CASE REPORT
Insect bites as a trigger factor of eosinophilic cellulitis
 
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1
Faculty of Medicine, Jan Kochanowski University, Kielce, Poland
2
Dermatology Department, Provincial General Hospital, Kielce, Poland
 
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
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.

Objective:
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.

Results:
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.

Conclusions:
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.

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