Eosinophilic Fasciitis: an Updated Review on Diagnosis and Treatment

Curr Rheumatol Rep. 2017 Nov 4;19(12):74. doi: 10.1007/s11926-017-0700-6.

Abstract

Purpose of review: First recognized in 1974, eosinophilic fasciitis (EF) is a fibrosing disorder of the fascia with characteristic cutaneous and hematologic manifestations. This review discusses recent trends in the diagnosis and treatment of EF.

Recent findings: Although fascial biopsy has classically been considered the gold standard for making a diagnosis of EF, radiologic imaging, particularly magnetic resonance imaging, has been increasingly used for both diagnosis and monitoring of treatment response. Systemic corticosteroids remain the first-line treatment for EF; however, their often prolonged use in the treatment of EF has prompted a search for adjunctive therapies. Methotrexate has emerged as the leading corticosteroid-sparing agent for EF. Since EF was initially described over 40 years ago, important diagnostic and therapeutic progress has been made. Future efforts should be directed at the pursuit of prospective studies including clinical trials and evidence-based guidelines.

Keywords: Corticosteroids; Eosinophilic fasciitis; Groove sign; Magnetic resonance imaging; Methotrexate; Shulman disease.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Eosinophilia / diagnosis*
  • Eosinophilia / diagnostic imaging
  • Eosinophilia / drug therapy*
  • Fasciitis / diagnosis*
  • Fasciitis / diagnostic imaging
  • Fasciitis / drug therapy*
  • Humans
  • Magnetic Resonance Imaging
  • Methotrexate / therapeutic use*
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Methotrexate

Supplementary concepts

  • Eosinophilic Fasciitis