Case Reports
28 January 2020

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

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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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Erysipelas-like presentation of Wells’ syndrome (eosinophilic cellulitis). (2020). Reumatismo, 71(4), 226-229. https://doi.org/10.4081/reumatismo.2019.1252