Eosinophilic Fasciitis (cont.)
How is eosinophilic fasciitis diagnosed?
The diagnosis of eosinophilic fasciitis
is made with a biopsy of a full thickness of involved skin.
How is eosinophilic fasciitis treated?
Treatment of eosinophilic
fasciitis is directed at eliminating the tissue inflammation and includes
aspirin, other antiinflammatory drugs (NSAIDs), and cortisone. Many patients will improve
spontaneously.
Others can be afflicted with persistent tissue and joint pain,
in addition to thickening of the involved tissues.
For aggressive
eosinophilic fasciitis, cortisone medications (such as prednisone and prednisolone) are considered along with immune suppression
medications (such as cyclophosphamide
[Cytoxan] and penicillamine [Depen, Cuprimine]).
Recent medical research has shown that the immune-suppression drug methotrexate can provide an added benefit in treating eosinophilic fasciitis. This methotrexate research strongly suggests that methotrexate can reduce both the immune inflammation and the need for continued cortisone medications.
Last Editorial Review: 9/5/2007
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