A 66-year-old man presents with painful skin tightening and woody induration. Explore a case featuring the classic ‘groove sign’ and peripheral Eosinophilia.
A 66-year-old man presented with an 8-month history of painful skin tightening and swelling of his arms and legs. The symptoms had progressed on glucocorticoids and methotrexate. On physical exam, there was symmetric, woody induration of the trunk, arms, and legs, sparing the hands and feet. The involved skin had a dimpled appearance. Elevation of the arms resulted in visible indentions along the course of superficial veins. Elbow contractures were also noted. What is the most likely diagnosis?
What is the most likely diagnosis?
Dermatology, Eosinophilia, Eosinophilic fasciitis, Groove sign, Scleroderma
