obsolete fascia disease

Obsolete Fascia Diseases

Fascia diseases refer to conditions that affect the fascia, a layer of connective tissue that surrounds muscles, bones, and other structures in the body. Over time, some of these conditions have been reclassified or considered obsolete due to advances in medical knowledge.

• Fredet's Fascia: This condition was previously described as a type of fasciitis, but its relevance in colon cancer surgery has been clarified, and it is no longer considered a distinct disease entity [6].
• Remitting Fasciitis without Eosinophilia: This rare autoimmune disease was first described in 1974 by Schulman, characterized by the rapid onset of skin and subcutaneous tissue induration with peripheral blood eosinophilia. However, further characterization by Rodnan et al. led to a reevaluation of its classification [15].

Note on Nodular Fasciitis

While nodular fasciitis is still considered a valid condition, it has been noted that some cases may be misdiagnosed or confused with other conditions. This highlights the importance of accurate diagnosis and classification in medical research.

• Nodular Fasciitis: A benign neoplasm of fibroblastic/myofibroblastic derivation, typically self-limiting [4].

Other Conditions

While not necessarily obsolete, some fascia-related conditions have been reevaluated or reclassified over time. These include:

• Eosinophilic Fasciitis: A rare autoimmune disease causing thickening and swelling of the fascia, sharing symptoms with other more common conditions [10].
• Fascial Tunnel Syndromes: Conditions resulting from nerve compression within the fascia, leading to inflammation and sensitization [8].

These examples illustrate how medical knowledge and classification can evolve over time, leading to a better understanding of fascia-related diseases.

Based on the provided context, it appears that there are several conditions related to fascia that may be relevant to understanding signs and symptoms of an "obsolete" fascia disease.

• Fibromyalgia: This condition involves widespread body pain, along with other symptoms such as fatigue, sleep disturbances, and cognitive difficulties. [2]
• Myofascial pain syndrome: This is a long-term pain condition that involves some muscles and the thin cover of tissue that holds muscles in place, called fascia. Pressure on these areas, called trigger points, causes pain. Sometimes, the pain is felt in other parts of the body. This is called referred pain. [11]
• Eosinophilic fasciitis: This is a rare autoimmune disease that causes your fascia (the stretchy layer of tissue under your skin) to thicken and swell. It shares symptoms with other more common conditions, so talk to your healthcare provider as soon as you notice pain and swelling under your skin. [10]

Some common signs and symptoms associated with these conditions include:

• Chronic pain: This can be felt in various parts of the body, including the muscles, joints, and fascia.
• Trigger points: These are areas of muscle that become inflamed and cause pain when pressed.
• Pain upon exposure to cold temperatures: Some people may experience abnormal discoloration of and pain affecting the fingers and toes upon exposure to cold temperatures (Raynaud’s phenomenon).
• **Abnormal tightness, thickening, “waxiness

Based on the provided context, it appears that there are several diagnostic tests that were used to diagnose an outdated fascia disease. Here are some of the tests mentioned:

• Muscle biopsy techniques: These range from needle muscle biopsy (NMB) and conchotome biopsy to open surgical biopsy [2].
• Imaging techniques: MRI, NIRS, and SPECT were used to detect changes in signal intensity in manually selected regions of interest [1]. However, it's worth noting that these imaging techniques may not be relevant for diagnosing modern fascia-related conditions.
• Differential diagnosis by MRI: This requires the exclusion of other superficial and deep subcutaneous tissue conditions that produce abnormal signal intensities for the fascia. It is crucial to combine imaging with clinical, laboratory, and anatomical pathology data [13].
• Ultrasound: This can be used to assess plantar fascia (PF) thickness and hypoechoic plantar fascia, as well as guide therapeutic interventions [14].

It's essential to note that these diagnostic tests may not be relevant for modern fascia-related conditions. The context suggests that the disease being referred to is an outdated one.

Relevant information:

• Eosinophilic fasciitis: This condition can be diagnosed through biopsies, which are usually the most reliable way to diagnose it [10].
• Blood tests: These can help show whether a person has extremely high levels of eosinophils early in the condition [15].

Citations:

[1] - The use of MRI, NIRS, and SPECT for detecting changes in signal intensity in manually selected regions of interest. [2] - Muscle biopsy techniques range from needle muscle biopsy (NMB) and conchotome biopsy to open surgical biopsy. [10] - Biopsies are usually the most reliable way to diagnose eosinophilic fasciitis. [13] - Differential diagnosis by MRI requires the exclusion of other superficial and deep subcutaneous tissue conditions that produce abnormal signal intensities for the fascia. [14] - Ultrasound can be used to assess plantar fascia (PF) thickness and hypoechoic plantar fascia, as well as guide therapeutic interventions. [15] - Blood tests can help show whether a person has extremely high levels of eosinophils early in the condition.

Based on the provided context, it appears that there are limited information available about drug treatment for an "obsolete" fascia disease.

However, I found some relevant information in search result [5] which mentions that the treatment of eosinophilic fasciitis is directed toward preventing and alleviating tissue inflammation. In some cases, affected individuals improve without treatment (spontaneous remission).

Additionally, search result [8] mentions that Eosinophilic fasciitis (EF) is a rare disease described by the presence of pitting edema and erythema on limbs or trunk and later by collagenous thickening of the subcutaneous fascia, hypergammaglobulinemia, eosinophilia in the peripheral blood, and diffuse fasciitis on the histopathologic exam. However, it does not provide any information about drug treatment.

It's worth noting that search result [5] also mentions a study by Lebeaux D, Frances C, Barete S, et al. Eosinophilic fasciitis (Shulman disease): new insights into the therapeutic management from a series of 34 ... which might provide more information about drug treatment for this condition.

Unfortunately, I couldn't find any specific information about drug treatment for an "obsolete" fascia disease in the provided context. If you could provide more context or clarify what you mean by "obsolete" fascia disease, I would be happy to try and assist you further.

• The treatment of eosinophilic fasciitis is directed toward preventing and alleviating tissue inflammation [5].
• In some cases, affected individuals improve without treatment (spontaneous remission) [5].

Based on the provided context, it appears that you are looking for information on the differential diagnosis of an outdated or obsolete fascia disease.

Possible Conditions to Consider

• Eosinophilic Fasciitis (EF): A rare disease characterized by inflammation in the fascia, which is a layer of connective tissue surrounding muscles and other structures. EF can cause symptoms such as pain or swelling after intense physical activity [3].
• Systemic Sclerosis: A chronic autoimmune disease that affects the skin and internal organs, causing hardening and tightening of the skin (sclerodactyly) and other symptoms [5].
• Eosinophilia-Myalgia Syndrome (EMS): A rare condition characterized by eosinophilia, muscle pain, and other systemic symptoms. EMS can be a differential diagnosis for EF due to its similar symptoms [7].

Other Conditions to Consider

• Nodular Fasciitis: A benign tumor of the fascia that is typically self-limiting [13].
• Plantar Fasciitis: Inflammation of the plantar aponeurosis (plantar fascia), which can cause heel pain and other symptoms [9].
• Morphea: A rare skin condition characterized by patches of hardened skin, which can be a differential diagnosis for EF due to its similar symptoms [12].

Key Points to Consider

• The face, hands, and feet are typically spared in EF, unlike systemic sclerosis [5].
• EF is often associated with diabetes and monoclonal gammopathy [7].
• Skin biopsy can show fibrosis of the subcutaneous connective tissue, thickening of the fascia, and infiltrate of eosinophils and monocytes in EF [8].

Please note that these conditions are not necessarily obsolete, but rather, they may be less commonly discussed or considered in modern medical practice. However, it is essential to consider them as part of a comprehensive differential diagnosis for patients presenting with symptoms related to fascia diseases.

References:

[3] - Context 3 [5] - Context 5 [7] - Context 7 [8] - Context 8 [9] - Context 9 [12] - Context 12 [13] - Context 13