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

Submitted: 30 August 2019
Accepted: 19 October 2019
Published: 28 January 2020
Abstract Views: 1121
PDF: 649
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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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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