Not a Routine Case of Recurrent Cellulitis: Well's Syndrome

Jeffrey J. Wargo
2016 Journal of Medical Cases  
When a 28-year-old man with suspected recurrent right forearm cellulitis did not respond to anti-microbial therapy, a dermatological consultation with cutaneous biopsy was obtained. Histopathology along with correlation of his clinical course confirmed a diagnosis of Well's syndrome (eosinophilic cellulitis) and he was successfully treated with oral anti-histamines and topical corticosteroids. This case emphasizes the importance of consideration for non-infectious etiologies of recurrent
more » ... tic lesions that do not respond to typical anti-microbial therapy. Figure 1. (a) A warm erythematous slightly edematous plaque on the right forearm. (b) Perivascular and interstitial infiltrate with numerous eosinophils, neutrophils, and prominent superficial papillary dermal edema.
doi:10.14740/jmc2680w fatcat:b745fi7s5vecxh5pyyqd2k3zb4