Eosinophilic cellulitis or Wells’ syndrome in a 6-year-old child
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Wells’ syndrome or eosinophilic cellulitis is a rare, recurrent inflammatory dermatosis. Wells described this syndrome in 1971 as "recurrent granulomatous dermatitis with eosinophilia" , and in 1979, Wells and Smith proposed the term ‘eosinophilic cellulitis’ . The clinical presentation can be variable, but the histopathologic features are characteristic. The etiology is unknown. Most cases occur in adults, and only a few cases have been reported in children.
We present a case of eosinophilic cellulitis on both feet in a 6-year-old boy. Two weeks prior to the eruption he had a high fever and complained of pain in his legs. The fever resolved after 5 days, but toe walking was observed. One week thereafter he developed itchy, painful plaques on the back of his feet, starting at the toes and progressing in a few days to above the ankles. Edema and small blisters developed rapidly.
His past medical history included cow’s milk allergy and reactive airway disease. There was no history...
KeywordsCellulitis Eosinophilic cellulitis Wells’ syndrome