Case 18: Skin Right Forearm, R/O Rhus Derm

  • Dong-Lin XieEmail author
  • Tam H. Nguyen
  • Robert A. Norman
Part of the Clinical Cases in Dermatology book series (CLIDADE)


A 20-year-old female presented for evaluation of a rash on her right arm. It began one week prior to her visit after she went hiking at a local park. Since then, the patient reported that it was spreading outwards. She recently went to the emergency room, where they prescribed her a course of oral prednisone and antibiotics, which did not improve her symptoms.


Contact dermatitis Well demarcated rash Flame figures Eosinophilic cellulitis Well’s syndrome 

Suggested Reading

  1. Coelho de Sousa V, Laureano Oliveira A, Cardoso J. Successful treatment of eosinophilic cellulitis with dapsone. Dermatol Online J. 2016;22(7):13030/qt9v67b10b.PubMedGoogle Scholar
  2. Newton JA, Greaves MW. Eosinophilic cellulitis (Well’s syndrome) with florid histological changes. Clin Exp Dermatol. 1988;13(5):318–20.CrossRefGoogle Scholar
  3. Panizzon R. Well’s syndrome (eosinophilic cellulitis): additional cases in the literature. J Am Acad Dermatol. 1989;20(6):1136–7.CrossRefGoogle Scholar
  4. Peckruhn M, Tittelbach J, Schliemann S, Elsner P. Life of lesions in eosinophilic cellulitis (Well’s syndrome)- a condition that may be missed at first sight. Am J Dermatopathol. 2015;37(2):e15–7.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Dong-Lin Xie
    • 1
    Email author
  • Tam H. Nguyen
    • 2
  • Robert A. Norman
    • 3
    • 4
  1. 1.Ruffolo, Hooper & Associates, M.D, P.A.TampaUSA
  2. 2.DO, PGY-1 Larkin Community HospitalMiamiUSA
  3. 3.Department of DermatologyNova Southeastern UniversityTampaUSA
  4. 4.Center for Geriatric Dermatology and Neuro-DermatologyTampaUSA

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