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Disseminated granuloma annulare-like presentation of juvenile Wells' syndrome

Authors :
Celestin Kouadio Ahogo
I P Gbery
B Vagamon
A Fauconneau
Source :
Indian Journal of Paediatric Dermatology, Vol 18, Iss 2, Pp 110-112 (2017)
Publication Year :
2017
Publisher :
Wolters Kluwer Medknow Publications, 2017.

Abstract

A 5-year-old boy was referred because of urticarial flares with angioedema. Antihistamines and systemic steroids were not useful to prevent flares. At examination, at distance of a flare, chronic red-brownish plaques were found on the legs, trunk, and back, resembling granuloma annulare. The skin biopsy showed epithelioid and giant-cell granulomas, elastophagia, and “flames figures” surrounded with many eosinophils. A diagnosis of disseminated granuloma annulare-like variant of Wells' syndrome as described earlier by Caputo was made. A treatment with dapsone was initiated and enabled to stop flares. Wells' syndrome is a rare clinicopathologic entity with a chronic benign course and often misleading clinical presentation. Our case illustrates the clinical polymorphism and benefit of dapsone therapy.

Details

Language :
English
ISSN :
23197250
Volume :
18
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Indian Journal of Paediatric Dermatology
Publication Type :
Academic Journal
Accession number :
edsdoj.4d552886863f4a45819844114ec17f95
Document Type :
article
Full Text :
https://doi.org/10.4103/2319-7250.203002