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Updated: Dec 27, 2025
05:12
Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
6.9K
[Wells syndrome misdiagnosed as bacterial cellulitis]
F Kettani1, K Baline1, F Hali1
1Service de dermatologie et vénéréologie, CHU de Ibn Rochd, Casablanca, Maroc.
La Revue De Medecine Interne
|February 25, 2020
Summary
Wells syndrome (WS), a rare eosinophilic dermatosis, can mimic bacterial cellulitis. Prompt diagnosis via eosinophil counts and biopsies is crucial for effective corticosteroid treatment.
Area of Science:
- Dermatology
- Pathology
Background:
- Wells syndrome (WS), or eosinophilic cellulitis, is a rare inflammatory skin condition.
- It presents diagnostic challenges due to its varied clinical manifestations.
Observation:
- A case of WS mimicking bacterial cellulitis in a 59-year-old woman with a rapidly progressing rash.
- Physical exam revealed erythema, swelling, blisters, and urticarial-like lesions.
Findings:
- Blood tests showed elevated eosinophils (2050/ul) and inflammatory markers.
- Histopathology of lesions revealed eosinophilic infiltrate with flame figures, confirming WS.
Implications:
- Differentiating WS from bacterial cellulitis is critical for appropriate patient management.
- Early diagnosis and treatment with corticosteroids can lead to good clinical outcomes.
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