Niskanen L, Tulla H, Fräki J, Tahvanainen K
Department of Medicine, Kuopio University Central Hospital, Finland.
J Rheumatol. 1989 Oct;16(10):1364-5.
Eosinophilic fasciitis (EF) was diagnosed in a 23-year-old man presenting characteristic symptoms, skin changes, blood eosinophilia and typical histology showing thickened deep dermal fascia with inflammatory cells. After one year of corticosteroid treatment he experienced increasing pain in both legs and fluctuating serum creatinine kinase levels. Direct measurement showed elevated resting intracompartment pressure and both static strain and dynamic exercise provoked the typical pain. At operation all 4 compartments of both legs were decompressed and he recovered uneventfully. The compartment syndrome may be a hitherto unknown, but expected complication of severe EF.
一名23岁男性被诊断为嗜酸性筋膜炎（EF），其表现出特征性症状、皮肤改变、血液嗜酸性粒细胞增多以及典型组织学表现，即深层真皮筋膜增厚伴炎症细胞。接受皮质类固醇治疗一年后，他双腿疼痛加剧，血清肌酸激酶水平波动。直接测量显示静息肌间室压力升高，静态应变和动态运动均引发典型疼痛。手术时对双腿的所有4个肌间室进行了减压，他恢复顺利。肌间室综合征可能是严重EF一种迄今未知但可预期的并发症。
