title: Wells' syndrome in childhood: case report and review of the literature.
abstract: We report a severe case of Wells' syndrome, or eosinophilic cellulitis, after a bee sting in a 4-year-old girl. The patient had a widespread, painful, blistering eruption that was subsequently complicated by Pseudomonas aeruginosa superinfection and septicemia, hypoalbuminemia, anemia, and neutropenia. The skin lesions responded to systemic steroid therapy. There was residual scarring alopecia of the scalp. There have been 17 previous reports of childhood Wells' syndrome. We believe that this disorder is a distinct entity that should be considered in the differential diagnosis of blistering diseases in children.
authors.affiliation: Division of Dermatology, University of British Columbia, Vancouver, Canada.
authors.forename: C R
authors.initials: CR
authors.lastname: Anderson
authors.forename: D
authors.initials: D
authors.lastname: Jenkins
authors.forename: V
authors.initials: V
authors.lastname: Tron
authors.forename: J S
authors.initials: JS
authors.lastname: Prendiville
mesh_terms: D000818:Animals; D001516:Bees; D001706:Biopsy; D001768:Blister / Q000175:diagnosis; D001772:Blood Cell Count; D002481:Cellulitis / Q000175:diagnosis* / Q000209:etiology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000175:diagnosis* / Q000209:etiology; D004817:Epidermis / Q000473:pathology; D005260:Female; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications; D012008:Recurrence; D012867:Skin / Q000382:microbiology / Q000473:pathology; D013577:Syndrome