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Case of eosinophilic fasciitis during military training in a Nepalese British infantry soldier
  1. Ann Sturdy1,
  2. R Stratton2,
  3. M Perez-Machado3 and
  4. L Lamb1,4
  1. 1 Department of Infection, Royal Free Hospital, London, UK
  2. 2 Department of Rheumatology, Royal Free Hospital, London, UK
  3. 3 Department of Cellular Pathology, Royal Free Hospital, London, UK
  4. 4 Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK
  1. Correspondence to Dr Ann Sturdy, Department of Infection, Royal Free Hospital, London NW3 2QG, UK; annsturdy{at}


We present the case of a Nepalese British soldier with peripheral oedema and a significantly raised eosinophil count. After extensive investigation looking for a parasitic cause of his illness, he was diagnosed with eosinophilic fasciitis, a connective tissue disorder, often triggered by heavy exertion and responsiveness to immunosuppression. In a military setting, in which clinicians are likely to encounter patients who have spent time in tropical areas, it is important to still consider non-infectious causes of eosinophilia.

  • infectious diseases
  • rheumatology
  • tropical medicine
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  • Contributors AS, RS and LL were involved in direct clinical care of the patient. All authors were involved in writing and reviewing the article and the figures.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Patient consent was obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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