Eozinofilní celulitida - Wellsův syndrom

Title in English Eosinophilic cellulitis - Well´s syndrome
Authors

REKOVÁ Alice PINKOVÁ Blanka DOLEŽEL Zdeněk

Year of publication 2022
Type Article in Periodical
Magazine / Source Pediatrie pro praxi
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.pediatriepropraxi.cz/artkey/ped-202202-0015_eozinofilni_celulitida_-_wellsuv_syndrom.php
Doi http://dx.doi.org/10.36290/ped.2022.032
Keywords eosinophilic cellulitis; Well´s syndrome; skin biopsy
Description The 4-year-old girl has a family and personal history of no remarkable symptoms, no history of persistent drug therapy, no history of no history of allergic manifestations. Three days prior to admission for hospitalization, the mother noticed that the child red macules and papules appeared on the soles and toes of her feet (Figure 1). The child was afebrile and without other accompanying symptoms. Subsequently, within 24 hours, a more severe painful swelling affecting the belly developed and the entire foot of the right lower limb. Briefly thereafter, both lower extremities single and multiple vivid red edematous plaques appeared on both lower legs. quickly accompanied by the development of vesicles and bullae with hemorrhagic but also turbid contents (Fig. 2). The girl was still afebrile. At this stage the child was examined in the emergency room, where the condition was assessed as bullous, probably staphylococcal impetigo, and treatment was started with a per os antibiotic. During the follow-up over the next 24 hours, there was a clear progression of these changes and the child was admitted to the hospital with suspected herpetic infection or developing phlegmon.

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