Abstract

We report a 4-year-old boy who presented with multiple pruritic, annular, erythematous plaques on the lower extremities of 1 week's duration. Histopathology of an affected area revealed a dense dermal infiltrate of eosinophils and flame figures without evidence of vasculitis. A diagnosis of eosinophilic cellulitis (EC), or Wells syndrome, was made. The patient had an excellent response to topical and systemic steroids following 1 week of treatment. This case appeared to be idiopathic, as there was no cause identified such as arthropod bites or tinea infection. The patient's EC cleared and has not had a recurrence.

Authors

Powell JG, Ramsdell A, Rothman IL

Institution

Department of Dermatology, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, USA.

Source

Cutis; cutaneous medicine for the practitioner 89:4 2012 Apr pg 191-4

MeSH

Administration, Topical
Adrenal Cortex Hormones
Cellulitis
Child, Preschool
Dermatologic Agents
Eosinophilia
Humans
Leg
Male
Ointments
Treatment Outcome

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

22611749