Background: Wells syndrome is a rare idiopathic dermatosis of the eosinophilic spectrum. Diagnostic criteria include cutaneous eruptions of variable morphology with eosinophilic infiltrates, peripheral blood eosinophilia, a relapsing, remitting course, and exclusion of systemic disease. Diagnosis is often delayed.
Case presentation: We present a 28-year older man with recently developed pruritic and sometimes painful erythema. His medical history was positive for coughing in the evening that started in November 2012. Later, a pansinusitis developed. Early diagnosis improves the outcome.
Conclusion: Standardized treatment has yet to be developed. In our case, systemic corticosteroids were of limited value only.
Keywords: Eosinophilia; Eosinophilic skin diseases; Flame figure; Interleukin-5; Treatment; Wells syndrome.
Copyright: © 2019 Birgit Heinig, Aleksandra Vojvocic, Torello Lotti, Michael Tirant, Uwe Wollina.