Erysipelas-like presentation of Wells’ syndrome (eosinophilic cellulitis)

  • N. Belfeki | belfeki.nabil@gmail.com Department of Internal Medicine, Groupe Hospitalier Sud Ile de France, Melun, France.
  • E. Gharbi Department of Internal Medicine, Groupe Hospitalier Sud Ile de France, Melun, France.
  • C. Flateau Department of Infectious Disease, Groupe Hospitalier Sud Ile de France, Melun, France.
  • S. Diamantis Department of Internal Medicine, Groupe Hospitalier Sud Ile de France, Melun, France.

Abstract

Wells’ syndrome, also called eosinophilic cellulitis, is a rare eosinophilic dermatosis characterized by an unspecific inflammatory erythematous eruption often associated with systemic symptoms. Here we report the case of a 57-year-old female with bilateral painful pitting and pruritic feet progressive for two weeks despite one week of oral antibiotics. Skin biopsy was performed showing dermal eosinophilic infiltration. The patient showed a spontaneous progressive improvement of the condition. The presented case demonstrates both clinical and histologic presence of lesions of Wells’ syndrome in the course of the disease. A careful diagnostic approach is needed because of the lack of specific signs. The global outcome is favorable and spontaneous resolution is possible.

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Published
2020-01-28
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Section
Case Reports
Keywords:
Wells’ syndrome, eosinophilic cellulitis.
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How to Cite
Belfeki, N., Gharbi, E., Flateau, C., & Diamantis, S. (2020). Erysipelas-like presentation of Wells’ syndrome (eosinophilic cellulitis). Reumatismo, 71(4), 226-229. https://doi.org/10.4081/reumatismo.2019.1252

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