Korean J Dermatol.  1988 Apr;26(2):236-240.

Wells' Syndrome with Bullous and Vegetative Lesions

Abstract

We report a case of Wells' syndrome consisting chiefly of papular, vesicular, pustular and vegetative lesions on the trunk, lower extremities and palms in a 48-year-old female, though characteristic lesions of this syndrome are known to be cellulitis or urticaria like plaques. Only a few cases with such lesions as ours have been reported until now. Histologic finding showed spongiotic vesicles in the epidermis and diffuse dense infiltration of eosinophils with characteristic flame figures in the dermis. In addition, marked blood eosinophilia was noted. We tried oral prednisolone for 3 weeks, and the skin lesions improved almost completely.


MeSH Terms

Cellulitis
Dermis
Eosinophilia
Eosinophils
Epidermis
Female
Humans
Lower Extremity
Middle Aged
Prednisolone
Skin
Urticaria
Prednisolone
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