Eosinophilic fasciitisThere is only one case report of eosinophilic fasciitis, co-incidentally from Ireland, as a cause of severe headache. Usually this condition affects the extremities.This condition underlines to need to palpate the head in clinical examination of headache conditions - local tenderness may indicate a subcutaneous disorder of this sort. A biopsy is needed to confirm the diagnosis of this very, very rare disorder.
Eosinophilis are seen in this microscopic picture of blood cells - the large cells stain for eosin, and the granular inclusions are rich in enzymes such as histaminase and peroxidase. (Creative Commons License, courtesy of Taipei Veterans Hospital)
ReferencesNutman TB. Evaluation and differential diagnosis of marked, persistent eosinophilia.Immunology Allergy Clinics of North America. 2007; 27(3): 529-549. (Free Full text)McGuigan C et al. Case report: recurrent temporalis muscle swelling and headache.Neurology. 2003;60(4):724-5.
|
NEW SURVEY: September 2011
What Colour is your Headache?
