Professional paper

Eosinophilic fasciitis associated with Parkinson’s syndrome - a case report

Vesna Budišin orcid.org/0000-0002-5758-6191 ; Medikol Polyclinic, Zagreb, Croatia
Dragica Vrabec-Matković ; Special Hospital for Medical Rehabilitation Varaždinske Toplice, Varaždinske Toplice, Croatia
Višnja Milavac-Puretić ; Clinic for Dermatovenereology, Clinical Hospital Centre Zagreb, Zagreb, Croatia

Abstract

We present a 67 year old patient with erythema and swelling of the right arm. Suspected erysipelas and lymphedema are diagnosed at infectious department in the second month of the disease. He was treated with parenteral antibiotics (clindamycin + quinolon). After that, he was hospitalized at rheumatology department as right hand lymphedema, condition after erysipelas, cervicobrachial syndrome and ulnar epicondylitis of right elbow. Lymphatic drainage of right hand was performed, but with no effect. In the seventh month of the disease, the diagnosis of eosinophilic faciitis was established and started treatment with corticosteroids. Besides mentioned, dizziness, tremor, balance disorders, impaired hearing and pain in the cervical and lumbar spine were apeared. The therapy was introduced with levodopa and ropanirol and there is a slight improvement of neurological manifestations of extrapyramidal syndrome. After 18 months of disease the patient has a contracture of his right shoulder, induration and painful movements right forearm, pronounced tremor of the head and hands, balance disorders, neck pain and back pain, difficulty in walking.

Keywords

eosinophilic fasciitis; connective tissue disease; extrapyramidal syndrome; neurological manifestations

Hrčak ID:

123597

URI

https://hrcak.srce.hr/123597

Publication date:

1.6.2013.

Article data in other languages: croatian

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