PMC9984939_01
Clinical images. a Symmetrically distributed erythematous to red-brown, shiny plaques with woody induration to the distal forearms extending to the dorsal hands. b Reduced range of motion when attempting to make a fist.
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PMC9984939_01_cde-2023-0015-0001-529477_f1.jpg
F1
On physical examination, she had symmetrically distributed erythematous to red-brown, shiny plaques with woody induration to the distal dorsal forearms extending to the dorsal hands and distal lower legs extending to the dorsal feet with thickened scale to the dorsal ankles (Fig. 1, 2).
Clinical image. Symmetrically distributed erythematous to red-brown, shiny plaques with woody induration to the distal lower legs extending to the dorsal feet with thickened overlying scale.
cde-2023-0015-0001-529477_f2.jpg
PMC9984939_01_cde-2023-0015-0001-529477_f2.jpg
F2
On physical examination, she had symmetrically distributed erythematous to red-brown, shiny plaques with woody induration to the distal dorsal forearms extending to the dorsal hands and distal lower legs extending to the dorsal feet with thickened scale to the dorsal ankles (Fig. 1, 2).
Eosinophilic fasciitis (H&E stain, x10 magnification). Dense mixed inflammatory cell infiltrate is seen in the sclerotic fascia containing lymphocytes, numerous plasma cells, along with focal scattered eosinophils.
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PMC9984939_01_cde-2023-0015-0001-529477_f3.jpg
F3
A dense mixed inflammatory cell infiltrate is seen in the sclerotic fascia containing lymphocytes, numerous plasma cells, along with focal scattered eosinophils (Fig. 3).