Insect bites as a trigger factor of eosinophilic cellulitis
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Faculty of Medicine, Jan Kochanowski University, Kielce, Poland
Dermatology Department, Provincial General Hospital, Kielce, Poland
The study presents the case report of a Wells Syndrome in a 18-year -ld female. Wells Syndrome is a rare inflammatory skin disorder which seems to present an abnormal eosinophilic response to a number of triggers.

The aim of the study is to discuss several problems related to the diagnosis and treatment of Wells Syndrome.

Material and Methods:
Medical examination, blood tests, abdominal ultrasound and skin biopsy were performed.

Medical examination revealed plaques with tense blisters on feet and erythematous lesions on trunk. Blood tests showed raised anti-streptolysin O level. Skin biopsy revealed features of eosinophilic cellulitis. Oral administration of 0.5 mg per day prednisolone and antihistaminics with local therapy resulted in good clinical response.

Sometimes several biopsy are required to establish diagnosis. In some cases lower doses of corticosteroids with antihistaminics and local anti-inflammatory treatment can by sufficient in treatment.

Monika Kucharczyk   
Jan Kochanowski University, The faculty od Medicine, IX Wieków Kielc 19, 25-317 Kielce, Poland
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