Unilateral eosinophilic fasciitis (Shulman syndrome) with excellent response to combined treatment with methotrexate therapy and compression brace

We report the case of a 78-year-old Caucasian male examined in our dermatological unit for swelling of the right arm. He described an increase in right arm size, which had a slow and progressive growth over the last two years and a perception of skin hardening and difficulty in flexing and extending the joint. Moreover, he has been experiencing muscle pain during the previous eight months. The past medical history accounts for a non-Hodgkin B cell lymphoma marginal type treated ten years before with splenecto