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Generalized morphea/eosinophilic fasciitis overlap after epoxy exposure
oleh: Warren H. Chan, MS, Daniel J. Lewis, BA, Esther J. Kim, BA, Phyu P. Aung, MD, Madeleine Duvic, MD
Format: | Article |
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Diterbitkan: | Elsevier 2018-03-01 |
Deskripsi
Generalized morphea is associated with epoxy resin vapors and is characterized by the development of lesions shortly after exposure. Morphea presenting along with eosinophilic fasciitis (EF), or morphea/EF overlap, is rare and an indicator of poor prognosis and resistance to treatment. Here we present a case of generalized morphea/EF overlap linked to epoxy exposure. Our patient received multiple therapies—ultraviolet A1 phototherapy, prednisone, methotrexate, azathioprine, mycophenolate mofetil, cyclophosphamide, cyclosporine, and rituximab—none of which led to a significant response. The refractory nature of this disease warrants vigilance in its association with epoxy exposure.