DOI: 10.12890/2023_003954
Wells syndrome with generalized oedema
Authors
mantmagda@gmail.com
Keywords
Wells syndrome, Churg-Strauss syndrome, eosinophilia, cellulitis, vasculitisAbstract
Wells syndrome or eosinophilic cellulitis is a rare and relapsing skin disease which lacks systemic involvement. A skin biopsy is needed to establish a diagnosis. Several precipitating factors have been proposed but no proven causative link has been found. On the other hand, Churg-Strauss syndrome, also known as eosinophilic granulomatosis with polyangiitis (EGPA), an auto-immune disease, is associated with multiorgan, including cutaneous manifestations. We report a case with overlapping features of Wells and Churg-Strauss syndrome, suggesting that these syndromes could be part of the same nosological entity.
References
- Wells GC. Recurrent granulomatous dermatitis with eosinophilia. Trans St Johns Hosp Dermatol Soc 1971;57:46–56.
- Toumi A, Yarrarapu SNS, Litaiem N. Wells Syndrome. 2022 Sep 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
- Sinno H, Lacroix JP, Lee J, Izadpanah A, Borsuk R, Watters K, et al. Diagnosis and management of eosinophilic cellulitis (Wells' syndrome): A case series and literature review. Can J Plast Surg 2012;20:91-97.
- Yeon J, Chan RC, Zagarella S. Eosinophilic cellulitis successfully treated with Methotrexate. Australas J Dermatol 2020;61:e421-e423.
- Ozturk M, Ucan E, Ibiloglu I. Eosinophilic Cellulitis Successfully Treated with Colchicine. Indian Dermatol Online J 2019;10:467-468.
- Blomberg M, Winther C, Høyrup S, Skov L. Treatment of Widespread Eosinophilic Cellulitis (Wells' Syndrome) with Benralizumab. Acta Derm Venereol 2020;100:adv00332.
- Morvay M, Bergman R, Avitan-Hersh E. Oral tacrolimus for severe recalcitrant eosinophilic cellulitis. JAAD Case Rep 2020;6:1211-1213.
- Traidl S, Angela Y, Kapp A, Suhling H, Schacht V, Werfel T. Dupilumab in eosinophilic cellulitis (Wells' syndrome) - case report of a potential new treatment option. J Dtsch Dermatol Ges 2021;19:1653-1655.
- Coattrenec Y, Ibrahim Yasmine L, Harr T, Spoerl D, Jandus P. Long-term Remission of Wells Syndrome With Omalizumab. J Investig Allergol Clin Immunol 2020;30:58–59.
- Heelan K, Ryan JF, Shear NH, Egan CA. Wells syndrome (eosinophilic cellulitis): Proposed diagnostic criteria and a literature review of the drug-induced variant. J Dermatol Case Rep 2013;7:113–120.
- de Montjoye L, Marot L, Baeck M. Eosinophilic cellulitis after BNT162b2 mRNA Covid-19 vaccine. J Eur Acad Dermatol Venereol 2022;36:e26–e28.
- Ikediobi O, Eichenfield DZ, Barrio VR. Eosinophilic cellulitis in response to BNT162b2 COVID-19 vaccination. Pediatr Dermatol 2022;39:823–824.
- Masi AT, Hunder GG, Lie JT, Michel BA, Bloch DA, Arend WP, et al. The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum 1990;33:1094-1100.
- Schuttelaar MLA, Jonkman MF. Bullous eosinophilic cellulitis (Wells' syndrome) associated with Churg-Strauss syndrome. J Eur Acad Dermatol Venereol 2003;17:91–93.
- Ratzinger G, Zankl J, Zelger B. Wells syndrome and its relationship to Churg-Strauss syndrome. Int J Dermatol 2013;52:949–954.
- Fujimoto N, Wakabayashi M, Kato T, Nishio C, Tanaka T. Wells syndrome associated with Churg–Strauss syndrome. Clin Exp Dermatol 2011;36:46–48.
- Ratzinger G, Zankl J, Eisendle K, Zelger B. Eosinophilic leukocytoclastic vasculitis - a spectrum ranging from Wells' syndrome to Churg-Strauss syndrome? Eur J Dermatol 2014;24:603–610.
- Lee SH, Roh MR, Jee H, Chung KY, Jung JY. Wells' syndrome associated with churg-strauss syndrome. Ann Dermatol 2011;23:497–500.
- Huang CF, Chen YF, Wang WM, Chiang CP. Wells' syndrome associated with Churg-Strauss syndrome: correlation with mast cell distribution. Int J Dermatol 2013;52:214–216.
- Lee SC, Shin SS, Lee JB, Won YH. Wells syndrome associated with Churg-Strauss syndrome. J Am Acad Dermatol 2000;43:556–557.
- Govoni M, Colina M, Cavazzini L, Trotta F. Churg-Strauss syndrome and Wells syndrome: coincidence or pathogenetic association? A new case report. Clin Exp Rheumatol 2007;25:S41.
- Omiya W, Fujita Y, Baba K, Shibaki A, Odani T, Shimizu H. Unusual cutaneous manifestations of Churg-Strauss syndrome mimicking Wells' syndrome. Eur J Dermatol 2012;22:576–578.