Nodular presentation of eosinophilic cellulitis (Wells' syndrome).
Eosinophilic cellulitis is a rare condition of unknown aetiology. The classical presentation is of a tender or mildly pruritic cellulitis-like eruption, that has typical histology characterized by tissue eosinophilia, oedema and "flame" figures. Other reported clinical presentations include papular and nodular eruptions. It may be recurrent, and preceded at a variable time by a pruritic papular eruption. We describe a patient with the rare nodular variant of eosinophilic cellulitis affecting the palms of the hands, which occurred 2 years after a nonspecific pruritic papular eruption, without an obvious precipitant and in the absence of the more typical cellulitis-like plaques.
Holme
S A
SA
Department of Dermatology, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, Wales. saholme@hotmail.com
McHenry
P
P
D000328:Adult; D002481:Cellulitis / Q000150:complications / Q000473:pathology*; D004804:Eosinophils / Q000473:pathology*; D006229:Hand Dermatoses / Q000150:complications / Q000473:pathology*; D006801:Humans; D008297:Male; D011537:Pruritus / Q000150:complications / Q000473:pathology; D012008:Recurrence; D012867:Skin / Q000473:pathology*