Unilateral eosinophilic fasciitis (Shulman syndrome) with excellent response to combined treatment with methotrexate therapy and compression brace

Corrado Zengarini; Giacomo Clarizio; Federico Bardazzi; Martina Mussi; Carlotta Baraldi; Bianca Maria Piraccini; Alessandro Pileri

doi:10.4081/dr.2023.9807

Authors

Corrado Zengarini Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna; DIMEC, University of Bologna, Italy.
Giacomo Clarizio
giacomo.clarizio@studio.unibo.it
Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna; DIMEC, University of Bologna, Italy.
Federico Bardazzi Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna; DIMEC, University of Bologna, Italy. https://orcid.org/0000-0001-6162-2004
Martina Mussi Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna; DIMEC, University of Bologna, Italy.
Carlotta Baraldi Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna; DIMEC, University of Bologna, Italy.
Bianca Maria Piraccini Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna; DIMEC, University of Bologna, Italy. https://orcid.org/0000-0001-6537-9689
Alessandro Pileri Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna; DIMEC, University of Bologna, Italy. https://orcid.org/0000-0002-1025-7171

Not available

Lebeaux D, Sène D. Eosinophilic fasciitis (Shulman disease). Best Pract Res Clin Rheumatol. 2012 Aug;26(4):449–58. DOI: https://doi.org/10.1016/j.berh.2012.08.001

Long H, Zhang G, Wang L, Lu Q. Eosinophilic Skin Diseases: A Comprehensive Review. Clin Rev Allergy Immunol. 2016 Apr;50(2):189–213. DOI: https://doi.org/10.1007/s12016-015-8485-8

Urzal J, Cimbron M, Mendonça T, Farinha F. Eosinophilic fasciitis (Shulman’s disease): review and comparative evaluation of seven patients. Reumatologia. 2019;57(2):85–90. DOI: https://doi.org/10.5114/reum.2019.84813

Primitivo A, Madeira N, Lopez D, Afonso D. Eosinophilic fasciitis (Shulman disease) with clinical, imaging and pathological correlation. BMJ Case Rep. 2021 Dec 30;14(12):e246151. DOI: https://doi.org/10.1136/bcr-2021-246151

Lakhanpal S, Ginsburg WW, Michet CJ, Doyle JA, Moore SB. Eosinophilic fasciitis: clinical spectrum and therapeutic response in 52 cases. Semin Arthritis Rheum. 1988 May;17(4):221–31. DOI: https://doi.org/10.1016/0049-0172(88)90008-X

Pehl D, Preuße C, Allenbach Y, Benveniste O, Dittert P, Alten R, et al. Eosinophilic fasciitis (Shulman syndrome)-recognition of the histological spectrum allows for new insights into possible pathomechanisms. Rheumatology (Oxford). 2023 May 2;62(5):2005–14. DOI: https://doi.org/10.1093/rheumatology/keac526

Shinozaki A, Hayashi S, Hongo T, Okamoto M, Ishikawa S, Igawa K. Efficacy of methotrexate for steroid-resistant eosinophilic fasciitis with delayed start of treatment: a case report. Int J Dermatol. 2023 Feb;62(2):e67–8. DOI: https://doi.org/10.1111/ijd.16299

Mikhal’chik EV, Piterskaya JA, Budkevich LY, Pen’kov LY, Facchiano A, De Luca C, et al. Comparative study of cytokine content in the plasma and wound exudate from children with severe burns. Bull Exp Biol Med. 2009 Nov;148(5):771–5. DOI: https://doi.org/10.1007/s10517-010-0813-7

Saito M, Shima C, Takagi M, Ogino M, Katori M, Majima M. Enhanced exudation of fibrinogen into the perivascular space in acute inflammation triggered by neutrophil migration. Inflamm Res. 2002 Jul;51(7):324–31. DOI: https://doi.org/10.1007/PL00000311

Baum SJ, MacVittie TJ, Brandenburg RT, Levin SG. Stimulatory effects of products from inflammatory exudates upon stem cell production. Exp Hematol. 1978 Apr;6(4):405–9.

Zengarini, C., Clarizio, G., Bardazzi, F., Mussi, M., Baraldi, C., Piraccini, B. M., & Pileri, A. (2023). Unilateral eosinophilic fasciitis (Shulman syndrome) with excellent response to combined treatment with methotrexate therapy and compression brace. Dermatology Reports. https://doi.org/10.4081/dr.2023.9807