case_images: PMC11831705_01
case_images: Swelling and thickening observed in both legs
case_images: cureus-0017-00000077615-i01.jpg
case_images: PMC11831705_01_cureus-0017-00000077615-i01.jpg
case_images: FIG1
case_images: Groove sign in the forearm (arrow)
case_images: cureus-0017-00000077615-i02.jpg
case_images: PMC11831705_01_cureus-0017-00000077615-i02.jpg
case_images: FIG2
case_images: Axial MRI scan of the hips using a STIR sequence, demonstrating fascial inflammation (indicated by arrows) without evidence of muscle involvement . MRI: magnetic resonance imaging; STIR: short Tau inversion recovery
case_images: cureus-0017-00000077615-i03.jpg
case_images: PMC11831705_01_cureus-0017-00000077615-i03.jpg
case_images: FIG3
case_images: MRI confirmed the diagnosis of EF by demonstrating perifascial edema and effusion bands without muscular involvement (Figure 3 and Figure 4), findings consistent with fasciitis. 
case_images: Coronal MRI scan of the hips using a STIR sequence, revealing fascial inflammation . MRI: magnetic resonance imaging; STIR: short Tau inversion recovery
case_images: cureus-0017-00000077615-i04.jpg
case_images: PMC11831705_01_cureus-0017-00000077615-i04.jpg
case_images: FIG4
case_images: MRI confirmed the diagnosis of EF by demonstrating perifascial edema and effusion bands without muscular involvement (Figure 3 and Figure 4), findings consistent with fasciitis. 
case_images: PMC11831705_02
case_images: Patient's arm with Groove sign
case_images: cureus-0017-00000077615-i05.jpg
case_images: PMC11831705_02_cureus-0017-00000077615-i05.jpg
case_images: FIG5
case_images: On physical examination, there was no evidence of muscle weakness or synovitis; however, skin thickening was observed across the limbs, yielding a modified Rodnan skin score of 48 (Figures 5-7).
case_images: Patient's arms
case_images: cureus-0017-00000077615-i06.jpg
case_images: PMC11831705_02_cureus-0017-00000077615-i06.jpg
case_images: FIG6
case_images: On physical examination, there was no evidence of muscle weakness or synovitis; however, skin thickening was observed across the limbs, yielding a modified Rodnan skin score of 48 (Figures 5-7).
case_images: Patient's leg
case_images: cureus-0017-00000077615-i07.jpg
case_images: PMC11831705_02_cureus-0017-00000077615-i07.jpg
case_images: FIG7
case_images: On physical examination, there was no evidence of muscle weakness or synovitis; however, skin thickening was observed across the limbs, yielding a modified Rodnan skin score of 48 (Figures 5-7).
case_images: PMC11831705_03
case_images: PMC11831705_04
case_images: Thoracoabdominal CT scan of patient 4
case_images: cureus-0017-00000077615-i08.jpg
case_images: PMC11831705_04_cureus-0017-00000077615-i08.jpg
case_images: FIG8
case_images: A thoracoabdominal CT scan showed increased density and infiltration of subcutaneous fat, with diffuse edema in the soft tissues, most prominent in the pelvic region (Figure 8).