[Functional assessment and rehabilitation of eosinophilic fasciitis]. / Intérêt du bilan fonctionnel et de la rééducation dans la fasciite à éosinophile.

PURPOSE: To evaluate functional assessment and rehabilitation in eosinophilic fasciitis. METHOD: Description of a clinical case of eosinophilic fasciitis, including the evolution of functional assessment after treatment with corticotherapy and rehabilitation. CASE REPORT: Our case was a 33-year-old patient with major walking disability and pain in the left calf. Biological examination and imaging, including nuclear magnetic resonance and bone scintigraphy, showed inflammation of the adipose and muscular tissues of the posterior area of the leg. Cutaneomuscular biopsy confirmed the diagnosis of eosinophilic fasciitis. Corticotherapy was then instituted in parallel with rehabilitation to limit deficiencies and disability function. DISCUSSION-CONCLUSION: Functional assessment used as indicating objective could, in partnership with follow-up of the biological inflammatory syndrome, lead to decreased use of corticoids in iosinophilic fasciitis. Moreover, supplemental rehabilitation could limit deficiencies and the functional disability resulting from the fasciitis.

[Eosinophilic reactions in bronchial asthma patients and the possibilities to neutralize them under sanatorium treatment]. / Eozinofil'nye reaktsii u bol'nykh bronkhial'noi astmoi i vozmozhnosti ikh neitralizatsii v usloviiakh sanatornogo lecheniia.

Patients with eosinophilic variant of bronchial asthma demonstrate high levels of fibrinolytic activity in their bronchial secretion along with low content in same of Ig A, as evidenced by findings obtained in the course of sanatorium treatment. There is usually no correlation between the above changes and routine methods of health resort treatment. The judicious employment in a complex of therapeutic measures of aerosols of hydrocarbonate of sodium and heparin promotes neutralization of cationic proteins and large major protein of eosinophiles in the bronchial lumen whereby there occurs normalization of Ig A levels in the sputum along with lowering of its fibrinolytic activity.

Rehabilitation in rheumatic diseases. What's new.

In the past decade, considerable change has occurred in concepts of rehabilitation in patients with rheumatic diseases. This includes approaches to functional assessment and outcome, new concepts in exercise, and new orthotics.