Bullous eosinophilic cellulitis (Wells’ syndrome) associated with Churg–Strauss syndrome

✍ Scribed by M-LA Schuttelaar; MF Jonkman

• Publisher: John Wiley and Sons
• Year: 2003
• Tongue: English
• Weight: 184 KB
• Volume: 17
• Category: Article
• ISSN: 0926-9959
• DOI: 10.1046/j.1468-3083.2003.00648.x

✦ Synopsis

ABSTRACT

We report a patient with Churg–Strauss syndrome (CSS) with asthma, eosinophilia, nasal polyposis and ANCA‐associated multisystem vasculitis, who's skin eruption started with erythematous urticarial‐plaques followed by haemorrhagic bullae. Histology of the plaques revealed ‘flame figures’ in the dermis with no granulomatous or vasculitic process, consistent with the diagnosis of eosinophilic cellulitis or Wells’ syndrome. The association of CSS and Wells’ syndrome observed in this patient may have a common pathogenesis. CSS may induce Wells’ syndrome by an unknown factor.