Case Number : Case 429 Posted By: Guest

atopica - (Mexico) Wrote:

Eosinophilic fasciitis.

Submitted on 01/02/2012 00:14
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Phillip H McKee - Overseas Consultations (Cave Creek, United States) Wrote:

In the clinical history I left out the fact that the condition developed after strenuous activity. I think that the histology fits very well with eosinophilic fasciitis. Remember that in that condition, the histology may sometimes show few or even no eosinophils. Clinicopathological correlation is critical.

Submitted on 31/01/2012 18:34
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Sasi Attili - (United Kingdom) Wrote:

Been thinking about this all morning. There is a vessel with fibrinoid necrosis but not much inflammation. This is slightly atypical for an inflammatory process/ true vasculitis. Necrosis of surrounding subcutis also evident. There infiltrate is composed of eosinophils and lymphocytes. However I am not really able to come to a definitive diagnosis and would need further CPC. An injected toxin or an insect bite would be in my differentials. Looking forward to the answer

Submitted on 31/01/2012 13:42
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Mona Abdel Halim - (Cairo) Wrote:

I will diagnose this as esinophilic fasciitis, the 2nd image show fibrinoid necrosis in relation to a blood vessel seen in the acute phases of this condition.

Submitted on 31/01/2012 13:09
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I. Abdul-kadir - Harrogate District Hospital (UK) Wrote:

?Nodular vasculitis.

Submitted on 31/01/2012 12:12
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Yüksel Okumuş - Bursa State Hospital (Turkey) Wrote:

Lupus Panniculitis

Submitted on 31/01/2012 10:31
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