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Abstract Eosinophilic fasciitis (EF) is a rare connective tissue disorder characterized by symmetrical or asymmetrical skin induration, fascial inflammation, and peripheral eosinophilia. We report the case of a middle-aged man presenting with left knee pain and swelling, progressive skin induration and pigmentation changes on the thigh and trunk. Blood workup showed peripheral eosinophilia and weakly positive PM-Scl-100 antibodies.
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