Canadian Association of Pathologists - Case of the Month - June, 2007

Contributed by Drs. Abdelrazak Meliti and S. Salama,
St. Joseph's Hospital Site, Department of Laboratory Medicine, Hamilton, Ontario.

Clinical Presentation:

A 49-year-old man presented with a 3 month history of dramatic infiltrated, indurated, erythematous, hard-woody plaques over both dorsal feet and calves.

Clinical Impression:

Eosinophilic Fasciitis.

DDx:
Morphea
Scleromyxedema

Gross Exam:

An ellipse of skin measures 2.0 x 0.5 x 0.3 cm.

Virtual Slides:

Skin biopsy, H&E stain
Skin Biopsy, H&E stain

Diagnosis:

Reveal the diagnosis.

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