Korean J Dermatol.  2010 Dec;48(12):1128-1131.

Bullous Eosinophilic Cellulitis Caused by Trauma

• Kang HS
• Choi WJ
• Ro YS
• Kim YH

Abstract

Eosinophilic cellulitis is also called Wells' syndrome, and this is an acute pruritic dermatitis that resembles cellulitis. It usually appears as well-circumscribed erythematous plaques, but bullous lesions have rarely been reported. There are several precipitating factors, including drugs, arthropod bites, viral infections, parasitic infestations, leukemia and other malignancies. A 21-year-old male presented with a mildly pruritic vesiculobullous eruption on the dorsum of left foot after he had been pricked by a twig. Histopathologic examination showed intraepidermal blisters and spongiosis of the epidermis and a mixed inflammatory cell infiltration that consisted mostly of eosinophils throughout the dermis. These findings were consistent with the diagnosis of bullous eosinophilic cellulitis. He was treated daily with prednisolone 30 mg and the lesions rapidly resolved. There has been no recurrence of the lesions for 1 year of follow-up.

Keyword

Bullous; Eosinophilic cellulitis; Trauma

MeSH Terms

Arthropods
Bites and Stings
Blister
Cellulitis
Dermatitis
Dermis
Eosinophilia
Eosinophils
Epidermis
Follow-Up Studies
Foot
Humans
Leukemia
Male
Precipitating Factors
Prednisolone
Recurrence
Young Adult
Cellulitis
Eosinophilia
Prednisolone