Department of Dermatology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Wien Med Wochenschr. 2024 Sep;174(11-12):242-245. doi: 10.1007/s10354-023-01019-3. Epub 2023 Aug 11.
The polymorphic presentation of annular dermatoses in the pediatric population renders them a diagnostic challenge to the clinician. They include various distinct disease entities that can be vaguely categorized according to the age of onset. Herein, we report on a young girl with clinical characteristics of Wells' syndrome, while histological findings favored the diagnosis of annular erythema of infancy (AEI). Although morphological and histological similarities do exist, AEI and eosinophilic annular erythema (EAE) of childhood are considered as distinct entities in the literature. Wells' syndrome (WS) is an eosinophilic dermatosis and histologically characterized by eosinophilic dermal infiltration with the hallmark feature of "flame figures." Based on this case, we discuss and review the differential diagnoses of annular dermatoses in children.
儿童环状皮肤病的多态性表现对临床医生来说是一个诊断挑战。它们包括各种不同的疾病实体，可以根据发病年龄进行模糊分类。在这里，我们报告了一个年轻女孩的临床特征符合韦尔斯综合征（Wells' syndrome），而组织学检查结果支持婴儿环状红斑（annular erythema of infancy，AEI）的诊断。尽管形态学和组织学上存在相似之处，但 AEI 和儿童嗜酸性环状红斑（eosinophilic annular erythema of childhood，EAE）在文献中被认为是不同的实体。韦尔斯综合征（WS）是一种嗜酸性皮肤病，组织学上表现为嗜酸性真皮浸润，具有“火焰状”的特征。基于这个病例，我们讨论并回顾了儿童环状皮肤病的鉴别诊断。
