title: Eosinophilic cellulitis (Wells syndrome) in a pediatric patient: a case report and review of the literature.
abstract: We report a 4-year-old boy who presented with multiple pruritic, annular, erythematous plaques on the lower extremities of 1 week's duration. Histopathology of an affected area revealed a dense dermal infiltrate of eosinophils and flame figures without evidence of vasculitis. A diagnosis of eosinophilic cellulitis (EC), or Wells syndrome, was made. The patient had an excellent response to topical and systemic steroids following 1 week of treatment. This case appeared to be idiopathic, as there was no cause identified such as arthropod bites or tinea infection. The patient's EC cleared and has not had a recurrence.
authors.affiliation: Department of Dermatology, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, USA.
authors.forename: Jennifer Gall
authors.initials: JG
authors.lastname: Powell
authors.forename: Anne
authors.initials: A
authors.lastname: Ramsdell
authors.forename: Ilene L
authors.initials: IL
authors.lastname: Rothman
mesh_terms: D000287:Administration, Topical; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D002481:Cellulitis / Q000175:diagnosis* / Q000188:drug therapy*; D002675:Child, Preschool; D003879:Dermatologic Agents / Q000008:administration & dosage; D004802:Eosinophilia / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans; D007866:Leg; D008297:Male; D009824:Ointments; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D003879:Dermatologic Agents; D009824:Ointments