A case of Wells' syndrome

Abstract

Wells' syndrome, also called eosinophilic cellulitis, is characterized by recurrent cutaneous swellings, which resemble acute bacterial cellulitis, distinctive histopathological changes, dermal eosinophilic infiltration and characteristic flame figure. A 53-year-old woman developed pruritic, erythematous, and edematous plaques on chest, abdomen, back and both upper arms. Histology of the plaques revealed a diffuse infiltration of eosinophils and flame figure in the dermis without granulomatous and vasculitic process, consistent with the diagnosis of Wells' syndrome.