A case report of recurrent Well’s syndrome masquerading as cellulitis

Eosinophilic cellulitis (Well’s syndrome) is a rare relapsing inflammatory disorder characterized by infiltration of eosinophils into the dermis. Although rare, WS should be considered in patients with a history of asthma and skin lesions that are resistant to antibiotic therapy. We report a case of...

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Bibliographic Details
Main Authors: Anum Qureshi, Jasmine Manley, Tristan Flack, Mark H. Lowitt
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2021-11-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2021.1979737
Description
Summary:Eosinophilic cellulitis (Well’s syndrome) is a rare relapsing inflammatory disorder characterized by infiltration of eosinophils into the dermis. Although rare, WS should be considered in patients with a history of asthma and skin lesions that are resistant to antibiotic therapy. We report a case of recurrent WS. A 67-year-old woman with a history of asthma presented with a longstanding left pretibial ulcer with surrounding erythema, pain, and serous drainage, which had failed treatment with oral and parenteral antibiotics. Skin biopsy revealed eosinophilic cellulitis. Rapid improvement occurred with systemic steroid treatment; however, recurrent disease in the perineum developed as corticosteroids were tapered.
ISSN:2000-9666