Anderson C R, Jenkins D, Tron V, Prendiville J S
Division of Dermatology, University of British Columbia, Vancouver, Canada.
J Am Acad Dermatol. 1995 Nov;33(5 Pt 2):857-64. doi: 10.1016/0190-9622(95)90423-9.
We report a severe case of Wells' syndrome, or eosinophilic cellulitis, after a bee sting in a 4-year-old girl. The patient had a widespread, painful, blistering eruption that was subsequently complicated by Pseudomonas aeruginosa superinfection and septicemia, hypoalbuminemia, anemia, and neutropenia. The skin lesions responded to systemic steroid therapy. There was residual scarring alopecia of the scalp. There have been 17 previous reports of childhood Wells' syndrome. We believe that this disorder is a distinct entity that should be considered in the differential diagnosis of blistering diseases in children.
我们报告了一名4岁女童在被蜜蜂蜇伤后发生严重韦尔斯综合征（即嗜酸性粒细胞性蜂窝织炎）的病例。患者出现广泛、疼痛性水疱性皮疹，随后并发铜绿假单胞菌二重感染及败血症、低白蛋白血症、贫血和中性粒细胞减少症。皮肤病变对全身类固醇治疗有反应。头皮有残留瘢痕性脱发。此前已有17例儿童韦尔斯综合征的报告。我们认为这种疾病是一种独特的病症，在儿童水疱性疾病的鉴别诊断中应予以考虑。
