Two patients who presented with discomfort in the calves while walking down a slope were diagnosed as suffering from eosinophilic fasciitis of the lower limbs. Following therapy of the underlying disease, this peculiar discomfort remitted concomitantly with the disappearance of the subcutaneous abnormalities. The authors posit that downslope claudication of the calves in eosinophilic fasciitis constitutes an additional variant of claudication of the lower limbs.
Get full access to this article
View all access options for this article.
References
1.
Naschitz JE, Yeshurun D., Rosner I., et al: Cimetidine treatment of atypical panniculitis fasciitis syndrome . Ann Rheumatol, in press.
2.
Solomon G. Barland P, Rifkind H.: Eosinophilic fasciitis responsive to cimetidine . Ann Intern Med97:547-549, 1982.
3.
Carter SE: Clinical problems in peripheral arterial disease: Is the clinical diagnosis adquate? In: Noninvasive Diagnostic Techniques in Vascular Diseases, ed. by Bernstein EF. Ed. 3 St. Louis: CB Mosby Co, 1985, pp 495-505.
4.
Barnes RW: Peripheral arterial occlusive disease. In: Hemostasis and Thrombosis, Basic Principles and Clinical Practice, ed. by Colman RW.Philadelphia: JB Lippincott Co, 1982, pp 913-922.
Walker RT, Woodyer AB, Dormandy JA: Venous claudication. A report of fifteen cases and review of the literature . Int Angiol4:365-367, 1985.
7.
Naschitz JE, Yeshurun D., Misselevitch I., et al: Colitis and pericarditis in a patient with eosinophilic fasciitis. A contribution to the multiisystem nature of eosinophilic fasciitis. J Rheumatol16:688-692, 1989.
8.
Shulman LE: Diffuse fasciitis with hypergammaglobulinemia and eosinophilis: A new syndrome ?J Rheumatol1 (Suppl):46, 1974 .
9.
Barnes L., Rodman GP, Medsger TA Jr. et al: Eosinophilic fasciitis. A pathological study of 20 casesAm J Path96:493-507, 1979.
10.
Lakhanpal S. , Ginsburg WW, Michet CJ, et al: Eosinophilic fasciitis: Clinical spectrum and therapeutic response in 52 cases. Sem Arthr Rheum17:221-231, 1988
11.
Nilsson J., Thorstensson A., Halbertsma J.: Changes in leg movements and muscle activity with speed and locomotion and mode of progression in humans. Acta Physiol Scand123:457-475, 1985.
