Eosinophilic Fasciitis (EF), also known as Shulman syndrome, is a rare connective tissue disorder characterized by progressive thickening of the skin and soft tissue of the limbs and trunk. Here we describe a case of EF presenting with hypereosinophilia. To read this article in full you will need to make a payment ACAAI Member Login ACAAI Member, full access to the journal is a member benefit. Use your society credentials to access all journal content and features.