Groove Sign as an Eosinophilic Fasciitis Clue

Eosinophilic fasciitis is a rare variant of scleroderma with an unknown etiology, predominantly affecting middle age group. Clinically it presents with local oedema, erythema, woody induration with an “orange peel” appearance, progressing rapidly to fibrosis associated with hematological changes mainly eosinophilia. A deep fascial biopsy and imaging studies aid the diagnosis. Classical skin findings help in early diagnosis thereby preserving the mobility and preventing the joint contractures. This report presents a case of 59-year-old male with features suggestive of eosinophilic fasciitis and its importance in diagnosis. Key words: Groove sign, peau d’ orange appearance, dermascopy, Eosinophilic fasciitis, Shulman syndrome.