Dr fiona larsen, dermatology registrar, green lane hospital, auckland, new zealand, 2005. Eosinophilic cellulitis wells syndrome is an inflammatory dermatitis that is often misdiagnosed as infectious cellulitis due to its similarity in presentation. Wells syndrome, otherwise known as eosinophilic cellulitis, has an unknown etiology. Eosinophilic cellulitis is a rare condition of unknown cause. The presence of dvt is critical to the evaluation of possible pe, and if pe is on the differential, alternative decision aids such as the wells pe or perc rule should be entertained. Pdf wells syndrome or eosinophilic cellulitis is characterized clinically by an acute dermatitis resembling cellulitis and histopathologically by. Affected people typically develop a skin rash that is often preceded by itching or burning skin. Wells syndrome eosinophilic cellulitis is an uncommon condition of unknown etiology. Fever headaches muscle aches stomach problems diarrhea, and abdominal pain. The rash comes on suddenly, lasts for a few weeks, and often repeatedly comes back. Affected people typically develop a skin rash that is often preceded by itching or. Wells syndrome definition of wells syndrome by medical. Wells syndrome is a rare condition of unknown etiology and pathogenesis.
In 1971, george wells first described this syndrome as a recurrent granulomatous dermatitis with eosinophilia. Hantavirus pulmonary syndrome hantavirus pulmonary syndrome hps is a rare but severe, sometimes fatal, respiratory disease in humans caused by infection with hantavirus. Misdiagnosis leads to delay of correct treatment and inappropriate use of antibiotics. Syndrome mevalonate kinase deficiency hidsmkd, and familial mediterranean fever fmf the recommended dose of ilaris for traps, hidsmkd, and fmf patients is based on body weight. The ninds supports research aimed at discovering new ways to diagnose, treat, and, ultimately, cure neuropathies such as miller fisher syndrome. Wellens syndrome is a pattern of deeply inverted or biphasic t waves in v23, which is highly specific for a critical stenosis of the left anterior descending artery lad.
Iatrogenic or secondary to medical treatment afferent loop syndrome. The prognosis of wells syndrome may include the duration of wells syndrome, chances of complications of wells syndrome, probable outcomes, prospects for recovery, recovery period for wells syndrome, survival rates, death rates, and other outcome possibilities in the overall prognosis of wells syndrome. Wells syndrome is a rare eosinophilic disorder that primarily affects the skin. Hay wells syndrome synonyms, hay wells syndrome pronunciation, hay wells syndrome translation, english dictionary definition of hay wells syndrome. Wells and smith renamed it eosinophilic cellulitis in 1979. Eosinophilic cellulitis, also known as wells syndrome, is a skin disease that presents with painful, red, raised, and warm patches of skin. The course of the disease is mild despite occasional constitutional symptoms. Background wells syndrome is an eosinophilic dermatosis that is mainly reported in association with infections or insect bites, and more rarely during haematological disorders. A rare genetic disorder characterized by ankyloblepharon, ectodermal dysplasia, and cleft lip andor cleft palate. Haywells syndrome symptoms, diagnosis, treatments and. Wells syndrome in the dog vetgirl veterinary continuing. Hellp is an acronym that refers to a syndrome in pregnant and postpartum women characterized by hemolysis with a microangiopathic blood smear, elevated liver enzymes, and a low platelet count.
The wells criteria for dvt is utilized for the workup of dvt. Ocular manifestations may include ptosis, nystagmus, microcornea and most commonly high myopia. Diagnosis and management of eosinophilic cellulitis wells. Eosinophilic cellulitis, also known as wells syndrome is a skin disease that presents with. Elle fait partie des dermatoses eosinophiliques et pose des difficultes diagnostiques. Wells syndrome is a rare, idiopathic dermatosis with recurrent, erythematous, urticarial plaques that become more indurated and subsequently heal with mild pigmentation. Weil syndrome, a rare infectious disorder, is a severe form of the bacterial infection caused by leptospira bacteria known as leptospirosis. Gastrojejunal loop obstruction, proximal to a gastrojejunostomy. Jump to navigation jump to search this is an alphabeticallysorted. Wellens syndrome litfl medical blog ecg library eponym. It is most commonly caused by streptococcus pyogenes or staphylococcus aureus. Wells syndrome is characterized by clinical features of cellulitis and a.
Adhesions within the endometrial cavity, causing amenorrhea and infertility. Background wells syndrome, an uncommon inflammatory dermatosis, is characterized by protean cutaneous manifestations, suggestive but not specific. For patients with body weight less than or equal to 40 kg, the recommended dose is 2. Scar formation does not typically occur eosinophilic cellulitis is of unknown cause. Pregnant women all pregnant women with confirmed acute pe should be treated in an. Bullous pesentation of idiopathic wells syndrome eosinophilic.
In people, the presentation usually involves a mildly pruritic or tender cellulitislike eruption with typical histologic features characterized by edema, flame figures, and a marked infiltrate of eosinophils in the dermis. Patients may be pain free by the time the ecg is taken and have normally or minimally elevated cardiac enzymes. Bullous pesentation of idiopathic wells syndrome eosinophilic cellulitis. It probably represents a severe form of preeclampsia, but the relationship between the two disorders remains controversial. The presentation usually involves a mildly pruritic or tender cellulitislike eruption with typical histologic features characterized by edema, flame figures, and a marked infiltrate of eosinophils in the dermis. Weil syndrome is characterized by dysfunction of the kidneys and liver, abnormal enlargement of the liver hepatomegaly, persistent yellowing of the skin, mucous membranes, and whites of the eyes jaundice, andor alterations in consciousness. Melas syndrome, a rare form of dementia, is caused by mutations in the genetic material dna in the mitochondria. It presents with markedly swollen nodules and plaques lumps with prominent. There are numerous treatment options for wells syndrome eosinophilic cellulitis, including the use of topical corticosteroids, calcineurin inhibitors, griseofulvin, h1 antihistamines, cyclosporine, dapsone, and systemic corticosteroids. A 44yearold female presented with pruritic oedematous papules and. Cellulitis definition cellulitis is a spreading bacterial infection just below the skin surface. Learn more about wells fargos financial performance. Wells syndrome, also known as eosinophilic cellulitis, was first described by dr gc wells in 1971 as a recurrent granulomatous dermatitis with eosinophila 1.
Anyone who comes into contact with rodents that carry hantaviruses is at risk of hps. Hantavirus pulmonary syndrome hps is a severe, sometimes fatal, respiratory disease in humans caused by infection with hantaviruses. Description the word cellulitis actually means inflammation of the cells. Haywells syndrome definition of haywells syndrome by. The canadian down syndrome society cdss is a nonprofit organization that provides down syndrome advocacy in canada. Bullous eosinophilic cellulitis wells syndrome associated with churgstrauss syndrome. The term eosinophilic cellulitis was introduced by wells and smith in 1979. Ingestion of food produces nausea, pain, and duodenal distension. Case reporta 32 yearold woman presented several recurrent episodes of massive swelling and erythema papulonodular inflammatory plaques on the butoocks that spontaneously. Wells syndrome genetic and rare diseases information center. Specifically, cellulitis refers to an infection of the tissue just below the skin surface. Wells syndrome genetic and rare diseases information.
Syndrome definition of syndrome by medical dictionary. Muckle wells syndrome is a rare autosomal dominant disease that belongs to a group of. Miller fisher syndrome information page what research is being done. Four cases of mucklewells syndrome within the same family. Typically eosinophilic cellulitis is preceded by itching or burning skin. Some authorities believe that hellp is a separate disorder. We report on a 5yearold girl who showed the typical biphasic and recurrent course of the disease. Along with 45,000 canadians who have down syndrome, 50 local groups, and 12 affiliate organizations, the canadian down syndrome society cdss is proud to be canadas voice for the down syndrome community. Wells syndrome eosinophilic cellulitis is a rare inflammatory skin disease of unknown etiology and pathogenesis. Rodent infestation in and around the home remains the primary risk for hantavirus exposure.
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