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Rheumatology 1999; 38: 1158-1159
© 1999 British Society for Rheumatology

Letters to the Editor

Extreme hypereosinophilia in a young male patient presenting with palindromic morphoea

S. A. W. Fadilah, S. K. Cheong and S. Shahdan1

Division of Haematology and
1 Division of Rheumatology, Faculty of Medicine, University of Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia

Correspondence to: S. A. W. Fadilah, Department of Medicine, Hospital University of Kebangsaan Malaysia (HUKM), Jalan Tenteram, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.

SIR, Apart from allergic diseases and helminthic parasites, a raised eosinophil count, especially a moderate or high count, is unusual [1]. Similarly, localized scleroderma lesions developing cyclically, named `palindromic morphoea', are extremely rare [2]. We describe an unusual variant of localized scleroderma associated with unexplained peripheral extreme hypereosinophila that responded well to steroids. The differential diagnosis of localized scleroderma and marked eosinophilia is presented.

A 19-yr-old male patient presented with a 2 yr history of recurrent episodes of painless and non-itchy swellings over both forearms and the right cheek. The swelling seemed to follow a migratory pattern as it often started at the right cheek, then the left cheek, left forearm and right forearm. These episodes usually lasted for a week . . . [Full Text of this Article]

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