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[Well's cellulitis: A case report].
T Muller1, E Baubion1, E Amazan1
1Service de dermatologie, CHUM, hôpital Pierre-Zobda-Quitman, CS 90632, 97261 Fort-de-France cedex, Martinique.
La Revue De Medecine Interne
|September 28, 2016
Summary
Wells's cellulitis, a rare eosinophilic dermatosis, presents diagnostic challenges. Topical corticosteroids offer an effective and well-tolerated first-line treatment for this condition.
Area of Science:
- Dermatology
- Pathology
Background:
- Wells's cellulitis is a rare eosinophilic dermatosis.
- Characterized by inflammatory erythematous eruption and eosinophilia.
- Differential diagnosis with other eosinophilic dermatitis is challenging.
Observation:
- A 63-year-old patient presented with an extensive pruritic maculo-papular eruption.
- Lesions formed large, indurated, painful erythematous patches on limbs and trunk.
- Blood analysis revealed peripheral eosinophilia.
Findings:
- Histologic examination showed perivascular eosinophilic inflammatory infiltration.
- Eosinophilic infiltration was observed around collagen fibers.
- Symptoms resolved with topical corticosteroid treatment.
Implications:
- Diagnosis of Wells's cellulitis relies on suggestive clinical, biological, and histological features.
- Topical corticosteroids are effective and well-tolerated.
- Topical corticosteroids should be considered the first-line treatment for Wells's cellulitis.
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