Skip to main content
. 2023 Jun 14;43(9):1755–1764. doi: 10.1007/s00296-023-05362-x

Table 2.

Literature review of paediatric patients diagnosed with diffuse fasciitis with eosinophilia

Authors Main complaints Medical history Confirmation in Biopsy Confirmation in USG Confirmation in MRI Laboratory tests abnormality Medical Treatment
A. Uckun et al. [4] Swelling, tenderness, erythema and induration of arm, joint mobility constraint No past history  +  No data No data Eosinophilia Oral Hydroxyzine
A. I. Rodriguez Bandera et al. [5] Induration of the skin of thigh and buttock, peau d’orange No past history No data  +  No data Mild eosinophilia GCS, MTX
T. Wu Tiffany et al. [6] Stiffness of forearms, pain with extension of the fingers, thickening of the skin, contracture of the joints Positive family history- rheumatoid arthritis in the patient's mother, with possible EF and scleroderma overlap  +  No data  +  Eosinophilia, elevated serum aldolase GCS (intravenous and later oral prednisolone), MTX, Imatinib
T.M. Sarah et al. [7] Decreased energy, weight loss, cough, dyspnoea, malaise, decreased appetite, abdominal pain, pale, night sweats, fever, lymphadenopathy, swelling and stiffness of joints Confirmed Parvovirus B19 infection  +  No data No data Anaemia, eosinophilia, thrombocytosis, elevated ESR, CRP, hypoalbuminemia IGIV, GCS, NSAID (Naproxen), MTX, Etanercept, Adalimumab
M. Antic et al. [8] Oedema, flaking skin, myalgia, contractures of joints Mycoplasma-related pneumonia  +  No data No data Eosinophilia, hypergammaglobulinemia, positive antinuclear antibodies, increased leukocytes Prednisone
R. Papa et al. [9]

Motility limitations and contractures of joints, asthenia,

low-grade fever and severe stiffness at upper limbs,

hepatosplenomegaly with lymphadenopathy, rhinolalia with inability of swallow

Respiratory infection,

Mycoplasma-related pneumonia

 +  No data  +  Elevated CRP, ESR, eosinophilia, hypergammaglobulinemia, increased triglycerides, anti-GDA antibodies, slightly positive ANA Prednisone, Methylprednisolone infusion, Cyclosporine, MTX
T. Ergun et al. [10]

Stiffness of

both arms and neck

Intensive violin practising  +  No data  +  Elevated CRP, hypergammaglobulinemia, positive antinuclear antibody GCS, MTX
L. Dziadzio et al. [11]

Unilateral forearm swelling,

Stiffness of elbow

No past history  +  No data  +  Eosinophilia, elevated Il-5 and TGF-β Prednisone
C. Alexanian et al. [12] Painful plaque on right thigh Intensive training  +  No data No data No data Minocycline and Clobetasol ointment, Prednisone
C. M. Hedrich et al. [13] Localised thickening and induration of the skin, polyarthritis No data  +  No data  +  Eosinophilia, hypergammaglobulinemia, elevated eosinophilic cationic protein and ESR Prednisone, MTX
P. Huppke et al. [14] Stiffness of joints No past history  +   +   +  Eosinophilia, hypergammaglobulinemia Pulsed Methylprednisolone
U. Namita et al. [15] Tightening and swelling of both forearms, morning stiffness, weight loss

Hypothyroid

Intense training before first symptoms

No data  +  No data Eosinophilia, hypergammaglobulinemia, Elevated CRP and ESR, hypercalcemia, raised ACE levels, vitamin D deficiency GCS, MTX
Y. Kan et al. [16]

Skin thickening, joint stiffness,

hypopigmented patches with atrophy in the neck and

trunk and cutaneous sclerosis

No past history  +  No data No data Eosinophilia Methylprednisolone, MTX
A. B. Lese et al. [17] Pain, swelling, erythema and cellulitis from left hand to forearm No past history  +  No data  +  Elevated CRP Arthrotomy, Clindamycin, Vancomycin and Piperacillin/Tazobactam, NSAID
Y. Liu et al. [18] Swelling, myalgia, stiffness, tightness and aching in muscles Emotional tension  +  No data  +  Eosinophilia, hypergammaglobulinemia, elevated CRP, ESR Systemic GCS
K. Loupasaki et al. [19] Fatigue, weight loss, tightness of skin, peau d’orange changes, joint contractures, induration of the skin No past history  +  No data  +  Eosinophilia, elevated platelet count and ESR Oral Prednisone, Pulsed Methylprednisolone, MMF
M. Verenes et al. [20] Stiffness and mild aching in the forearms, peau d’orange changes, induration of the skin No data  +   +  Not performed Eosinophilia Prednisolone
A.G. Ortega-Loyaza et al. [21] Stiffness, thickening of the skin, limitation of mobility of joints, diffuse hair loss, weight loss Exposure to a chemical and biological agents  +  No data  +  Eosinophilia, anemia, hypergammaglobulinemia, elevated aldolase level, serum urea nitrogen, proteinuria and hematuria Prednisone, MTX
S. Pillen et al. [22] Painless limitation of movement with stiffness of fingers, thickening of the skin, reduced muscles force No data  +   +   +  Eosinophilia, elevated IgG level and slightly decreased IgA level Prednisolone, MTX
A. Pituch-Noworolska et al. [23] Pain and cramps of the right lower thigh with erythema and swollen of the skin X-linked agammaglobulinemia Injury before episode  +   +   +  Elevated CRP NSAID, GCS, IVIG, MTX, MMF
N. Poliak et al. [24] Diffuse oedema and erythema of the face, abdomen and extremities, Induration of the skin, peau d’orange changes EF in first line cousin No data  +   +  Eosinophilia

Antihistamines, oral GCS, MTX

Methylprednisolone pulses, Infliximab

M. M. Rutter et al. [25] Painless symmetric swelling of wrists and ankles, with restriction of joints polyuria, nocturia No data  +  No data  +  Eosinophilia, anaemia, hypercalcemia, increased ESR, creatinine, ACE, aldolase and blood urea nitrogen (BUN), elevated urinary calcium excretion GCS, MTX
C. Sullivan et al. [26] Stiffness and swelling of joints, general malaise and weight loss, skin induration Confirmed illness in siblings  +  No data Performed with normal imaging Eosinophilia, elevated IgG, ESR, HLA-A2-positive Prednisolone, MTX
N. Tzaribachev et al. [27] Mobility limitation with pain, skin thickening, peau d’orange No medical history  +  No data Performed with no confirmed arthritis Eosinophilia, elevated ESR, CRP, positive ANA 1:160, low-grade positive antibodies against nucleoli Prednisolone, Methylprednisolone, MTX, Infliximab
A. I. Quintero-Del-Rio et al. [28] Tightening, dryness, pigmentation of the skin, muscles weakness, loss of weight Raynaud ‘s phenomenon, generalised fatigue, peau d’orange Urinary tract infection  +  No data No data Leucocytosis, eosinophilia, anaemia, elevated ESR, LDH, aldolase Prednisone, MTX
O. Shamriz et al. [29] Myalgia Tonsillectomy  +  No data Not performed Elevated creatine phosphokinase No data

GKS glucocorticosteroids, MTX methotrexate, IVIG intravenous immunoglobulins, NSAID non-steroidal anti-inflammatory drugs, MMF mycophenolate mofetil