[Article] A two-component model for counts of infectious by Held L., Hofmann M.

By Held L., Hofmann M.

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An older age group than for nodular fasciitis. A rare variant of proliferative fasciitis is described in children {1395}. Site of involvement Proliferative fasciitis develops most frequently in the upper extremity, particularly the forearm, followed by the lower extremity and trunk. Proliferative myositis arises predominantly in the trunk, shoulder girdle, and upper arm and less often in the thigh. By definition, proliferative fasciitis is subcutaneous and proliferative myositis is intramuscular.

Any part of the body can be involved, but the upper extremity, trunk, and head and neck are most frequently affected. Intravascular fasciitis is also chiefly subcutaneous. It occurs in small to mediumsized vessels, predominantly veins but occasionally arteries (or both). Cranial fasciitis typically involves the outer table of the skull and contiguous soft tissue of the scalp, and may extend downward through the inner table into the meninges. A B Clinical features Nodular fasciitis typically grows rapidly and has a preoperative duration in most, 48 Fibroblastic / Myofibroblastic tumours C Fig.

B Multinucleated, osteoclastlike giant cells are sometimes present. C Nodular fasciitis, intramuscular variant. There is a loose and "torn" appearance, but greater fibrosis than usual in one area (upper right). D Intravascular fasciitis. The intravascular location is demonstrated at scanning magnification (From R. Kempson et al. {1086}). mesenchymal proliferations. CD68 staining is present in the osteoclast-like giant cells and occasionally in spindle cells. Keratin and S100 protein are typically negative.

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