Insect bites as a trigger factor of eosinophilic cellulitis

Abstract

Introduction The study presents the case report of a Wells Syndrome in a 18-year -ld female. Wells Syndrome is a rare inflammatory skin disorder which seems to present an abnormal eosinophilic response to a number of triggers. Objective The aim of the study is to discuss several problems related to the diagnosis and treatment of Wells Syndrome. Material and Methods Medical examination, blood tests, abdominal ultrasound and skin biopsy were performed. Results Medical examination revealed plaques with tense blisters on feet and erythematous lesions on trunk. Blood tests showed raised anti-streptolysin O level. Skin biopsy revealed features of eosinophilic cellulitis. Oral administration of 0.5 mg per day prednisolone and antihistaminics with local therapy resulted in good clinical response. Conclusions Sometimes several biopsy are required to establish diagnosis. In some cases lower doses of corticosteroids with antihistaminics and local anti-inflammatory treatment can by sufficient in treatment.

Keywords

• eosinophilic cellulitis
• Wells Syndrome
• flame figures
• morphea-like lesions