Jones H R, Beetham W P, Silverman M L, Margles S W
J Neurol Neurosurg Psychiatry. 1986 Mar;49(3):324-7. doi: 10.1136/jnnp.49.3.324.
Eosinophilic fasciitis is characterised by induration and inflammation of the fascia of the extremities. It is a nosologically distinct clinical entity typified by swelling, tenderness, and stiffness of the extremities associated with peripheral eosinophilia. Six of our eight patients with eosinophilic fasciitis seen in a 3 1/2 year period have had an associated carpal tunnel syndrome. The presenting complaints in three patients were those of carpal tunnel syndrome and in the other three patients were muscle aching, swelling, and tightness. Diagnosis was made by EMG and deep fascial biopsy. Although small doses of corticosteroid medications were helpful initially in five of the six patients, two patients later required surgical decompression.
嗜酸性筋膜炎的特征是四肢筋膜的硬结和炎症。它是一种在分类学上独特的临床实体，典型表现为四肢肿胀、压痛和僵硬，并伴有外周嗜酸性粒细胞增多。在3年半的时间里，我们诊治的8例嗜酸性筋膜炎患者中有6例伴有腕管综合征。3例患者最初的主诉是腕管综合征，另外3例患者的主诉是肌肉酸痛、肿胀和紧绷。通过肌电图和深部筋膜活检做出诊断。虽然小剂量的皮质类固醇药物最初对6例患者中的5例有帮助，但有2例患者后来需要手术减压。
