Medicina Interna: Acesso Aberto
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A 67-Year-Old Patient with Severe Generalized Oedema

Raab A, Zelger B, Kofler H and Grander W

We report a case of a 67-year-old Caucasian man who was admitted to the emergency department with severe and generalized oedema accompanied by a rash of both lower legs. The patient was treated with loop diuretics throughout four months without success. Laboratory examinations displayed a leukocytosis with a high proportion of eosinophils. A comprehensive diagnostic work up was started.

Finally, a full-thickness skin biopsy including fascia showed eosinophilic infiltration suitable for an eosinophilic fasciitis. Briefly after starting a glucocorticoid therapy the patient lost 10 kg on body weight, the generalized oedema resolved.