好酸球性筋膜炎の1症例

概要

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Eosinophilic fasciitis is a scleroderma-like illness, characterized by peripheral eosinophilia, often seen after an episode of intense physical exertion. Inflammation and thickening of the fascia causes joint contractures. We treated a 55-year-old woman who suffered from stiffness of her extremities and trunk. The ranges of motion in her shoulder, elbow, wrist, hip joints, and trunk were limited. She had difficulty in walking and performing her daily activities. According to her clinical course and laboratory data, she was diagnosed as having eosinophilic fasciitis. Treatment was started with daily use of 40 mg of predonine. Together with medication, physical therapy was performed, including active assistive range of motion exercises and muscle strengthening exercises. Significant improvement was made in her range of motion and she became able to perform her daily activities easily. During the clinical course, muscle strengthening exercises did not increase stiffness and eosinophil count.
社団法人日本リハビリテーション医学会の論文
1995-07-18