Eosinophilic Cellulitis:Report Of One Case Misdiagnosed As Erysipelas And Review Of Literature

We present a case of Eosinophilic cellulitis (Wells’ Syndrome). The patient was first misdiagnosed as "Erysipelas" and was repeatedly treated with antibiotics.Case:A forty-year-old male was admitted complaining "recurrent redness and swelling on left side of his face for over 2 years, with a new flare for 6 days". He first underwent redness and swelling on left side of his face 2 years ago under no obvious reason. At that time, he denied having any tickling or pain at the place of his lesion and he did not have any fever or constitutional symptoms. The lesion resolved spontaneously in the next few days without scarring. He had several flares during these years. His latest flare was 6 days ago. At this time he was diagnosed as "Erysipelas" by local hospital, and was given antibiotics. His lesion resolved a little but recurred soon after the therapy stop. He underwent a skin biopsy in our hospital and was diagnosed as "eosinophilic cellulitis". After a few days of given low-dose steroids, his lesion resolved.