the presentation of eosinophilic fasciitis is similar to scleroderma or systemic sclerosis. however, unlike scleroderma, it affects the fascia, not the skin (dermis). the characteristic and severe effects of scleroderma and systemic sclerosis, such as raynaud's syndrome, involvement of the extremities, prominent small blood vessels (telangiectasia), and visceral changes such as swallowing problems, are absent.