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Summer 2014, Vol. 22 No. 2

Hong Kong J. Dermatol. Venereol. (2014) 22, 79-83


Case Report

All's Well that ends Wells': a case report of Wells' syndrome

善終為善:一宗威爾斯氏綜合徵的病例報告

ACC Chen 陳之傑, S Lee 李啟焱, RCF Chan 曾彩鳳, JYJ Choi 崔榮埈

Abstract

We report a case of idiopathic Wells' syndrome in a 52-year-old male, who presented with pruritic, erythema tous and annular plaques on his lower limbs, trunk and upper limbs. Histology revealed a dermal infiltrate of eosinophils with flame figures, consistent with Wells' syndrome. The lesions were resistant to treatment with prednisone, antihistamine and topical steroids, but resolved spontaneously after seven years.

我們報告一宗特發性威爾斯氏綜合徵的病例個案,一名求診的五十二歲男性患者,在其軀幹和四肢有著瘙癢的紅色環形斑塊。組織學顯示病灶真皮層中有嗜酸性粒細胞與火焰狀圖滲入,與威爾斯氏綜合徵吻合。病者患處在處方口服強的松、抗組織胺及外用類固醇治療後,無甚改善,但卻在七年後自癒。

Keywords: Wells' syndrome, eosinophilic cellulitis, prednisone, flame figures, spontaneous resolution

關鍵詞: 威爾斯氏綜合徵、嗜酸性蜂窩組織炎、強的松、火焰狀圖、自癒