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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
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[Wells syndrome mimicking facial cellulitis: Three cases]
C Gallard1, S Law-Ping-Man1, L Darrieux1
1Service de dermatologie, centre hospitalier de Saint-Brieuc, 10, rue Marcel-Proust, 22000 Saint-Brieuc, France.
Annales De Dermatologie Et De Venereologie
|November 15, 2016
Summary
Wells syndrome, or eosinophilic cellulitis, can mimic bacterial facial cellulitis. Early consideration and treatment with antihistamines and corticosteroids can lead to rapid improvement and prevent relapse.
Area of Science:
- Dermatology
- Inflammatory Dermatoses
Background:
- Wells syndrome (eosinophilic cellulitis) is a rare inflammatory skin condition.
- It presents as itchy, cellulitis-like plaques, typically on extremities.
- Histology shows eosinophilic infiltrate and "flame figures".
Observation:
- Three cases of idiopathic Wells syndrome mimicking bacterial facial cellulitis are presented.
- Patients received oral prednisone and/or combined levocetirizine and hydroxyzine therapy.
- All patients demonstrated significant improvement in skin lesions.
Findings:
- Wells syndrome should be considered in facial cellulitis cases unresponsive to antibiotics.
- Combined therapy with levocetirizine and hydroxyzine shows promise.
- This combination may serve as a first-line treatment or for relapse prevention.
Implications:
- Highlights the importance of differential diagnosis in facial skin conditions.
- Suggests novel therapeutic strategies for Wells syndrome.
- Improves patient outcomes by enabling timely and appropriate treatment.
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