Wells' syndrome associated with idiopathic hypereosinophilic syndrome

Bogenrieder, T and Griese, DP and Schiffner, R and Buttner, R and Riegger, GAJ and Hohenleutner, U and Landthaler, M (1997) Wells' syndrome associated with idiopathic hypereosinophilic syndrome. BRITISH JOURNAL OF DERMATOLOGY, 137 (6). pp. 978-982. ISSN 0007-0963, 1365-2133

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Abstract

Wells' syndrome, or eosinophilic cellulitis, is characterized by recurrent cutaneous swellings which resemble acute bacterial cellulitis, and by distinctive histopathological changes. Skin lesions show dermal eosinophilic infiltration and the characteristic 'flame figures', which are composed of eosinophil major protein deposited on collagen bundles. The idiopathic hypereosinophilic syndrome is a multisystem disease with a high mortality rate. It is characterized by peripheral blood eosinophilia and eosinophilic infiltration of many organs, including the skin. The most common skin lesions are pruritic maculopapules and nodules over the trunk and limbs, with urticaria and angio-oedema. In contrast to Wells' syndrome, the pathology of these skin lesions is non-specific with variable eosinophil infiltration. We report overlapping clinical and histopathological findings characteristic of both syndromes in one patient. Our data favour the hypothesis that both syndromes represent an abnormal eosinophilic response to a variety of underlying diseases or causative agents and thus are different expressions of one disease entity linked to the immunobiology of eosinophils.

Item Type: Article
Uncontrolled Keywords: EOSINOPHILIC CELLULITIS; FLAME FIGURES; ONCHOCERCIASIS; PROTEIN; CHILD;
Depositing User: Dr. Gernot Deinzer
Last Modified: 19 Oct 2022 08:30
URI: https://pred.uni-regensburg.de/id/eprint/50346

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