Journal of Japan Society of Pain Clinicians
Online ISSN : 1884-1791
Print ISSN : 1340-4903
ISSN-L : 1340-4903
Volume 32, Issue 9
Displaying 1-2 of 2 articles from this issue
Clinical Report
  • Masahito NAKATANI, Tetsuro KIMURA, Kota SUZUKI, Yoshiki NAKAJIMA
    2025Volume 32Issue 9 Pages 193-196
    Published: September 25, 2025
    Released on J-STAGE: September 25, 2025
    JOURNAL FREE ACCESS FULL-TEXT HTML

    A 61-year-old woman was taking steroids for hypereosinophilic syndrome (HES). The patient experienced pain when the distal radius of the right forearm was punctured multiple times to secure the peripheral venous line. One month later, she developed swelling, numbness, and electric pain in her right forearm, which progressively worsened. She was referred to our department for differential diagnosis of complex regional pain syndrome (CRPS). Clinical findings other than pain and swelling were limited, and she did not meet the diagnostic criteria for CRPS. Ultrasonography revealed muscle hypertrophy and hyperechoic changes in the muscle and fascia. Similarly, MRI showed muscle hypertrophy and high signal intensity in the muscle and fascia, suggesting a muscle and fascial lesion. A biopsy of the muscle and fascia confirmed eosinophilic fasciitis caused by HES. Steroid pulse therapy was immediately administered, leading to rapid improvement in the tension and swelling of her right forearm.

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