[Shulman syndrome: An atypical presentation of a rare disease].
WHY IT MATTERS
This case report documents an atypical presentation of Shulman syndrome that initially mimicked lymphedema on imaging, helping clinicians recognize and correctly diagnose this rare condition earlier to avoid delayed treatment.
Shulman syndrome, also called eosinophilic fasciitis, is a rare disease where the tissue layers under the skin become thick and painful. This case describes a man whose condition started after minor injuries and spread throughout his body. Doctors confirmed the diagnosis using a deep skin biopsy and special imaging scans. This article helps doctors recognize unusual presentations of this rare disease.
[Shulman syndrome: An atypical presentation of a rare disease]. Abstract: Eosinophilic fasciitis is a rare scleroderma-like disorder. Most of the available information comes from case reports or small case series. It is characterized by fascial thickening, acute pain, skin induration, joint contractures, and, anecdotally, visceral involvement. Diagnosis is confirmed through deep biopsy, although magnetic resonance imaging may be useful in inconclusive cases. We describe the case of a previously healthy 32-year-old man male with a history of recurrent minor trauma to the lumbar and gluteal regions. He developed acute-onset pain and progressive deep induration in the affected regions, which later extended symmetrically to all four extremities. Initial magnetic resonance imaging suggested lymphedema; however, given the high clinical suspicion, images were re-evalua Authors: Sánchez-Ruiz et al. Journal: Revista medica del Instituto Mexicano del Seguro Social MeSH: Humans, Male, Adult, Eosinophilia, Fasciitis, Rare Diseases, Syndrome