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CASE REPORT
Insect bites as a trigger factor of eosinophilic cellulitis
1
Faculty of Medicine, Jan Kochanowski University, Kielce, Poland
2
Dermatology Department, Provincial General Hospital, Kielce, Poland
Corresponding author
Monika Kucharczyk
Jan Kochanowski University, The faculty od Medicine, IX Wieków Kielc 19, 25-317 Kielce, Poland
Jan Kochanowski University, The faculty od Medicine, IX Wieków Kielc 19, 25-317 Kielce, Poland
Ann Agric Environ Med. 2019;26(2):256-259
KEYWORDS
TOPICS
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.
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.
ACKNOWLEDGEMENTS
The authors express their thanks dr Janusz Kopczyński for
the microscopic photos.
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| eISSN: | 1898-2263 |
| ISSN: | 1232-1966 |
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