975) Eosinophilic fasciitis: Report of 7 cases of a newly recognized scleroderma-like syndrome (abstr). Arthritis Rheum 18:122–423CrossRef
3.
go back to reference Daniel RS, Lavery S, Maize JC Jr, Brown AN, Bolster MB (2009) Unilateral eosinophilic fasciitis: an under-recognized subtype? J Clin Rheumatol 15:247–249CrossRefPubMed Daniel RS, Lavery S, Maize JC Jr, Brown AN, Bolster MB (2009) Unilateral eosinophilic fasciitis: an under-recognized subtype? J Clin Rheumatol 15:247–249CrossRefPubMed
4.
go back to reference Pinal-Fernandez I, Selva-O’ Callaghan A, Grau JM (2014) Diagnosis and classification of eosinophilic fasciitis. Autoimmun Rev 13:379–382CrossRefPubMed Pinal-Fernandez I, Selva-O’ Callaghan A, Grau JM (2014) Diagnosis and classification of eosinophilic fasciitis. Autoimmun Rev 13:379–382CrossRefPubMed
5.
go back to reference Granter SR, Barnhill RL, Duray PH (1996) Borrelial fasciitis: diffuse fasciitis and peripheral eosinophilia associated with Borrelia infection. Am J Dermatopathol 18:465–473CrossRefPubMed Granter SR, Barnhill RL, Duray PH (1996) Borrelial fasciitis: diffuse fasciitis and peripheral eosinophilia associated with Borrelia infection. Am J Dermatopathol 18:465–473CrossRefPubMed
6.
go back to reference Hashimoto Y, Takahashi H, Matsuo S et al (1996) Polymerase chain reaction of Borrelia burgdorferi flagellin gene in Shulman syndrome. Dermatology 192:136–139CrossRefPubMed Hashimoto Y, Takahashi H, Matsuo S et al (1996) Polymerase chain reaction of Borrelia burgdorferi flagellin gene in Shulman syndrome. Dermatology 192:136–139CrossRefPubMed
7.
8.
go back to reference Hayashi N, Igarashi A, Matsuyama T, Harada S (2000) Eosinophilic fasciitis following exposure to trichloroethylene: successful treatment with cyclosporin. Br J Dermatol 142:830–832CrossRefPubMed Hayashi N, Igarashi A, Matsuyama T, Harada S (2000) Eosinophilic fasciitis following exposure to trichloroethylene: successful treatment with cyclosporin. Br J Dermatol 142:830–832CrossRefPubMed
9.
go back to reference Choquet-Kastylevsky G, Kanitakis J, Dumas V, Descotes J, Faure M, Claudy A (2001) Eosinophilic fasciitis and simvastatin. Arch Inter Med 161:1456–1457CrossRef Choquet-Kastylevsky G, Kanitakis J, Dumas V, Descotes J, Faure M, Claudy A (2001) Eosinophilic fasciitis and simvastatin. Arch Inter Med 161:1456–1457CrossRef
10.
go back to reference DeGiovanni C, Chard M, Woollons A (2006) Eosinophilic fasciitis secondary to treatment with atorvastatin. Clin Exp Dermatol 31:131–132CrossRefPubMed DeGiovanni C, Chard M, Woollons A (2006) Eosinophilic fasciitis secondary to treatment with atorvastatin. Clin Exp Dermatol 31:131–132CrossRefPubMed
11.
go back to reference Buchanan RR, Gordon DA, Muckle TJ, McKenna F, Kraag G (1980) The eosinophilic fasciitis syndrome after phenytoin (dilantin) therapy. J Rheumatol 7:733–736PubMed Buchanan RR, Gordon DA, Muckle TJ, McKenna F, Kraag G (1980) The eosinophilic fasciitis syndrome after phenytoin (dilantin) therapy. J Rheumatol 7:733–736PubMed
12.
go back to reference Serratrice J, Pellissier JF, Champsaur P, Weiller PJ (2007) Fasciitis with eosinophilia: a possible causal role of angiotensin converting enzyme inhibitor. Rev Neurol (Paris) 163:241–243CrossRef Serratrice J, Pellissier JF, Champsaur P, Weiller PJ (2007) Fasciitis with eosinophilia: a possible causal role of angiotensin converting enzyme inhibitor. Rev Neurol (Paris) 163:241–243CrossRef
13.
go back to reference Cantini F, Salvarani C, Olivieri I et al (1998) Possible association between eosinophilic fasciitis and subcutaneous heparin use. J Rheumatol 25:383–385PubMed Cantini F, Salvarani C, Olivieri I et al (1998) Possible association between eosinophilic fasciitis and subcutaneous heparin use. J Rheumatol 25:383–385PubMed
14.
go back to reference Lakhanpal S, Ginsburg WW, Michet CJ, Doyle JA, Moore SB (1988) Eosinophilic fasciitis: clinical spectrum and therapeutic response in 52 cases. Semin Arthritis Rheum 17:221–231CrossRefPubMed Lakhanpal S, Ginsburg WW, Michet CJ, Doyle JA, Moore SB (1988) Eosinophilic fasciitis: clinical spectrum and therapeutic response in 52 cases. Semin Arthritis Rheum 17:221–231CrossRefPubMed
15.
go back to reference Endo Y, Tamura A, Matsushima Y et al (2007) Eosinophilic fasciitis: report of two cases and a systematic review of the literature dealing with clinical variables that predict outcome. Clin Rheumatol 26:1445–1451CrossRefPubMed Endo Y, Tamura A, Matsushima Y et al (2007) Eosinophilic fasciitis: report of two cases and a systematic review of the literature dealing with clinical variables that predict outcome. Clin Rheumatol 26:1445–1451CrossRefPubMed
16.
go back to reference Lebeaux D, Frances C, Barete S et al (2012) Eosinophilic fasciitis (Shulman disease): new insights into the therapeutic management from a series of 34 patients. Rheumatology 51:557–561CrossRefPubMed Lebeaux D, Frances C, Barete S et al (2012) Eosinophilic fasciitis (Shulman disease): new insights into the therapeutic management from a series of 34 patients. Rheumatology 51:557–561CrossRefPubMed
17.
go back to reference Wright NA, Mazori DR, Patel M, Merola JF, Femia AN, Vleugels RA (2016) Epidemiology and treatment of eosinophilic fasciitis: an analysis of 63 patients from 3 tertiary care centers. JAMA Dermatol 152:97–99CrossRefPubMed Wright NA, Mazori DR, Patel M, Merola JF, Femia AN, Vleugels RA (2016) Epidemiology and treatment of eosinophilic fasciitis: an analysis of 63 patients from 3 tertiary care centers. JAMA Dermatol 152:97–99CrossRefPubMed
18.
go back to reference Mertens JS, Thurlings RM, Kievit W, Seyger MMB, Radstake TRD, de Jong EMGJ. (2017) Long-term outcome of eosinophilic fasciitis: a cross-sectional evaluation of 35 patients. J Am Acad Dermatol 77:512–517CrossRefPubMed Mertens JS, Thurlings RM, Kievit W, Seyger MMB, Radstake TRD, de Jong EMGJ. (2017) Long-term outcome of eosinophilic fasciitis: a cross-sectional evaluation of 35 patients. J Am Acad Dermatol 77:512–517CrossRefPubMed
19.
go back to reference Papa R, Nozza P, Granata C et al (2016) Juvenile eosinophilic fasciitis: three case reports with review of the literature. Clin Exp Rheumatol 34:527–530PubMed Papa R, Nozza P, Granata C et al (2016) Juvenile eosinophilic fasciitis: three case reports with review of the literature. Clin Exp Rheumatol 34:527–530PubMed
20.
go back to reference Bischoff L, Derk CT (2008) Eosinophilic fasciitis: demographics, disease pattern and response to treatment: report of 12 cases and review of the literature. Int J Dermatol 47:29–35CrossRefPubMed Bischoff L, Derk CT (2008) Eosinophilic fasciitis: demographics, disease pattern and response to treatment: report of 12 cases and review of the literature. Int J Dermatol 47:29–35CrossRefPubMed
21.
go back to reference Amdur HS, Levin RE (1989) Eosinophilic fasciitis during pregnancy. Obstet Gynecol 73(5 Pt 2):843–847PubMed Amdur HS, Levin RE (1989) Eosinophilic fasciitis during pregnancy. Obstet Gynecol 73(5 Pt 2):843–847PubMed
24.
go back to reference Lebaux D, Sène D (2012) Eosinophilic fasciitis (Shulman disease). Best Pract Res Clin Rheumatol 26:449–458CrossRef Lebaux D, Sène D (2012) Eosinophilic fasciitis (Shulman disease). Best Pract Res Clin Rheumatol 26:449–458CrossRef
25.
go back to reference Fujimoto M, Sato S, Ihn H, Kikuchi K, Yamada N, Takehara K (1995) Serum aldolase level is a useful indicator of disease activity in eosinophilic fasciitis. J Rheumatol 22:563–565PubMed Fujimoto M, Sato S, Ihn H, Kikuchi K, Yamada N, Takehara K (1995) Serum aldolase level is a useful indicator of disease activity in eosinophilic fasciitis. J Rheumatol 22:563–565PubMed
26.
go back to reference Kirchgesner T, Dallaudiere B, Omoumi P et al (2015) Eosinophilic fasciitis: typical abnormalities, variants and differential diagnosis of fasciae abnormalities using MRI imaging. Diagn Interv Imaging 96:341–348CrossRefPubMed Kirchgesner T, Dallaudiere B, Omoumi P et al (2015) Eosinophilic fasciitis: typical abnormalities, variants and differential diagnosis of fasciae abnormalities using MRI imaging. Diagn Interv Imaging 96:341–348CrossRefPubMed
27.
go back to reference Mazori DR, Femia AN, Vleugels RA (2017) Eosinophilic fasciitis: an updated review on diagnosis and treatment. Curr Rheumatol Rep 19:74CrossRefPubMed Mazori DR, Femia AN, Vleugels RA (2017) Eosinophilic fasciitis: an updated review on diagnosis and treatment. Curr Rheumatol Rep 19:74CrossRefPubMed
28.
go back to reference Caspi D, Fishel R, Varon M, Yona E, Baratz M, Yaron M (1982) Multisystem presentation of eosinophilic fasciitis. Rheumatol Rehab 21:218–221CrossRef Caspi D, Fishel R, Varon M, Yona E, Baratz M, Yaron M (1982) Multisystem presentation of eosinophilic fasciitis. Rheumatol Rehab 21:218–221CrossRef
29.
go back to reference De Jonge-Bok JM, Steven MM, Eulderink F, Cats A (1984) Diffuse (eosinophilic) fasciitis. A series of six cases. Clin Rheumatol 3:365–373CrossRefPubMed De Jonge-Bok JM, Steven MM, Eulderink F, Cats A (1984) Diffuse (eosinophilic) fasciitis. A series of six cases. Clin Rheumatol 3:365–373CrossRefPubMed
30.
go back to reference Chaudhary UB, Eberwine SF, Hege KM (2004) Acquired amegakaryocytic thrombocytopenia purpura and eosinophilic fasciitis: a long relapsing and remitting course. Am J Hematol 75:146–150CrossRefPubMed Chaudhary UB, Eberwine SF, Hege KM (2004) Acquired amegakaryocytic thrombocytopenia purpura and eosinophilic fasciitis: a long relapsing and remitting course. Am J Hematol 75:146–150CrossRefPubMed
31.
go back to reference Bukiej A, Dropinski J, Dyduch G, Szczeklik (2005) Eosinophilic fasciitis successfully treated with cyclosporine. Clin Rheumatol 24:634–636CrossRefPubMed Bukiej A, Dropinski J, Dyduch G, Szczeklik (2005) Eosinophilic fasciitis successfully treated with cyclosporine. Clin Rheumatol 24:634–636CrossRefPubMed
32.
33.
go back to reference Drosou A, Kirsner RS, Welsh E, Sullivan TP, Kerdel FA (2003) Use of infliximab, an anti-tumor necrosis alpha antibody, for inflammatory dermatoses. J Cutan Med Surg 7:382–386CrossRefPubMed Drosou A, Kirsner RS, Welsh E, Sullivan TP, Kerdel FA (2003) Use of infliximab, an anti-tumor necrosis alpha antibody, for inflammatory dermatoses. J Cutan Med Surg 7:382–386CrossRefPubMed
34.
go back to reference Haiduc VF, Erkan D, Kirou K, Birchansky S, Park J, Danon MJ (2008) Anti-neutrophil cytoplasmic antibody (c-ANCA) positive recurrent eosinophilic fasciitis responsive to cyclophosphamide: a clinical pathology conference held by the division of rheumatology at hospital for special surgery. Hosp Spec Surg J 4:81–86 Haiduc VF, Erkan D, Kirou K, Birchansky S, Park J, Danon MJ (2008) Anti-neutrophil cytoplasmic antibody (c-ANCA) positive recurrent eosinophilic fasciitis responsive to cyclophosphamide: a clinical pathology conference held by the division of rheumatology at hospital for special surgery. Hosp Spec Surg J 4:81–86
35.
go back to reference Khanna D, Agrawal H, Clements PJ (2010) Infliximab may be effective in the treatment of steroid-resistant eosinophilic fasciitis: report of three cases. Rheumatology 49:1184–1188CrossRefPubMedPubMedCentral Khanna D, Agrawal H, Clements PJ (2010) Infliximab may be effective in the treatment of steroid-resistant eosinophilic fasciitis: report of three cases. Rheumatology 49:1184–1188CrossRefPubMedPubMedCentral
36.
go back to reference Scheinberg M, Hamerschlak N, Kutner JM et al (2006) Rituximab in refractory autoimmune diseases: Brazilian experience with 29 patients (2002–2004). Clin Exp Rheumatol 24:65–69PubMed Scheinberg M, Hamerschlak N, Kutner JM et al (2006) Rituximab in refractory autoimmune diseases: Brazilian experience with 29 patients (2002–2004). Clin Exp Rheumatol 24:65–69PubMed
Metadata
Title
Eosinophilic fasciitis during pregnancy: case report and review of literature
Authors
Maria Ester Simeira Fonseca
Maria Victória Quaresma
Ana Paula Luppino-Assad
Henrique Carriço da Silva
Danieli Castro O. Andrade
Percival D. Sampaio-Barros
Publication date
01-03-2018
Publisher
Springer Berlin Heidelberg
Published in
Rheumatology International / Issue 3/2018
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-017-3908-x

Other articles of this Issue 3/2018

Rheumatology International 3/2018 Go to the issue

Physical Medicine and Rehabilitation

Physical activity in patients with systemic sclerosis