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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. 1Department of Infection, Royal Free Hospital, London, UK
  2. 2Department of Rheumatology, Royal Free Hospital, London, UK
  3. 3Department of Cellular Pathology, Royal Free Hospital, London, UK
  4. 4Academic 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}nhs.net

Abstract

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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Footnotes

  • 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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